Modernizing Health Institutions in Latin America


Governments and nongovernmental organizations around the world are seeking to make health services more equitable and accessible for citizens and clients and to be more accountable both for improved quality of care and management that is focused on sustainability. Modernizing Health Institutions in Latin America presents a participatory process for restructuring public and private institutions to achieve greater efficiency and public health impact, based on experience in Nicaragua and other countries.

Drawing on systems thinking and business process re-engineering, this guide provides methods and practical tools for policymakers and leaders of ministries and NGOs, senior managers, implementation teams, and facilitators who are planning and carrying out organizational restructuring. Numerous examples and case studies of successful restructuring illustrate how to design better-functioning work groups and organizations. This guide offers a complete set of forms and templates for designing new organiza­tional structures.