López-Manning M, López-Ridaura R

Language: Spanish
References: 8
Page: 661-669
PDF size: 408.13 Kb.

ABSTRACT

The Mexican health system restructuring process that began in 2018 moves forward in two lanes: individual-based healthcare provision and public health services. The latter has two main goals: strengthening the state’s public health governing role in a federative nation and providing the country’s Ministry of Health with a highly skilled professional task force to accomplish this role. Mexico’s Ministry of Health created the National Public Health Service (NPHS), a corporation of public health officers with the single mission to protect people’s health by purposefully enforcing and overseeing the Essential Public Health Functions within the Mexican health system. Correspondingly, the NPHS will pursue three key strategies. First, to reshape public health action by organizing the Ministry’s work using operational-based criteria (governance, logistics, operations, and intelligence) instead of program-specific vertical structures. Second, to functionally integrate and provide a group identity and a set of standard operational practices to all federal-level public health practitioners. Third, to refocus the Ministry of Health’s nature to a more ground-level work, closer to the people and the needs of the state-level health departments instead of a more normative nature.

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