Priority setting is the process through which a country's health system establishes the drugs, in... more Priority setting is the process through which a country's health system establishes the drugs, interventions, and treatments it will provide to its population. Our study evaluated the priority-setting legal instruments of Brazil, Costa Rica, Chile, and Mexico to determine the extent to which each reflected the following elements: transparency, relevance, review and revision, and oversight and supervision, according to Norman Daniels's accountability for reasonableness framework and Sarah Clark and Albert Wale's social values framework. The elements were analyzed to determine whether priority setting, as established in each country's legal instruments, is fair and justifiable. While all four countries fulfilled these elements to some degree, there was important variability in how they did so. This paper aims to help these countries analyze their priority-setting legal frameworks to determine which elements need to be improved to make priority setting fair and justifiable.
Resumen La disminución de la tasa de lactancia materna en México es un problema de salud pública.... more Resumen La disminución de la tasa de lactancia materna en México es un problema de salud pública. En este artículo discutimos un enfoque regulatorio-Regulación Basada en Desempeño-y su aplicación para mejorar las tasas de lactancia materna. Este enfoque obliga a la industria a asumir su responsabilidad por la falta de lactancia materna y sus consecuencias. Se considera una estrategia factible de ser aplicada al caso, ya que el mercado de sucedáneos tiene una estructura oligopólica, donde es relativamente fácil fijar la contribución de cada participante del mercado en el problema; incide en un grupo poblacional definido; tiene un objetivo regulatorio que puede ser fácilmente evaluado, y se pueden definir las sanciones bajo criterios objetivos. Para su aplicación se recomienda: modificar la política pública, crear convenios de concertación con la industria, establecer sanciones disuasorias, fortalecer los mecanismos de supervisión y alinear lo anterior al Código Internacional de Comercialización de Sucedáneos.
The judicialization of social rights is a reality in Latin America; however, little has been said... more The judicialization of social rights is a reality in Latin America; however, little has been said about this phenomenon in Mexico or about the role of the Mexican Supreme Court (Suprema Corte de Justicia de la Nación, SCJN) in advancing an effective guarantee of the right to health. In several countries, courts have adopted either an active role in defining health policy and protecting the right to health or a passive one. Studying the ways in which health-related cases are resolved in Mexico enables us to evaluate the role of the SCJN when ruling for or against this right. This article aims to determine whether the SCJN, through the analysis of its rulings, is or could be a catalyst for change in the healthcare system. This article reports on the results of a systematic content analysis of twenty-two SCJN rulings, examining the claimants, their claims as understood by the SCJN, and the elements considered by the justices in their decision-making process. The analysis of the way in ...
In 2010, the Mexican government implemented a multi-sector agreement to prevent obesity. In respo... more In 2010, the Mexican government implemented a multi-sector agreement to prevent obesity. In response, the Ministries of Health and Education launched a national school-based policy to increase physical activity, improve nutrition literacy, and regulate school food offerings through nutritional guidelines. We studied the Guidelines' negotiation and regulatory review process, including government collaboration and industry response. Within the government, conflicting positions were evident: the Ministries of Health and Education supported the Guidelines as an effective obesity-prevention strategy, while the Ministries of Economics and Agriculture viewed them as potentially damaging to the economy and job generation. The food and beverage industries opposed and delayed the process, arguing that regulation was costly, with negative impacts on jobs and revenues. The proposed Guidelines suffered revisions that lowered standards initially put forward. We documented the need to improve cross-agency cooperation to achieve effective policymaking. The 'siloed' government working style presented a barrier to efforts to resist industry's influence and strong lobbying. Our results are relevant to public health policymakers working in childhood obesity prevention.Journal of Public Health Policy advance online publication, 10 September 2015; doi:10.1057/jphp.2015.28.
Objetivo. Conocer la opinión de actores clave respecto del proceso de judicialización del derech... more Objetivo. Conocer la opinión de actores clave respecto del proceso de judicialización del derecho a la protección de la salud en México. Material y métodos. Se realizaron 30 entrevistas semiestructuradas a representantes de los poderes Judicial (PJ), Legislativo (PL), Sector Salud (SS), industria farmacéutica, academia y organizaciones de la sociedad civil (OSC) durante mayo de 2017 a agosto de 2018, en distintos lugares de la Ciudad de México. Se transcribieron las grabaciones y se analizó el contenido con base en categorías de interés. Resultados. Las posturas respecto al fenómeno de la judicialización del derecho a la salud son disímiles. Hay tensiones entre quienes ven su potencial efecto como agente de cambio del sector y quienes la perciben como una interferencia ilegítima del PJ. No existe una estrategia coordinada entre los sectores para promover un cambio en el SS. Conclusiones. Las posturas respecto al fenómeno de la judicialización en México son disímiles. Hay tensione...
