Union Attitudes and Institutional Crisis in Public Health Management: a Phenomenological Study in Peru
Actitud sindical y crisis institucional en la gestión sanitaria: un estudio fenomenológico en el sector público peruano
Authors
Gualberto Segovia Meza
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Abstract
Peruvian legislation recognizes freedom of association and the right to collective bargaining; however, persistent tensions remain between union leadership and institutional management in the public health sector. This study aims to understand, from a phenomenological perspective, how public health officials experience and interpret conflicts with union representatives and their implications for health management.
A qualitative phenomenological design was applied, based on in-depth interviews with current and former officials at different management levels, complemented by public observations of union interventions in media and social networks. The findings describe three main trajectories: the coexistence of particular interests between some union leaders and officials; the resistance of officials who adhere to regulatory frameworks when facing irregular demands; and the support of superior authorities for union elites, leading to the removal of officials.
These dynamics tend to reproduce cyclically or stabilize through processes of institutional capture, undermining governance and health management performance. The study highlights the need to strengthen transparency, protect integrity-driven officials, and promote future research that incorporates the union perspective.
