GASTO PÚBLICO EN SALUD DEL LACTANTE: CASO HOSPITAL GENERAL DE LOS MOCHIS, SINALOA.

One of the many problems facing public health spending in Mexico is that health medical services for the uninsured population, specifically for children under five, are insufficient and of questionable quality. Therefore, the general objective is to determine the public spending on the health of the infant attended at the Los Mochis General Hospital, Sinaloa (GH-LMS), through identifying the budget assigned by the Contribution Fund for Health Services (CFHS), as well as estimating public spending on services performed on infants during hospitalization, outpatient visits, and for medications, which demonstrates the cost to the pocket of households that this population is not fed with breast milk (BM) The methodology used was mixed. It was done in two moments; the first, of qualitative type, was the diagnosis of the organization, designing an instrument that it received in the name of Organizational Diagnosis for Health Institutions (ODHI); the second, of quantitative type, was a case study, for which statistical field data were obtained, allowing estimates on household out-of-pocket expenses in consultations and medication purchases. On a permanent basis, participant observation, interviews with key informants and analysis of documents related to health expenditure budget and organizational logbooks were carried out. The results indicate that CFHS public expenditure, for the population without medical social security, is not entirely clear in its allocation, since there is no annual budget per Hospital of the Ministry of Health (HMH). Regarding the estimated expenditure on consultation and medicine services in the GH-JKR, in 2017, it was almost 12 million pesos, while the cost of acquiring canned milk was 128 million pesos. The most important evidence is that 85 percent of the infant population is not fed breast milk during the first six months of their life, having a cost of 108 million pesos for the GH-JKR. To improve public spending on child health, it is done through innovative proposals that allow the establishment of a Breast Milk Bank (BMB), aimed at the well-being of children. The creation of BMB arises through the methodological proposal, where two tools were linked, one of them is the theory of change and the other corresponds to the methodology for the construction of projects to improve the quality of medical care, guidelines that allow Access to labeled resources, which may be applied to the common good, with shared responsibility between the government, health service providers and the task carried out by parents and caregivers of the infant.