Objetivo. Describir y analizar el gasto de la Secretaría de Salud asociado con iniciativas de com... more Objetivo. Describir y analizar el gasto de la Secretaría de Salud asociado con iniciativas de comunicación social de las campañas de prevención de enfermedades transmitidas por vectores (Zika, chikunguña y dengue) y la evaluación de impacto o resultados. Material y métodos. La in-formación se obtuvo de 690 contratos de prestación de servicios de comunicación social (2015-2017), asociados con dos declaraciones de emergencia epidemiológica (EE- 2-2015 y EE-1-2016). Resultados. Se concluye una débil evaluación de impacto del gasto público. No existe evidencia suficiente que demuestre la correspondencia del gasto en comunicación social con la efectividad y cumplimiento de las campañas. Conclusiones. Los hallazgos permiten definir recomendaciones para vigilar, transparentar y hacer más eficiente el gasto público. Existe información pública sobre el gasto; sin embargo, es necesario garantizar mecanismos de transparencia, trazabilidad de contratos y evaluación de impacto de las campañas.
Objetivo. Analizar la cobertura en salud de cáncer pulmonar en México y ofrecer recomendaciones ... more Objetivo. Analizar la cobertura en salud de cáncer pulmonar en México y ofrecer recomendaciones al respecto. Material y métodos. Mediante la conformación de un grupo multidisciplinario se analizó la carga de la enfermedad relativa al cáncer de pulmón y el acceso al tratamiento médico que ofrecen los diferentes subsistemas de salud en México. Resultados. Se documentan desigualdades importantes en la atención del cáncer de pulmón entre los distintos subsistemas de salud que sugieren acceso y cobertura en salud variable, tanto a los tratamientos tradicionales como a las innovaciones terapéuticas existentes, y diferencias en la capacidad de los prestadores de servicios de salud para garantizar el derecho a la protección de la salud sin distinciones. Conclusión. Se hacen recomendaciones sobre la necesidad de mejorar las acciones para el control del tabaco, el diagnóstico temprano y la inclusión de terapias innovadoras y la homologación entre los diferentes prestadores públicos de servi...
Palabras clave: hepatitis C; salud pública; epidemiología; tratamiento de hepatitis C; México Fun... more Palabras clave: hepatitis C; salud pública; epidemiología; tratamiento de hepatitis C; México Fundación Mexicana para la Salud Hepática. Hepatitis C as a public health problem in Mexico.
This is an invited commentary for the Active Living Research (ALR) special issue. The commentary ... more This is an invited commentary for the Active Living Research (ALR) special issue. The commentary focuses on the lessons that can be learned from Latin America regarding obesity prevention. Examples from Brazil, Mexico, and Colombia that may inform US policy are described. Published by Elsevier Inc.
Objetivo. Analizar la veracidad de las cifras oficiales de acuerdo con la información disponible ... more Objetivo. Analizar la veracidad de las cifras oficiales de acuerdo con la información disponible e identificar oportunidades de mejora. Material y métodos. Estimamos las coberturas de vacunación y tasas de deserción (para las vacunas administradas en multidosis) del esquema básico para niños menores de un año de edad, con base en la información de cubos dinámicos de la Secretaría de Salud de 2015 a 2017. Resultados. Observamos variaciones en los reportes mensuales de vacunación que indican bajas tasas de vacunación, así como índices altos de deserción al comparar primeras y terceras dosis aplicadas. La cobertura nacional de esquema completo se estimó en 48.9 por ciento. Conclusión. No se cuenta con información confiable que permita estimar las coberturas reales de vacunación. En los reportes oficiales hay una constante sobrestimación de las coberturas que ha creado a una “falsa sensación de seguridad”. Esto se ha constituido en una barrera que impide el análisis crítico del Progr...
