The study explores the interactive clashresulting from reforms, and institutional capacity at theprovincial level, as the main element to explain currentlimitations, and to suggest recommendations conducive tofurther social reform. To understand the framework for pastreforms, the study reviews the economic, political, andinstitutional context within which such reforms wereimplemented, and examines the national government'sreform policy - within the implementation strategy - and, aswell, the provincial governments' capacity to managechange - i.e., in three provinces, Catamarca, Cordoba andSalta. The study focuses mainly on education, and healthreforms, significantly different in both design, andformulation: health reform only introduced administrativehospital autonomy, merely a partial aspect of a broad healthsystem reform; whereas, the education reform consisted of atotal educational system change. The result was that thehealth reform was supported basically by interestedsyndicates, who envisaged compensatory benefits, whereas,the actual beneficiaries - the patients - were poorlyinformed. Conversely, educational reforms were limited byweak capacity at the provincial level, and as well, limitedinformation. An improved educational reform implementationdesign is recommended, based on institutional capacitybuilding to improve the quality of education, and, suggestsa broader health reform within a strategic framework basedon public awareness, but which includes the ministries,medical profession, and provincial health workers.
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