Complexity of the colombian childhood cancer law: requirements for its evaluation

• Autores: Arias Quijano, Nohora Lucia, de Salazar, Ligia
• Formato: artículo
• Fecha de Publicación: 2023
• Institución: Universidad Privada Norbert Wiener
• Repositorio: Revista de investigación de la Universidad Norbert Wiener
• Lenguaje: español
• OAI Identifier: oai:revistadeinvestigacion.uwiener.edu.pe:article/385
• Enlace del recurso: https://revistadeinvestigacion.uwiener.edu.pe/index.php/revistauwiener/article/view/385
• Nivel de acceso: acceso abierto
• Materia: Evaluation of Health Programs and Projects; neoplasms; public policy; Neoplasms; Public policy

Introduction: The complexity of health problems such as childhood cancer poses challenges in health care and in the evaluation of interventions. This situation is aggravated when policy makers and decision makers assume that a health system works in a delimited environment with defined rules. Addressing the problem of cancer in children in Colombia required the enactment of a law to contribute to the reduction of mortality from this cause. This study characterized its complex nature, evidenced the potential implications in its evaluation and proposes an evaluation scheme. Methods: Documentary research with related information available between the years 2010 and 2020. Bowen's guidelines for the analysis of the information were followed, the categories included were relevant actors, context, components, organizational levels involved and results. Results: The analysis of the problem made visible the influence of the social determinants of health, the interaction of multiple actors in various scenarios and a high degree of uncertainty in a complex health system. The response is a complex intervention, with multiple components and actors involved at different levels to achieve the proposed results. Conclusion: Evaluating this intervention implies context-sensitive approaches, a clear definition of the problem and identification of the underlying theory necessary to achieve the expected results; establishing its evaluability provides important inputs to reorient its scope and transferability; the active participation of decision makers is key to advancing in the response to the challenges encountered Keywords: Evaluation of Health Programs and Projects, neoplasms, public policy.