Health Committees
The Health Committees are institutions of citizen participation for the management and provision of primary health care services at the neighborhood level. They were first implemented in the 1980s as part of a program fostering community organizations in marginal neighborhoods; only in 2003 with the Barrio Adentro Mission (Inside the Neighborhood Mission) did they receive more significance. The committees became an essential element of the national health policy program, inspired and supported by the Government of Cuba. Thus, health committees serve as a liaison between medical staff and the community. Their work serves to hold assemblies, which inform about the problems and priorities in the management of health problems. They also participate in the support of community clinics and fulfill functions of monitoring and control of the management of health centers. As of 2006, the Committees are integrated in the Communal Councils.
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
- open
- Type of participants
- citizens
- Decisiveness
- democratic innovation yields a non-binding decision
- Co-Governance
- no
Means
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Ends
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