Until the last decade, access barriers and weak mechanisms of caution restricted the right to health of Peruvians. In 2009, the policy of Universal Health Insurance (AUS) was instituted. In 2013, the National Health Insurance Agency (SIS) Offices for health insurance consumer assistance (OAA) were set up to ensure compliance with the access, quality and gratuity of care for its affiliated. Between 2015 and 2018, the SIS and the SISTEC Program executed a project in five regions of the country that contributed to the strengthening of processes of assistance to the affiliated to SIS. The project has generated evidence on the contribution of the OAA to the AUS. There is a need for consensus and articulation between the sectorial organizations involved to the configuration of a system for the health consumer assistance and protection of their health rights.

In Peru there are great gender and intercultural gaps, particularly in the health sector. These gaps lead to discrimination, maternal and infant deaths, and mistreatment and dehumanization of medical attention. To improve the quality of healthcare, the SISTEC Program used workshops in gender and interculturality as its methodology, organizing 44 in 5 regions and training 837 healthcare professionals. Capitalizing this experience, a variety of factors to improve the results of these workshops stood out, such as the selection of participants, cultural adaptation and the methodology used. The workshops led to socio-cultural changes in both work and personal spheres, but their sustainability depends strongly on the institutionalization strategies used. In conclusion, trainings can be a useful methodology to drive sustainable appropriation of gender and intercultural perspectives, provided th...