[Building a PHC evaluation framework for Latin America].
OBJECTIVE
To determinate the clarity, relevance and per tinence of a primary health care evaluation strategy for different Latin American health sub-systems.


METHODS
This strategy was assessed using workshops held with decision makers and administrative managers from a public health organization, a social insurance and a private insurance health organization. The study took place in the province of Santa Fe (Argentina) between May 2006 and May 2007.


RESULTS
The strategy was determined to be clear and relevant by all organizations, but highly applicable only in the public case. The social-insurance and private cases questioned the pertinence of objectives related to community participation, intersectoral actions and a focus on social determinants of health, in addition to considering it necessary to restrict the scope of ideas related to universal access and equity with regard to their client population.


CONCLUSIONS
The evaluation of the pertinence of the strategy was explained by the particularities of the institutional context, as well as the goals and survival strategies used by each organization.
Yavich
Natalia
N
Investiga MAS. Estudios de Salud y Sociedad, Buenos Aires, Argentina.
Báscolo
Ernesto Pablo
EP
Haggerty
Jeannie
J
D001118:Argentina; D006040:Goals; D018166:Health Care Reform; D006279:Health Maintenance Organizations / Q000458:organization & administration; D006285:Health Planning; D007843:Latin America; D011320:Primary Health Care / Q000592:standards*; D017149:Private Sector; D015397:Program Evaluation / Q000379:methods* / Q000592:standards; D011635:Public Health Administration; D012943:Social Security / Q000458:organization & administration