Browsing by Autor "Lavadenz Mantilla F"

Now showing 1 - 2 of 2

[Experience with a local health system in Santa Cruz, Bolivia].
(National Institutes of Health, 1991) Lavadenz Mantilla F; Roca de Sangueza E
In 1988 the health care network in Bolivia had 80 health districts, of which 18 were urban and 62 were rural. The city of Santa Cruz de la Sierra, located in the country's tropical area, was divided into five health districts. One of these was selected for implementation of a local health system, based on four priority criteria: socioeconomic situation, epidemiologic profile, access to health services, and services coverage. After the model had been in place for ten months, significant results could be seen, which are summarized as follows: effective participation by the people in the district, increased demand for preventive services, interest in receiving information and health education, satisfaction on the part of the people with the actions carried out vis-à-vis the perceived needs, and effective coordination of all the institutions making up the local health system.
[Non-government organizations and local health systems].
(National Institutes of Health, 1991) Lavadenz Mantilla F
In recent years the failure to meet the health needs of the most unprotected segments of population--those that do not have access to either private or public health care--has spawned the emergence in many of the Region's countries of nongovernmental organizations (NGOs) that are participating in public health care. This article looks at the role of NGOs in the theoretical health system framework, as well as relationships between the NGOs and other subsectors of the health sector. It reviews the strengths and weaknesses of these organizations and examines the parallelism between their activities and comprehensive development concepts and those inherent in the strategy of implementation of local health systems.