Tensiones y desafíos en la planificación local en salud pública. Municipios de Cajicá y Supatá, Cundinamarca

Abstract

Objective: This research work aims at an analysis of public health planning processes at the local level, in the municipalities of Cajicá and Supatá, an exercise focused on ethical and political responsibility for positive changes in the quality of life and health. of the population. Method and frame of reference: incorporates approaches that stipulate the complex nature of society (rights, territorial and differential approach), recognizing in addition the social determinants of health as a reference framework and the role of social inequities in health status. Results: Public health planning in both territories does not reveal the importance of citizen participation in the processes of management, preparation, implementation and monitoring of local public health plans and programs. These plans focus on normative, technical and methodological elements that guide or direct how to carry out or develop said processes, which respond to the compliance of the evaluating and qualifying entities; however, they do not encourage community participation, they do not have synchronicity with the socio-political dynamics of the population, they use information with poor quality. At this level planning and evaluation, the results are mainly valued in terms of indicators and administrative management or management of the financial resource.