We have a government in this sense that is not talking or explaining why this situation is a health problem.

In general, the population has limited knowledge about decisions made in health matters. Example: The patient does not have a clear idea of ​​what is covered and how and why coverage decisions are made.

It is the government’s obligation to transparently inform the decisions made.

There is no room for interested Jujeños to convey their health concerns in an authentic way.

In other countries, such as the UK, there are citizen councils so that their recommendations are reflected in national health system processes on effective and quality health interventions.

The public health system in Jujuy has expensive and highly bureaucratic procedures that add no value to patients, but they are not consulted on anything, while eliminating them can result in significant savings.

Accountability is very important. No one here knows how the ministry spends with the material that the minister himself admits that he does not manage the budget, so it is very important to be responsible, especially in public health, a very sensitive sector for the people.

I say this because the health system has severely disrupted its coverage policies for budgetary reasons, failing to cover services or interventions that impact its integrity and legitimacy.

We faced a management that was unable to turn ideas into feasible and well-designed policies aligned with the objectives and available resources.

There is a number in public health called the triple goal: it means better population health, better health services, and greater efficiency in the use of resources. However, there is a fourth slogan, namely the welfare of health workers.

As we can see here, neither the triple objective nor the fourth option was fulfilled as they all collapsed.

So that strengthening health governance means going beyond political will, it is also necessary to build a competent bureaucracy that will provide better quality in the provision of health to the community.