La Mesa Municipal de Salud, en el marco de la implementación del Componente de Gestión de la Política Nacional de Salud SAFCI (Salud Familiar, Comunitaria e Intercultural) se establece como un espacio de diálogo intersectorial que permite, a través de la movilización activa de la población, ejercer uno de los derechos más fundamentales para lograr una salud con calidad y calidez, la participación efectiva en la toma de decisiones.

En dicho contexto, el desarrollo de las Mesas Municipales de Salud con la participación de las y los actoras/es involucradas/os (Alcalde/sa, concejales/as, Consejos Sociales Municipales de Salud, Autoridades Comunales y sectores involucrados); son el momento donde se socializan y consensuan las demandas comunitarias y sectoriales para la identificación de sus principales necesidades en salud a nivel de cada municipio. Dicha socialización se efectiviza mediante una matriz sistematizada resultante de las reuniones de planificación local, definiendo líneas de acción, programas y proyectos para la construcción de los Planes Municipales de Salud como “políticas municipales en salud”.

Art MMS 01210917 Art MMS 02210917

En los municipios de San Miguel y San Rafael de Velasco del Departamento de Santa Cruz, como un hecho histórico, los días 13 y 14 de septiembre se llevaron a cabo sus primeras Mesas Municipales de Salud, gracias al trabajo sostenido de más de tres meses por parte del personal de salud y sus autoridades, partiendo desde la elaboración de sus diagnósticos participativos comunidad por comunidad escuchando, reconociendo y respetando la voz de su comunidad, concluyendo en las mesas como espacios democráticos de toma de decisiones.

Este esfuerzo fue reconocido por las autoridades en salud de la provincia, así como departamentales y las autoridades ediles quienes aplaudieron los resultados y destacaron que por primera vez cuentan con diagnósticos con demandas reales para enfrentaran problemas desde la realidad concreta, transformando la vida de las personas en las comunidades y en los pueblos de estos dos municipios.

Por su parte los directores de los hospitales municipales, responsables de liderar este trabajo agradecieron el apoyo de Médicos del Mundo y del proyecto “Acceso a la salud de las poblaciones marginadas en la provincia Velasco del departamento de Santa Cruz, Bolivia” poniendo énfasis en el trabajo de acompañamiento técnico realizado de forma conjunta.

Art MMS 03210917 Art MMS 04210917

A partir de este trabajo Médicos del Mundo está aportando a un cambio en el actuar de la población y sus autoridades, en la de toma de decisiones dentro de los procesos de gestión participativa tanto local como municipal. Autoridades comunitarias y municipales paulatinamente se encuentran estableciendo, de acuerdo a la norma sus propios espacios de debate, dialogo y principalmente consenso sobre sus necesidades y determinantes sociales en salud.

El marco normativo para el ejercicio de este proceso está establecido desde la Constitución Política del Estado, la ley Marco de Autonomías y Descentralización (031), ley de Administración y Control Gubernamentales (1178), ley de Administración presupuestaria (2042), ley de Gastos Municipales (2296), ley del Diálogo Nacional (2235), ley de Gobiernos Autónomos Municipales (482), Ley de Prestaciones de Servicios de Salud Integral del estado Plurinacional de Bolivia (475), DS Salud familiar Comunitaria Intercultural (29691), RM Reglamento SAFCI (737), Norma Básica del Sistema de Programación de Operación (225557) y la Norma Básica del Sistema de presupuestos (225558) que norma y permite realizar la Planificación Participativa Municipal en Salud .

Equipo Médicos del Mundo


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