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Political party ambitions and type-2 diabetes policy in Brazil and Mexico

Published online by Cambridge University Press:  05 November 2018

Eduardo J. Gómez
Eduardo J. Gómez*
Affiliation:
Department of International Development, King’s College London, Strand, LondonW17HE, UK
*
*Correspondence to: Eduardo J. Gómez, Department of International Development, King’s College London, Strand, LondonW12 7HE, UK. Email: Eduardo.gomez@kcl.ac.uk
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Abstract

In the Americas, next to the United States, Brazil and Mexico have the highest prevalence of type-2 diabetes. In contrast to most studies, this article compares and analyzes the politics behind the implementation of type-2 diabetes self-care management programs (DSM), which is a new area of scholarly research. This article claims that Brazil outpaced Mexico with respect to the implementation of effective DSM programs, the product of positive policy spillover effects associated with the president and governing political party’s popular anti-poverty programs, and the enduring legacy of centralized ministry of health financial and human resource assistance to primary care programs in a context of decentralization. Brazil also benefited from having a strong partnership with international health agencies. None of these factors was present in Mexico. Findings suggest that more research needs to go into understanding the complex political and inter-governmental contexts facilitating DSM program implementation, which is a neglected area of research.

Keywords

BrazilMexicodiabetespolicyhealth system
Type
Articles
Information
Health Economics, Policy and Law , Volume 15 , Issue 2 , April 2020 , pp. 261 - 276
Copyright
© Cambridge University Press 2018

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