Public Policies and Health Services in Establishments with Difficult Geographical Access

Abstract

This analysis focuses on the effectiveness of government policies in the field of health, specifically in a difficult-to-access region of the Ecuadorian Amazon, classified as type A. It also seeks to uncover the categories and dimensions that intervene in this process. According to the data obtained, 78.8% of the public officials surveyed perceive that public policies present an insufficient level. Of these, 36.4% rate health services as regular, 45.5% consider that infrastructure and equipment are deficient, 33.3% believe that the service portfolio is insufficient, and 66.7% believe that leadership is insufficient. It is concluded that if public policies are oriented and focused more effectively towards difficult-to-access areas type A and B, it will be possible to improve health services, guarantee the service through better infrastructure and equipment, and promote better leadership by the highest authority and the technical administrators of health centers.