Priority setting is the process through which a country's health system establishes the drugs... more Priority setting is the process through which a country's health system establishes the drugs, interventions, and treatments it will provide to its population. Our study evaluated the priority-setting legal instruments of Brazil, Costa Rica, Chile, and Mexico to determine the extent to which each reflected the following elements: transparency, relevance, review and revision, and oversight and supervision, according to Norman Daniels's accountability for reasonableness framework and Sarah Clark and Albert Wale's social values framework. The elements were analyzed to determine whether priority setting, as established in each country's legal instruments, is fair and justifiable. While all four countries fulfilled these elements to some degree, there was important variability in how they did so. This paper aims to help these countries analyze their priority-setting legal frameworks to determine which elements need to be improved to make priority setting fair and justifia...
Mexico has by far the world’s highest death rate linked to obesity and other chronic diseases. As... more Mexico has by far the world’s highest death rate linked to obesity and other chronic diseases. As a response to the growing pandemic of obesity, Mexico has adopted a new compulsory front-of-pack labeling regulation for pre-packaged foods and non-alcoholic beverages. This article provides an assessment of the regulation’s consistency with international trade law and the arguments that might be invoked by either side in a hypothetical trade dispute on this matter.
Describir y analizar el gasto de la Secretaría de
Salud asociado con iniciativas de comunicación... more Describir y analizar el gasto de la Secretaría de Salud asociado con iniciativas de comunicación social de las campañas de prevención de enfermedades transmitidas por vectores (Zika, chikunguña y dengue) y la evaluación de impacto o resultados. Material y métodos. La información se obtuvo de 690 contratos de prestación de servicios de comunicación social (2015-2017), asociados con dos declaraciones de emergencia epidemiológica (EE2-2015 y EE-1-2016). Resultados. Se concluye una débil evaluación de impacto del gasto público. No existe evidencia suficiente que demuestre la correspondencia del gasto en comunicación social con la efectividad y cumplimiento de las campañas. Conclusiones. Los hallazgos permiten definir recomendaciones para vigilar, transparentar y hacer más eficiente el gasto público. Existe información pública sobre el gasto; sin embargo, es necesario garantizar mecanismos de transparencia, trazabilidad de contratos y evaluación de impacto de las campañas. To briefly describe and to analyze, the expenditure of the Minister of Health associated with social communication campaigns for the prevention of vector-transmitted diseases (Zika, chikungunya and dengue). Materials and methods. The information was obtained through the analysis of 690 contracts for the provision of social communication services (2015-2017). The analyzed contracts are linked with two epidemiological emergency declarations (EE-2-2015, EE-1-2016). Results. The analysis concludes a weak evaluation of the impact of public spending. There is not enough evidence to show the correspondence of social communication spending with the effectiveness and compliance of the campaigns aim goals. Conclusions. Findings allow defining recommendations to monitor public spending. There are platforms that provide information on social communication spending; however, it is necessary to guarantee transparency, accountability and the governance of those responsible for social communication and official advertising and strengthen outcomes evaluation mechanisms.
RESUMEN Este artículo tiene tres objetivos: presentar las dificultades que plantea la exigibilida... more RESUMEN Este artículo tiene tres objetivos: presentar las dificultades que plantea la exigibilidad del derecho a la salud en México; dar cuenta de los principales problemas que se están presentando en lo que podemos llamar relaciones entre derecho y salud y , por último, ofrecer algunas propuestas para alcanzar una relación eficaz entre ambas materias. SUMMARY This article pursues three goals: to describe the obstacles that in Mexico faces the complete exigibility of the right to health, to present the main problems arising in what, generally speaking, could be referred to as "relations between law and health", and finally to offer some proposals in order to reach a working relation between the aforementioned disciplines.
Se reportan resultados de un seminario multidisciplinario que aborda el reconocimiento y construc... more Se reportan resultados de un seminario multidisciplinario que aborda el reconocimiento y construcción de la hepatitis C como problema de salud en México. La prevalencia es de 1.4%. La incidencia se estima en 19300 nuevos casos por año. Al disminuir los casos relacionados a transfusión, aumentan en importancia la transmisión nosocomial y uso de drogas vía intravenosa o intranasal. Es necesario construir nuevos contenidos para las representaciones sociales y percepción de riesgo. El tratamiento basado en respuesta por PCR-ARN ha modificado los esquemas de manejo, situación importante al considerar políticas de tratamiento. Jurídicamente existe poca incidencia legislativa en el tema. La distribución de competencias entre el Gobierno Federal y las entidades federativas en materia de salubridad general se encuentra establecida en el artículo 13 de la Ley General de Salud (México). Es necesario definir una estrategia que adquiera el carácter de política pública de alcance nacional.
