This article discusses the current health policy and experience with health services management in Mexico City under the Health Secretariat of the Federal District. The legacy of previous administrations is one of fragmentation of health services provided by different institutions, in a country stin lacking a Unified Health System and where the division between those covered and not covered by the Social Security System leads to unequal access to services. Since health conditions are determined by the segregation of poverty in defined territories, the strategies adopted by the government of the Federal District are territorialized, adopting integrated Social Programs in which Health occupies an outstanding position. The article highlights efforts by the Health Secretariat to reorganize and bolster health services, taking a daring stance in the choice to offer free services, a unique approach in the country.
Health in Large Latin American Cities; Health Policy in Mexico City; Organization of Health Services in Mexico City