¿Consulta popular para el TLC? (Tema Central)

A partir de un punto de vista jurídico, el artículo presenta las razones por las cuales el Tratado de Libre Comercio entre Estados Unidos y los países andinos no debe ser sometido a una consulta popular. Un análisis conceptual apoya el argumento central del autor, quien sostiene que el TLC por ser un tratado internacional no debe ser objeto de aprobación o desaprobación por parte del pueblo, ya que éste carece de la facultad necesaria para tal fin. Finalmente Ortiz señala que más allá de lo jurídico, las condiciones de educación de la población ecuatoriana y el manejo político que se le puede dar a la consulta, son aspectos que problematizan el desarrollo de una consulta popular.

Promoting the health of marginalized populations in Ecuador through international collaboration and educational innovations

This paper examines two innovative educational initiatives for the Ecuadorian public health workforce: a Canadian-funded Masters programme in ecosystem approaches to health that focuses on building capacity to manage environmental health risks sustainably; and the training of Ecuadorians at the Latin American School of Medicine in Cuba (known as Escuela Latinoamericana de Medicina in Spanish). We apply a typology for analysing how training programmes address the needs of marginalized populations and build capacity for addressing health determinants. We highlight some ways we can learn from such training programmes with particular regard to lessons, barriers and opportunities for their sustainability at the local, national and international levels and for pursuing similar initiatives in other countries and contexts. We conclude that educational efforts focused on the challenges of marginalization and the determinants of health require explicit attention not only to the knowledge, attitudes and skills of graduates but also on effectively engaging the health settings and systems that will reinforce the establishment and retention of capacity in low- and middle-income settings where this is most needed.