Mendoza-Arana, P., Mostajo-Vallenas, P., Velásquez-Valdivia, A., Cotrina-Rabanal, A. y Jaramillo, M. (2015). El Sistema Regional de Salud de San Martín y su política de reducción de la desnutrición infantil: aplicación en el Perú del Enfoque de Evaluación de Sistemas de Salud. Anales de la Facultad de Medicina, 76(3),  269-276.

Chronic infant malnutrition is one of the main public health issues in Peru and in the world. The objective of the study was to determine achievements and limitations of a regional policy against chronic infant malnutrition in a Region of Peru. For the qualitative study, the authors used the Health System Assessment Approach, as promoted by the World Health Organization. The study’s settings were at San Martin Region, Peru. The participants were managers and professionals working at the Health Region as well as users and non users of the services. The interventions were between June and July 2014, with semistructured interviews were conducted with health managers and workers at regional and local levels as well as with services users and non users. The main outcome measures were bottlenecks in the reduction of child malnutrition. The results were bottlenecks for each of the model components -governance, financing, provision, health resources, drugs, and information system- were identified. Learned lessons from the results and validated in workshops with the participants are drawn.