End of Commitment Report – Territories of Innovation and Participation in Health- TIPS

Name of Evaluator

Javier Urrea – Gobierna Bien

Email

[email protected]

Member Name

Bogotá, Colombia

Action PlanAction plans are at the core of a government’s participation in OGP. They are the product of a co-creation process in which government and civil society jointly develop commitments to open governmen... Title

Action plan – Bogotá, Colombia, 2021 – 2023

CommitmentOGP commitments are promises for reform co-created by governments and civil society and submitted as part of an action plan. Commitments typically include a description of the problem, concrete action...

Territories of Innovation and Participation in Health- TIPS

Title

Territories of Innovation and Participation in Health- TIPS

Action

The commitment ‘Territories of Innovation and Participation in Health-TIPS’ promotes innovative alternatives for participation in health to strengthen bonds of trust with citizens and favor transparencyAccording to OGP’s Articles of Governance, transparency occurs when “government-held information (including on activities and decisions) is open, comprehensive, timely, freely available to the pub... More, participation, collaboration and citizen empowerment; it fosters greater access to public information (especially health information), to mechanisms and instances of social participation in health and to training on self-care issues; it favors the development of dialogue and collaboration exercises with citizens to identify the health problems that affect them in their territories and co-create possible solutions with them through co-creation exercises; and it generates social control exercises, accountability in health and open dataBy opening up data and making it sharable and reusable, governments can enable informed debate, better decision making, and the development of innovative new services. Technical specifications: Polici... information analysis workshops in health with greater citizen involvement to generate public value. General objetive: Broaden the spectrum of social participation in health in Bogota, from minimum levels of information and consultation in the management of health issues that affect them, to greater involvement, empowerment and decision-making power on the part of citizens, favoring the co-creation of citizen initiative projects, greater democratization of participation, social control and accountability, through innovative methodologies, collective intelligence and the use of information and communication technologies.

Problem

Social participation in health in Bogota has had an institutional logic, being linked to health service providers and focused on orientation and information for care and access to health services; therefore, no progress has been made in a true participatory democracy, which is inclusive and with the possibility of greater involvement and incidence in the cycle of public policies and in the improvement of the services received by the citizens.Currently, there are no analogous or virtual channels to promote knowledge and training in individual and collective health self-care that favor participation in health and encourage collaboration and collective intelligence. This has led to a loss of citizen confidence in their governments, a gradual delegitimization of the public health actions undertaken and a weak satisfaction of citizen needs and expectations.

1.1 What was the overall level of progress in the commitment implementation at the time of this assessment?

substantial

Provide a brief explanation of your answer:

The level of compliance with the commitment was substantial, with tangible achievements in the creation of engagement spaces between citizens and health institutions, the development of community initiatives, and the production of participatory communication media. The commitment reached an estimated 97% consolidated progress across the total number of scheduled milestones.

Creation of TIPS digital environments, which strengthened access to information and interaction between citizens and the Health Secretariat.
Co-creation processes for community projects, with the participation of organizations applying differential and population-based approaches.
Publication of the newspaper Participación al Día, which actively engaged citizens in the definition of content.

While progress was significant, some outputs—such as the complete systematization of community projects and the full integration of georeferenced information—experienced delays compared to what was originally planned.

Provide evidence that supports and justifies your answer:

Evidence: Commitment advancement

1.2 Describe the main external or internal factors that impacted implementation of this commitment and how they were addressed (or not).

External factors: The COVID-19 pandemic affected the ability to hold in-person meetings with community organizations, forcing part of the co-creation processes to be shifted to digital environments. While this allowed continuity, barriers were identified related to connectivity and technological adoption in peripheral territories.

Internal factors: The intersectoral coordination of the District Secretariat of Health helped mitigate delays in some milestones by strengthening partnerships with foundations and citizen oversight bodies. However, the turnover of technical teams affected continuity in the implementation of lines of action such as the georeferencing of JusticeTo address barriers that prevent citizens from having their justice needs met, OGP participating governments are working to expand transparency, accountability, and inclusion into all systems of justi... Houses.