The Mexican Health System is too fragile to face COVID-19 due to the corruption and lack of
inves... more The Mexican Health System is too fragile to face COVID-19 due to the corruption and lack of investment of former administrations, and due to poorly-implemented reforms made by the current administration. 9/7/2020 Human Rights at Risk During the Response to the COVID-19 Pandemic in Mexico | Bill of Health https://blog.petrieflom.law.harvard.edu/2020/06/01/mexico-global-responses-covid19/ 2/8 In Mexico, the design of a response plan during a health crisis relies on Executive Power. At the Federal level two mechanisms exist to do so, and are established in the Constitution: the suspension of rights and the power of the Sanitary Health Council (CSG in Spanish).
Understand what Mexican key stakeholders think about the judicialization of the right to health i... more Understand what Mexican key stakeholders think about the judicialization of the right to health in Mexico. 30 semi-structured interviews were conducted at different settings in Mexico City with representatives of the judiciary, legislative power, health sector, pharmaceutical industry, academia and non-governmental organizations from May 2017 to August 2018. There are different opinions regarding judicialization of the right to health. Tensions exist between those who see its potential effect as a game changer for the HS and those who perceive it as an illegitimate interference of the judiciary. There is no coordinated strategy between sectors to promote change in the health sector.
Priority setting is the process through which a country's health system establishes the drugs, in... more Priority setting is the process through which a country's health system establishes the drugs, interventions, and treatments it will provide to its population. Our study evaluated the priority-setting legal instruments of Brazil, Costa Rica, Chile, and Mexico to determine the extent to which each reflected the following elements: transparency, relevance, review and revision, and oversight and supervision, according to Norman Daniels's accountability for reasonableness framework and Sarah Clark and Albert Wale's social values framework. The elements were analyzed to determine whether priority setting, as established in each country's legal instruments, is fair and justifiable. While all four countries fulfilled these elements to some degree, there was important variability in how they did so. This paper aims to help these countries analyze their priority-setting legal frameworks to determine which elements need to be improved to make priority setting fair and justifiable.
Priority setting is the process through which a country's health system establishes the drugs, in... more Priority setting is the process through which a country's health system establishes the drugs, interventions, and treatments it will provide to its population. Our study evaluated the priority-setting legal instruments of Brazil, Costa Rica, Chile, and Mexico to determine the extent to which each reflected the following elements: transparency, relevance, review and revision, and oversight and supervision, according to Norman Daniels's accountability for reasonableness framework and Sarah Clark and Albert Wale's social values framework. The elements were analyzed to determine whether priority setting, as established in each country's legal instruments, is fair and justifiable. While all four countries fulfilled these elements to some degree, there was important variability in how they did so. This paper aims to help these countries analyze their priority-setting legal frameworks to determine which elements need to be improved to make priority setting fair and justifiable.
Resumen La disminución de la tasa de lactancia materna en México es un problema de salud pública.... more Resumen La disminución de la tasa de lactancia materna en México es un problema de salud pública. En este artículo discutimos un enfoque regulatorio-Regulación Basada en Desempeño-y su aplicación para mejorar las tasas de lactancia materna. Este enfoque obliga a la industria a asumir su responsabilidad por la falta de lactancia materna y sus consecuencias. Se considera una estrategia factible de ser aplicada al caso, ya que el mercado de sucedáneos tiene una estructura oligopólica, donde es relativamente fácil fijar la contribución de cada participante del mercado en el problema; incide en un grupo poblacional definido; tiene un objetivo regulatorio que puede ser fácilmente evaluado, y se pueden definir las sanciones bajo criterios objetivos. Para su aplicación se recomienda: modificar la política pública, crear convenios de concertación con la industria, establecer sanciones disuasorias, fortalecer los mecanismos de supervisión y alinear lo anterior al Código Internacional de Comercialización de Sucedáneos.
The judicialization of social rights is a reality in Latin America; however, little has been said... more The judicialization of social rights is a reality in Latin America; however, little has been said about this phenomenon in Mexico or about the role of the Mexican Supreme Court (Suprema Corte de Justicia de la Nación, SCJN) in advancing an effective guarantee of the right to health. In several countries, courts have adopted either an active role in defining health policy and protecting the right to health or a passive one. Studying the ways in which health-related cases are resolved in Mexico enables us to evaluate the role of the SCJN when ruling for or against this right. This article aims to determine whether the SCJN, through the analysis of its rulings, is or could be a catalyst for change in the healthcare system. This article reports on the results of a systematic content analysis of twenty-two SCJN rulings, examining the claimants, their claims as understood by the SCJN, and the elements considered by the justices in their decision-making process. The analysis of the way in ...
