Health decentralization policy and social answer. The Colombian region case

  • Gustavo Arango T Universidad de Antioquia
  • María Victoria López López Universidad de Antioquia
  • Sara Yaneth Fernández M Universidad de Antioquia
  • María Patricia Arbeláez M Universidad de Antioquia
  • Gloria Estela Gómez Tabares Universidad de Antioquia


During the last twenty years, social participation in Latin America, especially in Colombia has been oriented by a policy of administrative and political decentralization, with consequences in the field of health where both the state and the communities have assumed new spaces and types of relation that impact social organization and justice. Through this framework the project analyses in the Colombian region of the antioqueño southwest, some of the effects health decentralization has had taking into consideration the historic characteristics of the participation process of the population, some central aspects of the legal context of the health and social security system reforms during the last two decades, the perceptions of local actors as regards the process of the implementation of decentralized health, and the actions undertaken by the local state agents and the people in comunitary participation processes for the improvement of life and health conditions.
Key Words: Health decentralization, community participation in health, social health participation, health policies, community health committees
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Author Biographies

Gustavo Arango T, Universidad de Antioquia
Sociólogo. Magíster en Sociología. FLACSO México.Profesor en la Facultad de Enfermería, Universidad de Antioquia
María Victoria López López, Universidad de Antioquia
Socióloga. Maestra en Medicina Social. UniversidadAutónoma Metropolitana México. Docente de la Facultadde Enfermería, Universidad de Antioquia
Sara Yaneth Fernández M, Universidad de Antioquia
Trabajadora Social. Magíster en Demografía. Colegiode la Frontera Norte México. Docente en Trabajo Social,Universidad de Antioquia
María Patricia Arbeláez M, Universidad de Antioquia
Médica, PhD en Epidemiología.Universidad JhonsHopkins U. S. A. Docente de la Facultad Nacional deSalud Pública Héctor Abad Gómez. Universidad deAntioquia
Gloria Estela Gómez Tabares, Universidad de Antioquia
Enfermera. Especialista en investigación y administración en salud CEAS Ecuador. Docente en la Facultad de Enfermería Universidad de Antioquia
How to Cite
Arango T G., López López M. V., Fernández M S. Y., Arbeláez M M. P., & Gómez Tabares G. E. (2008). Health decentralization policy and social answer. The Colombian region case. Investigación Y Educación En Enfermería, 22(1). Retrieved from