Resumen

MENDOZA-ARANA, Pedro et al. Health Systems Assessment San Martin Regional Health System policy in reduction of child malnutrition: application in Peru of the Health Systems Assessment approach. An. Fac. med. [online]. 2015, vol.76, n.3, pp.269-276. ISSN 1025-5583.

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. Setling: 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 locallevels 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.

Palabras clave : Health Care System; Health System Assessment; Health System Research.

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