Aty Guasú Community Meetings

The community meetings, or "Aty Guasú" for their name in Guarani, are organized by the Family Health Units (USF) in localities in different departments of the country. They are based on health policies promoted since 2008. The USF consist of teams of professionals from the medical sector. They use an integral and community based approach to the prevention and treatment of diseases as well as health surveillance. In addition, they are in charge of organizing meetings with community members and local authorities with the aim of publicizing the scope of their activities and listening to citizens? opinions of citizens about the services as well as their needs. The different experiences showed that during these meetings citizen?s evaluated different aspects of the services offered; for example, citizen?s raised issues concerned with the availability and quality of care provided by health professionals, or specific requests such as ambulances or the presence of specialists. These meetings seek to promote participation and improve the quality of life of the community by strengthening health provisions.

Institutional design


Formalization: is the innovation embedded in the constitution or legislation, in an administrative act, or not formalized at all?

Frequency: how often does the innovation take place: only once, sporadically, or is it permanent or regular?

Mode of Selection of Participants: is the innovation open to all participants, access is restricted to some kind of condition, or both methods apply?

Type of participants: those who participate are individual citizens, civil society organizations, private stakeholders or a combination of those?

Decisiveness: does the innovation takes binding, non-binding or no decision at all?

Co-governance: is there involvement of the government in the process or not?

only backed by a governmental program or policy 
Mode of selection of participants
Type of participants
democratic innovation yields a non-binding decision  


  • Deliberation
  • Direct Voting
  • E-Participation
  • Citizen Representation


  • Accountability
  • Responsiveness
  • Rule of Law
  • Political Inclusion
  • Social Equality

Policy cycle

Agenda setting
Formulation and decision-making
Policy Evaluation

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Pogrebinschi, Thamy. (2017). LATINNO Dataset. Berlin: WZB.

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