Provincial health funds distribution in the Gran Buenos Aires: thoughts about local policy (2000-2005)

https://doi.org/10.18294/sc.2010.356

Published 2 April 2010 Open Access


Magdalena Chiara Licenciada en Ciencias Antropológicas, Universidad de Buenos Aires (UBA). Docente Investigadora del Instituto del Conurbano, Universidad Nacional de General Sarmiento (UNGS), Argentina. , Mercedes Di Virgilio Licenciada en Sociología. Doctora en Ciencias Sociales, Universidad de Buenos Aires (UBA). Investigadora del Instituto de Investigaciones Gino Germani, Facultad de Ciencias Sociales, Universidad de Buenos Aires (FCS-UBA), Argentina. , Ana Ariovich Licenciada en Ciencias Antropológicas, Universidad de Buenos Aires (UBA). Becaria del Fondo para la Investigación Científica y Tecnológica (FONCyT), Universidad Nacional de General Sarmiento (UNGS), Argentina.



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Keywords:

Health Public Policy, Local Strategies, Equity in Health, Financing, Health

Abstract


In recent decades the health sector in the province of Buenos Aires has suffered an acute process of decentralization of services towards municipalities. This process was not accompanied by the definition of a benefit model establishing the level to be guaranteed in every smaller territorial unit. This work focuses on the impact that funds distribution criteria in "health" –from the provincial state to municipalities– have had in local policy. The objective of this study is to understand how this distribution encourages, restricts and organizes local health policy, generating a fragmentation that creates different conditions for exercising the right to Health in each local area. As part of a collective project, the study seeks to reconstruct the 24 municipalities of Gran Buenos Aires macro conditions of local policy in order to detect the existence of "typical patterns" during the crisis of 2001, which will help to explain the perspective of local strategies.