In 2010, the Mexican government implemented a multi-sector agreement to prevent obesity. In respo... more In 2010, the Mexican government implemented a multi-sector agreement to prevent obesity. In response, the Ministries of Health and Education launched a national school-based policy to increase physical activity, improve nutrition literacy, and regulate school food offerings through nutritional guidelines. We studied the Guidelines' negotiation and regulatory review process, including government collaboration and industry response. Within the government, conflicting positions were evident: the Ministries of Health and Education supported the Guidelines as an effective obesity-prevention strategy, while the Ministries of Economics and Agriculture viewed them as potentially damaging to the economy and job generation. The food and beverage industries opposed and delayed the process, arguing that regulation was costly, with negative impacts on jobs and revenues. The proposed Guidelines suffered revisions that lowered standards initially put forward. We documented the need to improve cross-agency cooperation to achieve effective policymaking. The 'siloed' government working style presented a barrier to efforts to resist industry's influence and strong lobbying. Our results are relevant to public health policymakers working in childhood obesity prevention.Journal of Public Health Policy advance online publication, 10 September 2015; doi:10.1057/jphp.2015.28.
Objetivo. Conocer la opinión de actores clave respecto del proceso de judicialización del derech... more Objetivo. Conocer la opinión de actores clave respecto del proceso de judicialización del derecho a la protección de la salud en México. Material y métodos. Se realizaron 30 entrevistas semiestructuradas a representantes de los poderes Judicial (PJ), Legislativo (PL), Sector Salud (SS), industria farmacéutica, academia y organizaciones de la sociedad civil (OSC) durante mayo de 2017 a agosto de 2018, en distintos lugares de la Ciudad de México. Se transcribieron las grabaciones y se analizó el contenido con base en categorías de interés. Resultados. Las posturas respecto al fenómeno de la judicialización del derecho a la salud son disímiles. Hay tensiones entre quienes ven su potencial efecto como agente de cambio del sector y quienes la perciben como una interferencia ilegítima del PJ. No existe una estrategia coordinada entre los sectores para promover un cambio en el SS. Conclusiones. Las posturas respecto al fenómeno de la judicialización en México son disímiles. Hay tensione...
Objetivo. Describir y analizar el gasto de la Secretaría de Salud asociado con iniciativas de com... more Objetivo. Describir y analizar el gasto de la Secretaría de Salud asociado con iniciativas de comunicación social de las campañas de prevención de enfermedades transmitidas por vectores (Zika, chikunguña y dengue) y la evaluación de impacto o resultados. Material y métodos. La in-formación se obtuvo de 690 contratos de prestación de servicios de comunicación social (2015-2017), asociados con dos declaraciones de emergencia epidemiológica (EE- 2-2015 y EE-1-2016). Resultados. Se concluye una débil evaluación de impacto del gasto público. No existe evidencia suficiente que demuestre la correspondencia del gasto en comunicación social con la efectividad y cumplimiento de las campañas. Conclusiones. Los hallazgos permiten definir recomendaciones para vigilar, transparentar y hacer más eficiente el gasto público. Existe información pública sobre el gasto; sin embargo, es necesario garantizar mecanismos de transparencia, trazabilidad de contratos y evaluación de impacto de las campañas.
Objetivo. Analizar la cobertura en salud de cáncer pulmonar en México y ofrecer recomendaciones ... more Objetivo. Analizar la cobertura en salud de cáncer pulmonar en México y ofrecer recomendaciones al respecto. Material y métodos. Mediante la conformación de un grupo multidisciplinario se analizó la carga de la enfermedad relativa al cáncer de pulmón y el acceso al tratamiento médico que ofrecen los diferentes subsistemas de salud en México. Resultados. Se documentan desigualdades importantes en la atención del cáncer de pulmón entre los distintos subsistemas de salud que sugieren acceso y cobertura en salud variable, tanto a los tratamientos tradicionales como a las innovaciones terapéuticas existentes, y diferencias en la capacidad de los prestadores de servicios de salud para garantizar el derecho a la protección de la salud sin distinciones. Conclusión. Se hacen recomendaciones sobre la necesidad de mejorar las acciones para el control del tabaco, el diagnóstico temprano y la inclusión de terapias innovadoras y la homologación entre los diferentes prestadores públicos de servi...
