Departmental Honorary Counselors (CAHD) and Health Locations
The Departmental Honorary Counselors (Span. CAHD) and Health Locations were established to decentralize the monitoring and management of health and to advise the National Health Board (JUNASA). In 2013 the process of establishing Councils at the departmental level was completed and all departments now have a CAHD. They are composed of departmental representatives of state health institutions and representatives of service providers, workers and users of both private and public institutions. Law 18.211 established the Councils with the functions of counseling and evaluation. Although at the local level the council structure is not established, at least one local assembly per year must be held, and they also have the general duty to continue to promote citizen participation at the local level in health matters.
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?
- Formalization
- embedded in the constitution/legislation
- Frequency
- regular
- Mode of selection of participants
- both
- Type of participants
- citizens civil society private stakeholders
- Decisiveness
- democratic innovation yields a non-binding decision
- Co-Governance
- yes
Means
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Ends
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