Government Stewardship and Primary Health Care in Guatemala Since 1996

By the time the Peace Accords were signed in 1996, Guatemala’s primary health care system was scarcely functioning with virtually no services available in rural indigenous areas. To address this gap, the Ministry of Public Health and Social Assistance embarked on a progressive expansion of primary services aimed at covering the majority of rural poor. To succeed in this effort, the Ministry and its partners needed to simultaneously grow their stewardship capacity to oversee and develop the primary health system. In this journal article, published by the journal Public Administration and Development, Harry Cross, Marisela De La Cruz, and Juan Dent analyze the role of government stewardship in the expansion of primary health care in post-conflict Guatemala and how building relationships, coalitions, and partnerships especially with civil society organizations was one of the keys to Ministry’s success.

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