Palabras clave: hepatitis C; salud pública; epidemiología; tratamiento de hepatitis C; México Fun... more Palabras clave: hepatitis C; salud pública; epidemiología; tratamiento de hepatitis C; México Fundación Mexicana para la Salud Hepática. Hepatitis C as a public health problem in Mexico.
This is an invited commentary for the Active Living Research (ALR) special issue. The commentary ... more This is an invited commentary for the Active Living Research (ALR) special issue. The commentary focuses on the lessons that can be learned from Latin America regarding obesity prevention. Examples from Brazil, Mexico, and Colombia that may inform US policy are described. Published by Elsevier Inc.
Objetivo. Analizar la veracidad de las cifras oficiales de acuerdo con la información disponible ... more Objetivo. Analizar la veracidad de las cifras oficiales de acuerdo con la información disponible e identificar oportunidades de mejora. Material y métodos. Estimamos las coberturas de vacunación y tasas de deserción (para las vacunas administradas en multidosis) del esquema básico para niños menores de un año de edad, con base en la información de cubos dinámicos de la Secretaría de Salud de 2015 a 2017. Resultados. Observamos variaciones en los reportes mensuales de vacunación que indican bajas tasas de vacunación, así como índices altos de deserción al comparar primeras y terceras dosis aplicadas. La cobertura nacional de esquema completo se estimó en 48.9 por ciento. Conclusión. No se cuenta con información confiable que permita estimar las coberturas reales de vacunación. En los reportes oficiales hay una constante sobrestimación de las coberturas que ha creado a una “falsa sensación de seguridad”. Esto se ha constituido en una barrera que impide el análisis crítico del Progr...
Priority setting is the process through which a country's health system establishes the drugs... more Priority setting is the process through which a country's health system establishes the drugs, interventions, and treatments it will provide to its population. Our study evaluated the priority-setting legal instruments of Brazil, Costa Rica, Chile, and Mexico to determine the extent to which each reflected the following elements: transparency, relevance, review and revision, and oversight and supervision, according to Norman Daniels's accountability for reasonableness framework and Sarah Clark and Albert Wale's social values framework. The elements were analyzed to determine whether priority setting, as established in each country's legal instruments, is fair and justifiable. While all four countries fulfilled these elements to some degree, there was important variability in how they did so. This paper aims to help these countries analyze their priority-setting legal frameworks to determine which elements need to be improved to make priority setting fair and justifia...
Mexico has by far the world’s highest death rate linked to obesity and other chronic diseases. As... more Mexico has by far the world’s highest death rate linked to obesity and other chronic diseases. As a response to the growing pandemic of obesity, Mexico has adopted a new compulsory front-of-pack labeling regulation for pre-packaged foods and non-alcoholic beverages. This article provides an assessment of the regulation’s consistency with international trade law and the arguments that might be invoked by either side in a hypothetical trade dispute on this matter.
Describir y analizar el gasto de la Secretaría de
Salud asociado con iniciativas de comunicación... more Describir y analizar el gasto de la Secretaría de Salud asociado con iniciativas de comunicación social de las campañas de prevención de enfermedades transmitidas por vectores (Zika, chikunguña y dengue) y la evaluación de impacto o resultados. Material y métodos. La información se obtuvo de 690 contratos de prestación de servicios de comunicación social (2015-2017), asociados con dos declaraciones de emergencia epidemiológica (EE2-2015 y EE-1-2016). Resultados. Se concluye una débil evaluación de impacto del gasto público. No existe evidencia suficiente que demuestre la correspondencia del gasto en comunicación social con la efectividad y cumplimiento de las campañas. Conclusiones. Los hallazgos permiten definir recomendaciones para vigilar, transparentar y hacer más eficiente el gasto público. Existe información pública sobre el gasto; sin embargo, es necesario garantizar mecanismos de transparencia, trazabilidad de contratos y evaluación de impacto de las campañas. To briefly describe and to analyze, the expenditure of the Minister of Health associated with social communication campaigns for the prevention of vector-transmitted diseases (Zika, chikungunya and dengue). Materials and methods. The information was obtained through the analysis of 690 contracts for the provision of social communication services (2015-2017). The analyzed contracts are linked with two epidemiological emergency declarations (EE-2-2015, EE-1-2016). Results. The analysis concludes a weak evaluation of the impact of public spending. There is not enough evidence to show the correspondence of social communication spending with the effectiveness and compliance of the campaigns aim goals. Conclusions. Findings allow defining recommendations to monitor public spending. There are platforms that provide information on social communication spending; however, it is necessary to guarantee transparency, accountability and the governance of those responsible for social communication and official advertising and strengthen outcomes evaluation mechanisms.
