Cusco , Peru , 11-12 November 2009 - Municipal Convention Center of Cusco - Fragmentation is a major cause of the poor performance of health systems and services.
Fragmentation can by itself, or in conjunction with other factors, lead to difficulty accessing services, the delivery of services whose technical quality is deficient, irrational and inefficient use of available resources, unnecessary increases in production costs, and low levels of user satisfaction with the services received.