San Martin Regional Health System policy in reduction of child malnutrition: application in Peru of the Health Systems Assessment approach

• Autores: Mendoza-Arana, Pedro, Mostajo-Vallenas, Patricia, Velásquez-Valdivia, Aníbal, Cotrina-Rabanal, Armando, Jaramillo-Bahanante, Miguel
• Formato: artículo
• Fecha de Publicación: 2015
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:revistasinvestigacion.unmsm.edu.pe:article/11238
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/11238
• Nivel de acceso: acceso abierto
• Materia: Health Care System; Health System Assessment; Health System Research.; Sistemas de Salud; análisis de los Sistemas de Salud; investigación en Sistemas de Salud.

Introduction: Chronic infant malnutrition is one of the main public health issues in Peru and in the world. Objectives: To determine achievements and limitations of a regional policy against chronic infant malnutrition in a Region of Peru. Design: Qualitative study, using the Health System Assessment Approach, as promoted by the World Health Organization. Setting: San Martin Region, Peru. Participants: Managers and professionals working at the Health Region as well as users and non users of the services. Interventions: In June and July 2014 semistructured interviews were conducted with health managers and workers at regional and local levels as well as with services users and non users. Main outcome measures: Bottlenecks in the reduction of child malnutrition. Results: Bottlenecks for each of the model components -governance, financing, provision, health resources, drugs, and information system- were identified. Conclusions: Learned lessons from the results and validated in workshops with the participants are drawn.