Los sistemas descentrados de recursos humanosen salud: El caso del Perú, 1990-2005

Translated title of the contribution: Unbalanced human resources systems in health: The Peruvian case, 1990-2005

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This article concludes that today Peru, is an example for an unbalanced policy of human resources in health for having lived a long cycle of decline that began in the 90s. This led to a situation characterized by an unbalance between offer and demand of human resources in health, the non-governability of health training and a trade-off between performance and unstable wages and labor conditions for the health personnel. Five key-points are analyzed: a) the dissociation between health work and health education; b) the increase of the productivity of health services based on a higher performance of the health personnel; c) the change of the labor regime from the system of appointments to the system of contracts and the pauperization and insecurity of the health personnel and the status of the health professional; d) the "revolution of the health staff's capacities" claiming for post-degree training, continued education and management; and e) the replacement of governance and governability by self-regulation in a context lacking a point of equilibrium allowing for corrections in the system. We suggest that the human resources policies in health adopted in Peru and many other Latin-American countries were trying to develop competences and performance without promoting the development of human resources in the health area.

Translated title of the contributionUnbalanced human resources systems in health: The Peruvian case, 1990-2005
Original languageSpanish
Pages (from-to)1063-1072
Number of pages10
JournalCiencia e Saude Coletiva
Issue number4
StatePublished - 2006
Externally publishedYes


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