Análisis de la estrategia del fortalecimiento de la gestión del sector salud en el municipio de San Juan del Cesar y su articulación con la política nacional de sexualidad, derechos sexuales y derechos reproductivos 2014-2021
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Fecha
2025
Autores
Molina Vega, Olga Marlyth
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Ediciones Universidad Simón Bolívar
Facultad de Administración y Negocios
Facultad de Administración y Negocios
Resumen
El propósito central de la investigación fue analizar la articulación que tiene la
implementación de la Estrategia del Fortalecimiento de la Gestión del Sector Salud
en el municipio de San Juan del Cesar con la Política Nacional de Sexualidad,
Derechos Sexuales y Derechos Reproductivos 2014-2021. A través de las cinco
subcategorías, la primera políticos y normativos como los Agentes de Sistema de
Seguridad Social en Salud (SGSSS) se encuentran alineados en contenidos
(protocolos, modelos, estándares, esquemas) y adaptados a la prioridad territorial
para su aplicación; en segunda instancia la Capacidad de la institución en cuanto al
cumplimiento de estándares de calidad infraestructura, dotación, equipamiento,
organización y sistemas administrativos; asimismo, la Excelencia del Talento
Humano en cuanto a los perfiles, formación, capacitación y entrenamiento continuo,
la relación entre el ciudadano y el servidor; de igual manera, el desarrollo de los
Sistemas de información y registro de eventos confiable para el monitoreo efectivo
y la toma decisiones basadas en evidencia, finalmente la gestión del control, ajuste
y rediseño teniendo en cuenta lo referentes normativos y políticos para realizar
mecanismos de control, monitoreo y seguimiento Institucional -sectorial. Cabe
añadir que se determinaron las actuaciones del ente territorial según enfoque y ciclo
de vida para finalmente interpretar los factores facilitadores y no facilitadores de una
adecuada implementación de la gestión.
Siguió la ruta del enfoque metodológico cualitativo, bajo el tipo de investigación
descriptiva, utilizando el método hermenéutico y para el análisis de la información
se utilizó la triangulación que combinó diversas fuentes e instrumentos de
recolección de información como la revisión documental a través de una matriz
bibliográfica, la entrevista abierta a las unidades de trabajo conformadas por los
equipos que hacen parte de la secretaria de Salud, Asesor de los Procesos
Integrales de la secretaria de Salud, Coordinadora de proceso de Vigilancia de
Salud Pública (SIVIGLA), Profesional de apoyo en el proceso de vigilancia en Salud
pública, Profesional de apoyo en el Fortalecimiento a la Gestión Comunitaria - Social
perteneciente al Municipio de San Juan del Cesar – La Guajira, quienes aportaron
a través de sus experiencias en los diferentes cargos información que permitió
contrastar la evidencia con la directriz nacional. La triangulación no solo permitió
identificar coincidencias y discrepancias entre las fuentes, sino que también logró
enriquecer de manera satisfactoria los procesos de gestión en el área de la
sexualidad.
The central objective of this research was to analyze the coordination between the implementation of the Strategy for Strengthening Health Sector Management in the municipality of San Juan del Cesar and the National Policy on Sexuality, Sexual Rights, and Reproductive Rights 2014-2021. Through the five subcategories, the first is the policy and regulatory framework, such as the Social Security System Agents in Health (SGSSS), which are aligned in content (protocols, models, standards, and schemes) and adapted to the territorial priority for their implementation; the second is the institution's capacity in terms of compliance with quality standards for infrastructure, staffing, equipment, organization, and administrative systems; and the excellence of human talent in terms of profiles, training, and ongoing training, as well as the relationship between citizens and public servants. Likewise, the development of reliable event information and registration systems for effective monitoring and evidence-based decision-making, and finally the management of control, adjustment, and redesign, taking into account regulatory and political references to implement institutional-sectoral control, monitoring, and follow-up mechanisms. It should be added that the actions of the territorial entity were determined according to focus and life cycle to finally interpret the enabling and non-enabling factors for adequate management implementation. The qualitative methodological approach was followed, under the descriptive research type, using the hermeneutic method and for the analysis of the information, triangulation was used, which combined various sources and instruments for collecting information such as documentary review through a bibliographic matrix, open interviews with the work units made up of the teams that are part of the Ministry of Health, Advisor of the Comprehensive Processes of the Ministry of Health, Coordinator of the Public Health Surveillance Process (SIVIGLA), Support Professional in the Public Health Surveillance Process, Support Professional in the Strengthening of Community-Social Management belonging to the Municipality of San Juan del Cesar - La Guajira, who contributed through their experiences in different positions information that allowed contrasting the evidence with the national guideline. Triangulation not only allowed to identify coincidences and discrepancies between the sources, but also managed to satisfactorily enrich the management processes in the area of sexuality.
The central objective of this research was to analyze the coordination between the implementation of the Strategy for Strengthening Health Sector Management in the municipality of San Juan del Cesar and the National Policy on Sexuality, Sexual Rights, and Reproductive Rights 2014-2021. Through the five subcategories, the first is the policy and regulatory framework, such as the Social Security System Agents in Health (SGSSS), which are aligned in content (protocols, models, standards, and schemes) and adapted to the territorial priority for their implementation; the second is the institution's capacity in terms of compliance with quality standards for infrastructure, staffing, equipment, organization, and administrative systems; and the excellence of human talent in terms of profiles, training, and ongoing training, as well as the relationship between citizens and public servants. Likewise, the development of reliable event information and registration systems for effective monitoring and evidence-based decision-making, and finally the management of control, adjustment, and redesign, taking into account regulatory and political references to implement institutional-sectoral control, monitoring, and follow-up mechanisms. It should be added that the actions of the territorial entity were determined according to focus and life cycle to finally interpret the enabling and non-enabling factors for adequate management implementation. The qualitative methodological approach was followed, under the descriptive research type, using the hermeneutic method and for the analysis of the information, triangulation was used, which combined various sources and instruments for collecting information such as documentary review through a bibliographic matrix, open interviews with the work units made up of the teams that are part of the Ministry of Health, Advisor of the Comprehensive Processes of the Ministry of Health, Coordinator of the Public Health Surveillance Process (SIVIGLA), Support Professional in the Public Health Surveillance Process, Support Professional in the Strengthening of Community-Social Management belonging to the Municipality of San Juan del Cesar - La Guajira, who contributed through their experiences in different positions information that allowed contrasting the evidence with the national guideline. Triangulation not only allowed to identify coincidences and discrepancies between the sources, but also managed to satisfactorily enrich the management processes in the area of sexuality.
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Palabras clave
Gestión Pública, Sexualidad, Políticas públicas, Fortalecimiento de la gestión., Sexualidad, Políticas públicas, Fortalecimiento de la gestión