1.3 Was the commitment implemented as originally planned?

Most of the commitment milestones were implemented as planned

Provide a brief explanation of your answer:

Most of the milestones were implemented in line with what was foreseen in the initial plan:

Progress was made in the development of the TIPS digital environment.

Editions of the community newspaper were published, actively involving social organizations.

The co-creation of community initiative projects was promoted, although the target of 100 implemented projects was not achieved.

Some milestones were implemented only partially or with delays; therefore, the commitment can be considered substantially implemented, but not fully completed.

Provide evidence for your answer:

Evidence: Health Feedback_TIPS

2.1.1. – Did the government disclose more information; improve the quality of the information (new or existing); improve the value of the information; improve the channels to disclose or request information or improve accessibility to information?

Yes

Degree of result:

Major

Explanation: In narrative form, what has been the impact on people or practice.

The commitment significantly improved the quality and accessibility of public health information through the creation of the TIPS digital environment, which integrated self-care resources and interaction spaces. The community newspaper Participación al Día expanded the informative reach with a graphic and audiovisual format, facilitating citizen engagement.

2.1.2. – Did the government create new opportunities to seek feedback from citizens/enable participation inform or influence decisions; improve existing channels or spaces to seek feedback from citizens/enable participation/ inform or influence decisions; create or improve capabilities in the government or the public aimed to improve how the government seeks feedback from citizens/enables participation/ or allows for the public to inform or influence decisions?

Yes

Degree of result:

Outstanding

Explanation: In narrative form, what has been the impact on people or practice.

New opportunities for participation and feedback were created. The TIPS environments outstandingly fostered the active participation of user associations, community health participation committees (Copacos), and citizen oversight bodies. The co-creation of community projects enabled greater involvement and democratization of participation.

2.1.3 Did the government create or improve channels, opportunities or capabilities to hold officials answerable to their actions?

Yes

Degree of result:

Major

Explanation: In narrative form, what has been the impact on people or practice.

The commitment significantly strengthened social oversight and citizen monitoring capacities. It created important spaces for citizens to exercise social control over health policies, particularly through oversight bodies and territorial dialogue initiatives. Although a permanent enforcement mechanism was not consolidated, citizen capacities to influence decision-making were effectively strengthened.

Provide evidence for your answer:

Evidence: Sec. Health Commitment TIPS

2.1.4 Other Results

Yes

Degree of result:

Major

Explanation: In narrative form, what has been the impact on people or practice.

The TIPS process strengthened trust between citizens and institutions, fostering a culture of transparency and collaboration. Moreover, it positioned Bogotá in first place for open government innovation in the Americas in 2022, as a pioneer in the use of digital innovation for health participation within the framework of OGP Local.

Provide evidence for your answer:

Evidence: Sec. Health Commitment TIPS
Evidence: Policy Guidelines TIPS1

2.2 Did the commitment address the public policy problem that it intended to address as described in the action plan?

Yes

Provide a brief explanation of your answer:

The commitment did address the identified problem: it tackled citizen exclusion from public health policy processes by expanding information channels, promoting co-creation environments, and improving accountability. Although not all targets were achieved, the accomplishments demonstrate a substantial shift toward the democratization of participation in health.

Provide evidence for your answer:

Evidence: Policy Guidelines TIPS1

3. Provide at least one lesson or reflection relating to the implementation of this commitment. It can be the identification of key barriers to implementation, an unexpected help/hindrance, recommendations for future commitments, or if the commitment should be taken forward to the next action plan.

Technological sustainability: The creation of the TIPS digital environment was a key achievement, but its sustainability requires ensuring technical maintenance, expanded coverage, and digital literacy for populations facing access barriers.

Participation with a differential approach: The experience demonstrated that participation in health is only effective when it incorporates the diversity of territories, genders, and populations. Differential processes were essential to legitimize the commitment.

Importance of citizen media: The community newspaper Participación al Día proved to be a powerful tool for two-way communication. However, its frequency and continuity must be strengthened through stable funding.

Lesson for future plans: It is recommended to include TIPS in upcoming action plans, deepening the institutionalization of community co-creation and incorporating open health data analytics as a mechanism for citizen influence.