Walter Flores

Walter Flores
Centro De Estudios Para La Equidad y Gobernanza En Los Sistema De Salud | CEGSS

PhD

About

46
Publications
7,880
Reads
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712
Citations
Additional affiliations
January 2009 - present
Centro De Estudios Para La Equidad y Gobernanza En Los Sistema De Salud
Centro De Estudios Para La Equidad y Gobernanza En Los Sistema De Salud
Position
  • Managing Director

Publications

Publications (46)
Article
Full-text available
Growing interest in how marginalised citizens can leverage countervailing power to make health systems more inclusive and equitable points to the need for politicised frameworks for examining bottom-up accountability initiatives. This study explores how political capabilities are manifested in the actions and strategies of Indigenous grassroots lea...
Article
Full-text available
Background While equity is a central concern in promoting Universal Health Coverage (UHC), the impact of social exclusion on equity in UHC remains underexplored. This paper examines challenges faced by socially excluded populations, with an emphasis on Indigenous peoples, to receive UHC in Latin America. We argue that social exclusion can have nega...
Article
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We propose that a Right to Health Capacity Fund (R2HCF) be created as a central institution of a reimagined global health architecture developed in the aftermath of the COVID-19 pandemic. Such a fund would help ensure the strong health systems required to prevent disease outbreaks from becoming devastating global pandemics, while ensuring genuinely...
Article
Full-text available
Background: Citizen-led accountability initiatives are a critical strategy for redressing the causes of health inequalities and promoting better health system governance. A growing body of evidence points to the need for putting power relations at the forefront of understanding and operationalizing citizen-led accountability, rather than technical...
Preprint
Full-text available
Background Citizen-led accountability initiatives are a critical strategy for redressing the causes of health inequalities and promoting better health system governance. A growing body of evidence points to the need for putting power relations at the forefront of understanding and operationalizing citizen-led accountability, rather than technical t...
Preprint
Background Citizen-led accountability initiatives are a critical strategy for redressing the causes of health inequalities and promoting better health system governance. A growing body of evidence points to the need for putting power relations at the forefront of understanding and operationalizing citizen-led accountability, rather than technical t...
Preprint
Full-text available
Background :Citizen-led accountability initiatives are a critical strategy for redressing the causes of health inequalities and promoting better health system governance. A growing body of evidence points to the need for putting power relations at the forefront of understanding and operationalizing citizen-led accountability, rather than technical...
Article
This article explores how existing health inequities in the Guatemalan health system facilitate the emergence of its medical tourism industry. We report on our thematic analysis of 50 key informant interviews conducted with 4 groups of stakeholders in the local medical tourism sector. Participants frequently discussed the interplay between the coun...
Article
Full-text available
Information and Communication Technology (ICT) may facilitate the collection and dissemination of citizen-generated data to enhance governmental accountability for the fulfillment of the right to health. The aim of this multiple case study research was to distill considerations related to the implementation of ICT and health accountability projects...
Article
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Strengthening citizen-led accountability initiatives is a critical rights-based strategy for improving health services for indigenous and other marginalized populations. As these initiatives have gained prominence in health and other sectors, there is great interest in how they operate and what makes them effective. Scholarly focus is shifting from...
Article
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Background: In August 2014, the Centre for the Studies of Equity and Governance in Health Systems (CEGSS) in Guatemala launched an online platform, which facilitates complaints about health services via text messages. The aim is to collect, systemise and forward such complaints to relevant institutions, and to create a data pool on perceived defici...
Article
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Health-care providers are powerful figures in society. An informed service user may be able to identify regulatory non-compliance and abuses by these actors, but reporting them is not a mere administrative procedure. It is an act that stirs existing power relations and social hierarchies. This article argues that the essence of an accountability in...
Article
Full-text available
Power is a critical concept to understand and transform health policy and systems. Power manifests implicitly or explicitly at multiple levels-local, national and global-and is present at each actor interface, therefore shaping all actions, processes and outcomes. Analysing and engaging with power has important potential for improving our understan...
Article
Full-text available
The 400 million indigenous people worldwide represent a wealth of linguistic and cultural diversity, as well as traditional knowledge and sustainable practices that are invaluable resources for human development. However, indigenous people remain on the margins of society in high, middle and low-income countries, and they bear a disproportionate bu...
Book
Full-text available
Tremendous challenges remain to ensure that the most vulnerable populations, including women, children, and adolescents, are able to enjoy the healthy lives and well-being promised in the Sustainable Development Goals. Much of their poor health is caused by poverty, gender, lack of education, and social marginalization as well as inaccessible healt...
Article
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A kind of courtship is going on between proponents of universal health coverage (UHC) and proponents of global health security (GHS). In our opinion, efforts to make progress on the path to UHC and efforts to improve GHS can be synergistic, but are not self-evidently so. Making this partnership work will require careful thinking and planning. Sever...
Article
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Background: Many governments and health care providers worldwide are enthusiastic to develop medical tourism as a service export. Despite the popularity of this policy uptake, there is relatively little known about the specific local factors prospectively motivating and informing development of this sector. Objective: To identify common social,...
Article
Full-text available
Background: Health inequalities disproportionally affect indigenous people in Guatemala. Previous studies have noted that the disadvantageous situation of indigenous people is the result of complex and structural elements such as social exclusion, racism and discrimination. These elements need to be addressed in order to tackle the social determin...
Technical Report
Full-text available
WHO Technical Officers and Technical Work Group members listed in Author section. The key objective of this report is to highlight the progress on the strategies and activities of WHO and its partners to transform health workforce education. It documents the activities undertaken in support of World Health Assembly resolution WHA66.23 on transform...
Article
Full-text available
Appropriate deployment or posting and transfer (P&T) of health workers – placing the right people in the right positions at the right time – lies at the heart of fostering communities’ faith in government health services and cementing the role of the health system as a core social institution. The authors of this paper have been involved in an ongo...
