According to a study by the General Audit Office of the Nation (SIGEN), provincial health programs "are going through many difficulties" in order to deal with endemic diseases in the country. Among their observations, the agency found that the provinces lack their own inputs and budgets, qualified human resources are "decimated" by the average advanced age of the workers, and the mobility they have is "nonexistent or old."

Likewise, according to the report, the Federal Health Delegations "have lost their hierarchy" and have become "administrative work offices".

The SIGEN analyzed one of the programs of the national Ministry of Health, the "prevention and control of diseases and specific risks" (See Budget Monitor), and noted that "the actual compliance" of the controls that the A portfolio on "vector-borne diseases", which are the diseases contracted by mosquito bites. The impossibility of measuring Health work arises from the "delay" registered by the provinces in sending information about their management.

In this program "there is no manual or instruction on the circuit of acquisition and distribution" of the vaccines that go to the provinces to comply with the National Vaccination Calendar. In addition, in the dossiers of neither purchase of the doses “the amounts of inputs (that are acquired) are not adequately founded, nor are the periodic inventories of the vaccines that are stored in cold refrigerators carried out.

The SIGEN also noted that this initiative shows a "marked increase in non-compliance with the surrender of the balances" owed by several of the provinces receiving funds from the national plan for the control and control of cholera.

Within the Ministry, the National Directorate of Health Emergencies operates, with a fleet of four aircraft, one aircraft and three helicopters. But of that total, according to the report, only a helicopter works and, on the other hand, the capacity of the radio communication network is "seriously diminished."

As for the human resource of the portfolio, the Receivership indicated that residents receive their first salary up to four months after their contract goes into effect, and that the scholars are not so lucky, because they get to collect when their benefits are already past due, in some cases, with two years of delay.