This course introduces students to Mexico’s historic health reform, the Seguro Popular, which provided the financing of a comprehensive package of health services for 52 million Mexicans who previously lacked insurance. This field trip course will examine important challenges in implementation and evaluating the reform, such as shifting from a curative to a preventive health system and scaling up service delivery.
The course provides students with a unique on-site opportunity to examine the challenges in implementation of the Mexican health reform and also to contribute to program monitoring and evaluation. The course has three main components:
- Learn about the Mexican Health System through seminars and discussions with key decision makers and stakeholders from leading institutions, organizations and private companies.
- Contrast the experiences of health reform implementation in urban and rural areas of the country.
- Contribute to program monitoring and evaluation for one of three selected projects with partnering institutions. Selected projects are focused on monitoring and evaluating access and quality of services as well as health promotion at a local level. Students are expected to work in groups part time for two weeks in one of the selected projects.
Lectures and discussions during the first and third week will take place in Mexico City and will be focused on critical aspects of health in Mexico. During the second week students will travel to Chiapas and experience the contrasts between a rural and urban health system. The David Rockefeller Center for Latin American Studies in Mexico will provide support for logistics and travel arrangements. The Mexican National Institute of Public Health will collaborate on the course. Spanish is recommended but not required.