RESUMEN Este artículo tiene tres objetivos: presentar las dificultades que plantea la exigibilida... more RESUMEN Este artículo tiene tres objetivos: presentar las dificultades que plantea la exigibilidad del derecho a la salud en México; dar cuenta de los principales problemas que se están presentando en lo que podemos llamar relaciones entre derecho y salud y , por último, ofrecer algunas propuestas para alcanzar una relación eficaz entre ambas materias. SUMMARY This article pursues three goals: to describe the obstacles that in Mexico faces the complete exigibility of the right to health, to present the main problems arising in what, generally speaking, could be referred to as "relations between law and health", and finally to offer some proposals in order to reach a working relation between the aforementioned disciplines.
Se reportan resultados de un seminario multidisciplinario que aborda el reconocimiento y construc... more Se reportan resultados de un seminario multidisciplinario que aborda el reconocimiento y construcción de la hepatitis C como problema de salud en México. La prevalencia es de 1.4%. La incidencia se estima en 19300 nuevos casos por año. Al disminuir los casos relacionados a transfusión, aumentan en importancia la transmisión nosocomial y uso de drogas vía intravenosa o intranasal. Es necesario construir nuevos contenidos para las representaciones sociales y percepción de riesgo. El tratamiento basado en respuesta por PCR-ARN ha modificado los esquemas de manejo, situación importante al considerar políticas de tratamiento. Jurídicamente existe poca incidencia legislativa en el tema. La distribución de competencias entre el Gobierno Federal y las entidades federativas en materia de salubridad general se encuentra establecida en el artículo 13 de la Ley General de Salud (México). Es necesario definir una estrategia que adquiera el carácter de política pública de alcance nacional.
The Mexican Health System is too fragile to face COVID-19 due to the corruption and lack of
inves... more The Mexican Health System is too fragile to face COVID-19 due to the corruption and lack of investment of former administrations, and due to poorly-implemented reforms made by the current administration. 9/7/2020 Human Rights at Risk During the Response to the COVID-19 Pandemic in Mexico | Bill of Health https://blog.petrieflom.law.harvard.edu/2020/06/01/mexico-global-responses-covid19/ 2/8 In Mexico, the design of a response plan during a health crisis relies on Executive Power. At the Federal level two mechanisms exist to do so, and are established in the Constitution: the suspension of rights and the power of the Sanitary Health Council (CSG in Spanish).
Understand what Mexican key stakeholders think about the judicialization of the right to health i... more Understand what Mexican key stakeholders think about the judicialization of the right to health in Mexico. 30 semi-structured interviews were conducted at different settings in Mexico City with representatives of the judiciary, legislative power, health sector, pharmaceutical industry, academia and non-governmental organizations from May 2017 to August 2018. There are different opinions regarding judicialization of the right to health. Tensions exist between those who see its potential effect as a game changer for the HS and those who perceive it as an illegitimate interference of the judiciary. There is no coordinated strategy between sectors to promote change in the health sector.
Priority setting is the process through which a country's health system establishes the drugs, in... more Priority setting is the process through which a country's health system establishes the drugs, interventions, and treatments it will provide to its population. Our study evaluated the priority-setting legal instruments of Brazil, Costa Rica, Chile, and Mexico to determine the extent to which each reflected the following elements: transparency, relevance, review and revision, and oversight and supervision, according to Norman Daniels's accountability for reasonableness framework and Sarah Clark and Albert Wale's social values framework. The elements were analyzed to determine whether priority setting, as established in each country's legal instruments, is fair and justifiable. While all four countries fulfilled these elements to some degree, there was important variability in how they did so. This paper aims to help these countries analyze their priority-setting legal frameworks to determine which elements need to be improved to make priority setting fair and justifiable.
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Papers by Sofia Charvel
Salud asociado con iniciativas de comunicación social de
las campañas de prevención de enfermedades transmitidas por vectores (Zika, chikunguña y dengue) y la evaluación de impacto o resultados. Material y métodos. La información se obtuvo de 690 contratos de prestación de servicios de comunicación social (2015-2017), asociados con dos declaraciones de emergencia epidemiológica (EE2-2015 y EE-1-2016). Resultados. Se concluye una débil evaluación de impacto del gasto público. No existe evidencia suficiente que demuestre la correspondencia del gasto en comunicación social con la efectividad y cumplimiento de las campañas. Conclusiones. Los hallazgos permiten definir recomendaciones para vigilar, transparentar y hacer más
eficiente el gasto público. Existe información pública sobre el gasto; sin embargo, es necesario garantizar mecanismos de transparencia, trazabilidad de contratos y evaluación de impacto de las campañas.
