Popular participation and the State: democratizing the health sector in rural Peru
- 1 April 2004
- journal article
- research article
- Published by Wiley in The International Journal of Health Planning and Management
- Vol. 19 (2), 131-161
- https://doi.org/10.1002/hpm.750
Abstract
Popular participation has been an important component of most primary health care strategies since the Alma Ata Declaration, 1978. This article examines the use of state-sponsored participation in the health sector in Peru and some of the experiences that have accompanied its implementation. Taking the Local Health Administration Committees (CLAS) from the second Fujimori government (1995–2000) as an example, it is shown that for self-motivated rural communities to work in harmony with the state, there must be willingness to adapt to the varying levels of intra-community differences, social integration and social support. Copyright © 2004 John Wiley & Sons, Ltd.Keywords
This publication has 6 references indexed in Scilit:
- Policy and HealthPublished by Cambridge University Press (CUP) ,1999
- Paradigms lost: Toward a new understanding of community participation in health programmesActa Tropica, 1996
- Health services decentralization in Mexico: formulation, implementation and results of policyHealth Policy and Planning, 1989
- Why health improves: Defining the issues concerning ‘comprehensive primary health care’ and ‘selective primary health care’Social Science & Medicine, 1986
- Decentralization: The latest fashion in development administration?Public Administration and Development, 1983
- Ideology, social policy, health and health services: A field of complex interactionsSocial Science & Medicine, 1982