Political party ambitions and type-2 diabetes policy in Brazil and Mexico.
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.
['Gómez|Eduardo J|EJ|']
D001938:Brazil D003695:Delivery of Health Care D003924:Diabetes Mellitus, Type 2 D014943:Global Health D006076:Government D006291:Health Policy D006801:Humans D007391:International Cooperation D008800:Mexico D011057:Politics
diabetes policy Brazil Mexico health system