To briefly describe and to analyze, the expenditure of the Minister of Health associated with social communication campaigns for the prevention of vector-transmitted
diseases (Zika, chikungunya and dengue). Materials and
methods. The information was obtained through the analysis of 690 contracts for the provision of social communication services (2015-2017). The analyzed contracts are linked with two epidemiological emergency declarations (EE-2-2015, EE-1-2016). Results. The analysis concludes a weak evaluation of the impact of public spending. There is not enough evidence to show the correspondence of social communication spending with the effectiveness and compliance of the campaigns aim goals. Conclusions. Findings allow defining
recommendations to monitor public spending. There are
platforms that provide information on social communication spending; however, it is necessary to guarantee transparency, accountability and the governance of those responsible for social communication and official advertising and strengthen
outcomes evaluation mechanisms.
SUMMARY This article pursues three goals: to describe the obstacles that in Mexico faces the complete exigibility of the right to health, to present the main problems arising in what, generally speaking, could be referred to as "relations between law and health", and finally to offer some proposals in order to reach a working relation between the aforementioned disciplines.
investment of former administrations, and due to poorly-implemented reforms made by the current
administration.
9/7/2020 Human Rights at Risk During the Response to the COVID-19 Pandemic in Mexico | Bill of Health
https://blog.petrieflom.law.harvard.edu/2020/06/01/mexico-global-responses-covid19/ 2/8
In Mexico, the design of a response plan during a health crisis relies on Executive Power. At the
Federal level two mechanisms exist to do so, and are established in the Constitution: the suspension
of rights and the power of the Sanitary Health Council (CSG in Spanish).
Salud asociado con iniciativas de comunicación social de
las campañas de prevención de enfermedades transmitidas por vectores (Zika, chikunguña y dengue) y la evaluación de impacto o resultados. Material y métodos. La información se obtuvo de 690 contratos de prestación de servicios de comunicación social (2015-2017), asociados con dos declaraciones de emergencia epidemiológica (EE2-2015 y EE-1-2016). Resultados. Se concluye una débil evaluación de impacto del gasto público. No existe evidencia suficiente que demuestre la correspondencia del gasto en comunicación social con la efectividad y cumplimiento de las campañas. Conclusiones. Los hallazgos permiten definir recomendaciones para vigilar, transparentar y hacer más
eficiente el gasto público. Existe información pública sobre el gasto; sin embargo, es necesario garantizar mecanismos de transparencia, trazabilidad de contratos y evaluación de impacto de las campañas.
To briefly describe and to analyze, the expenditure of the Minister of Health associated with social communication campaigns for the prevention of vector-transmitted
diseases (Zika, chikungunya and dengue). Materials and
methods. The information was obtained through the analysis of 690 contracts for the provision of social communication services (2015-2017). The analyzed contracts are linked with two epidemiological emergency declarations (EE-2-2015, EE-1-2016). Results. The analysis concludes a weak evaluation of the impact of public spending. There is not enough evidence to show the correspondence of social communication spending with the effectiveness and compliance of the campaigns aim goals. Conclusions. Findings allow defining
recommendations to monitor public spending. There are
platforms that provide information on social communication spending; however, it is necessary to guarantee transparency, accountability and the governance of those responsible for social communication and official advertising and strengthen
outcomes evaluation mechanisms.
SUMMARY This article pursues three goals: to describe the obstacles that in Mexico faces the complete exigibility of the right to health, to present the main problems arising in what, generally speaking, could be referred to as "relations between law and health", and finally to offer some proposals in order to reach a working relation between the aforementioned disciplines.
investment of former administrations, and due to poorly-implemented reforms made by the current
administration.
9/7/2020 Human Rights at Risk During the Response to the COVID-19 Pandemic in Mexico | Bill of Health
https://blog.petrieflom.law.harvard.edu/2020/06/01/mexico-global-responses-covid19/ 2/8
In Mexico, the design of a response plan during a health crisis relies on Executive Power. At the
Federal level two mechanisms exist to do so, and are established in the Constitution: the suspension
of rights and the power of the Sanitary Health Council (CSG in Spanish).