The role of the municipality in decentralized health responses in CaboVerde

• Autor(a) principal: Delgado, António Pedro
• Data de Publicação: 2019
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.25761/anaisihmt.271

This article is the result of a non-exhaustive narrative review based on the literature, legislation and documents that guide the development of health services in Cabo Verde and aims to establish the elements of the relationship between municipalities and health, particularly the role of municipalities in responding to the needs of population in the context of a small island country. The Republic of Cabo Verde is a small island developing state comprising 10 islands and 22 municipalities / counties, inhabited by half a million inhabitants. There is a deconcentrating of primary care activities for health institutions in the county (Health Centres) with a participation of municipalities in health activities, but there is no municipalisation in the sense of assigning the management of these institutions to the municipality. To provide secondary hospital care and the search for universal health coverage, the Health Region was created, which organizes the existing primary institutions in the involved municipalities that constitute the region and manages a regional Hospital. Municipalities are well positioned to facilitate local partnerships to empower sectoral health benefits.