Abstract

MOLINA M, Gloria; MONTOYA, Nilton; RODRIGUEZ T, Claudia M  and  SPURGEON, Peter. Health sector decentralization in Colombia: analysis of 91 cities. Rev. Fac. Nac. Salud Pública [online]. 2006, vol.24, n.1, pp.48-60. ISSN 0120-386X.

Objective: this study analyses institutional development and community participation in the health sector at municipal level according to socio-economic level of cities. Methods: a survey of the whole municipalities (164) of the departments of Antioquia, Caldas and Risaralda was conducted, from which 91 (56%) answered the questionnaire. A descriptive analysis was carried out as the first step and then principal component analysis and correlation analysis were done. Results: it was found that institutional development and community participation level of the cities are not consistent Health sector decentralization in Colombia: analysis of 91 cities with their socio-economic level. Cities do not have an integrated development of institutional capacity components. Some small and poor cities have similar or even better development than that of bigger and richer cities.

Keywords : Principal component analysis; institutional development; community participation; decentralization; social security reform in health care; municipal development.