Technical Report
Technical Working Group and WHO Technical Officers listed in Author section. The rationale for the evaluation toolkit: the World Health Assembly resolution and technical working group. The urgent need to ensure that the health workforce has a broad training which accurately reflects their existing and developing working practices prompted the 2013...
Article
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Introduction The United Nations presented a set of Millennium Development Goals that aimed to improve social and economic development and eradicate poverty by 2015. Most low and middle-income countries will not meet these goals and today there is a need to set new development agenda, especially when it comes to health. The paper presents the findin...
Book
Full-text available
Since 2010, more than seventy countries have requested policy support and technical advice from the World Health Organization (WHO) for how to move toward universal health coverage (UHC). As part of the response, WHO set up a Consultative Group on Equity and Universal Health Coverage. This final report by the Consultative Group addresses the ke...
Article
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This editorial was published in the Bulletin of the World Health Organization [© 2013 Bulletin of the World Health Organization] and the definite version is available at: http://www.who.int/bulletin/volumes/91/1/12-115808/en/
Article
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DK and JVL have been engaged in establishing a new society for health systems research (Health Systems Global) since its idea phase, over a year ago. MPK has actively participated in the discussions leading to the translation of this concept into reality. This paper outlines some of the thinking that has gone into the initial interim design of the...
Article
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The objective of this study was to implement a rapid assessment of the performance of four malaria control strategies (indoor spraying, insecticide-treated bed nets, timely diagnosis, and artemisinin-based combination therapy) using adequacy criteria. The assessment was carried out in five countries of the Amazon subregion (Bolivia, Colombia, Ecuad...
Article
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By involving citizens and health workers in producing evidence and learning, participatory action research has potential to organize community evidence, stimulate action, and challenge the marginalization that undermines achievement of universal health coverage. This paper summarizes and analyzes results of two sessions on this research model conve...
Article
Full-text available
Governance refers to decision-making processes in which power relationships and actors and institutions' particular interests converge. Situations of consensus and conflict are inherent to such processes. Furthermore, decision-making happens within a framework of ethical principles, motivations and incentives which could be explicit or implicit. He...
Article
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Decentralisation and other public policies have created public spaces for participation in most Latin-American countries where community representatives, together with municipal authorities and other public functionaries, decide on social investment plans, including health services and infrastructure. The municipal development council system consti...
Article
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Objetivos En la mayoria de paises de America Latina, la descentralizacion y otras politicas publicas han creado espacios publicos de participacion donde representantes comunitarios, en conjunto con autoridades municipales y otros funcionarios publicos, definen y deciden planes de inversion social, incluyendo servicios de salud e infraestructura. En...
Article
Full-text available
Governance refers to decision-making processes in which power relationships and actors and institutions' particular interests converge. Situations of consensus and conflict are inherent to such processes. Furthermore, decision-making happens within a framework of ethical principles, motivations and incentives which could be explicit or implicit. He...
Article
Full-text available
Social participation has been understood in many different ways, and there are even typologies classifying participation by the degree of a population's control in decision making. Participation can vary from a symbolic act, which does not involve decision making, to processes in which it constitutes the principal tool for redistributing power with...
Article
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Este informe se presenta tal como se recibió por el CIID de parte del o de los becarios del proyecto. No ha sido sometido a revisión por pares ni a otros procesos de evaluación. Esta obra se usa con el permiso de Programa de las Naciones Unidas para el Desarrollo (PNUD). © 2008, Programa de las Naciones Unidas para el Desarrollo (PNUD).
Article
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The Benchmarks of Fairness instrument is an evidence-based policy tool developed in generic form in 2000 for evaluating the effects of health-system reforms on equity, efficiency and accountability. By integrating measures of these effects on the central goal of fairness, the approach fills a gap that has hampered reform efforts for more than two d...
Article
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An exploratory study assessing the economic consequences of inadequate prescribing by health-care providers was carried out in two cities of Chiapas State, South Mexico. Two research methods were used: (a) an exit survey with pharmacy users (1190 interviews) and (b) in-depth individual interviews with patients at hospital level (19 interviews). For...
Article
Full-text available
A study of urban pharmacies in Guatemala and in Chiapas, southern Mexico, was undertaken to analyse the scale of the inadequate drug advice provided, and to identify the contributing factors. The estimate of the scale of the problem was based on the results of 969 approaches to 191 pharmacies by 'magic clients' (i.e. researchers pretending to be lo...
Article
A study of urban pharmacies in Guatemala and in Chiapas, southern Mexico, was undertaken to analyse the scale of the inadequate drug advice provided, and to identify the contributing factors. The estimate of the scale of the problem was based on the results of 969 approaches to 191 pharmacies by ‘magic clients’ (i.e. researchers pretending to be lo...
Article
Full-text available
Sector wide approaches (SWAPs) are a new development in the organisation of aid to developing countries where donors and lenders collectively contribute to funding the entire health sector.1 They are being widely promoted as a “good way to do business.” Donors are embracing sector wide approaches enthusiastically, and they have been introduced in t...
Article
Full-text available
A training module is described in which experienced health care managers from developing countries explore the challenges to be faced when attempting to use the results of systematic reviews of scientific studies on health care interventions in policy and practice.

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Projects

Projects (2)
Archived project
The project aims to deepen understanding of the complex network-generating processes of citizen-led accountability initiatives and enable strategic action to strengthen the mobilization of collective action and the improvement of health system responsiveness. The project employs Social Network Analysis (SNA) in combination with qualitative interpretation to gain a holistic perspective on the networks of citizens and civil society organizations advocating for the right to health in rural Guatemala, and identify locally relevant strategies for network strengthening.