Bibliographic citations
Orellana, E., (2018). “Estudio de caso: factores determinantes en el cumplimiento de corresponsabilidades en salud y las suspensiones a usuarias del Programa Juntos en el distrito de Vinchos - Región Ayacucho - Período 2011 al 2013“ [Tesis, Pontificia Universidad Católica del Perú]. http://hdl.handle.net/20.500.12404/11981
Orellana, E., “Estudio de caso: factores determinantes en el cumplimiento de corresponsabilidades en salud y las suspensiones a usuarias del Programa Juntos en el distrito de Vinchos - Región Ayacucho - Período 2011 al 2013“ [Tesis]. PE: Pontificia Universidad Católica del Perú; 2018. http://hdl.handle.net/20.500.12404/11981
@mastersthesis{renati/531157,
title = "“Estudio de caso: factores determinantes en el cumplimiento de corresponsabilidades en salud y las suspensiones a usuarias del Programa Juntos en el distrito de Vinchos - Región Ayacucho - Período 2011 al 2013“",
author = "Orellana de la Cruz, Edgar",
publisher = "Pontificia Universidad Católica del Perú",
year = "2018"
}
This paper presents the results of the case study carried out to obtain a Master's degree in Social Management from the Graduate School of the Pontifical Catholic University of Peru. The objective of the study is to find out and analyze the factors that affect compliance with health co-responsibilities and suspensions for users of the Vinchos District Juntos Program in the period from 2011 to 2013. The concern at the level of the proposed objectives responds to the search for causes that caused the suspensions in the users, since, in the period that the study includes, there has been a significant increase in the suspensions for not complying with the commitment responsibility in Health, where from 19 users in 2011 there were 134 users, a situation that has generated suspensions, which contravene the guidelines and objectives of the policy of social inclusion promoted by the State, for which a broad analysis of external and internal factors (endogenous and exogenous) to the Juntos Program that motivate this problem, in order to draw conclusions about the difficulties, strategies and proposals, within the operational actions of the program. The aim of this study is to provide the necessary inputs from the analysis carried out, so that the management and territorial units of the Joint Program take internal actions and external coordination to improve compliance with co- responsibilities and thus facilitate social inclusion, within the framework of the objectives of the social policies of the State. The research has been largely framed in qualitative methodology (through interviews with health personnel, users and managers of the program, authorities and community leaders, life history, testimonies of users, observations to the local actors of the Juntos Program, document review agreements , Minutes, fact sheets, etc.), the quantitative methodology has also been used, in order to know the socioeconomic characteristics and the cultural context in which the users of the program are developed. For this, we have worked with a representative sample of 129 users. The research results show that, at the level of health service provision, infrastructure is not a factor of incidence in the fulfillment of joint responsibilities in the users of the Juntos Program. Although the lack of space generates some discomfort, during the periods scheduled to carry out the consultations in CRED, the study concludes that there are difficulties with some equipment, due to obsolescence or wear; However, this does not have an impact on the fulfillment of the co-responsibilities of the users of the Juntos Program. On the other hand, in establishments it has been verified the existence of gaps in relation to the number of personnel for the attention in the module CRED, although this factor does not have incidence in the fulfillment of the corresponsibilities, but if it generates work overload to the personnel of Health, which is reflected in the poor performance of the child / mother's time / patient care, a fact that causes discomfort due to the long hours of waiting. From the analysis of the endogenous factors associated to the fulfillment of the coresponsibilities; There are weaknesses in the systematization and recording of data in the Intranet system of the Juntos Program, which induces involuntary errors that generate undue suspensions to the users, likewise, an adequate information filter is not made between the Juntos Program and the system (SIS), it has also been found that delayed information is one of the factors that affects involuntary suspensions of users. From the analysis of the exogenous factors associated to compliance with health co-responsibilities, the study shows that the low level of education and the agricultural work of the users if it has an impact on the suspensions. Likewise, the study evidences the existence of little articulation between the representative actors of the district, either through ignorance or disinterest, not participating in the problems generated by the suspensions to users in the Juntos Program.
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