Councils for Local Health Development

The Councils for Local Health Development are an institutionalized channel for citizen participation in the Network of Public Health Centers, open to the incorporation of all users of the public health system and social, community, territorial or other organizations, which may be composed of users and non-users of the public system, and are also made up of representatives of officials (through their trade union organizations) and / or representatives of the existing civil servants in the establishment. The councils should be established in all primary care settings. The Health Centers are responsible for notifying their users and officials, by request of those responding to the general regulations for Citizen Participation of the Public Management, issued by the Ministry of Health. To hold a managerial position in the council, the individual must be a user assigned to the establishment, the chair of the agency being a representative of the users. Likewise, it is recommended that the board be composed of both users and officials, safeguarding a healthy balance between the participation of representatives of users, officials and local organizations.

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
Citizens Civil Society  
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


How to quote

Do you want to use the data from this website? Here’s how to cite:

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

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