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Efficiency and value for money are key principles which guide government action and are all the more important in times of fiscal consolidation. As an essential element of high-quality service delivery and an important part of public budgets and gross domestic products, public procurement is an area in which governments must meet the challenge of doing more with less.
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As in many countries, Mexico’s main providers in the health care sector are under intense demographic and financial pressure to deliver more and improved services with limited resources. Procurement is crucial to the effectiveness and viability of this sector as it accounts for considerable administrative and financial resources and is an essential element for service delivery. However, due to its complexity, the size of the financial flows it generates, and the close interaction between the public and private sectors, public procurement is also the government activity most vulnerable to waste, fraud and corruption. As such, good governance is necessary for enhancing credibility and public trust in the capacity of the health care sector to deliver timely and effective services to the public.
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The Mexican Institute of Social Security (IMSS) is the largest health service provider in Mexico and covers almost half of the Mexican population. The overview describes the role of IMSS and the services it provides in Mexico’s health care system. It also highlights how good governance practice within its public procurement system improves the health of its beneficiaries.
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