The Ministry of Health orders the redesign of its organizational structure

The Ministry of Public Health mandates the implementation of the redesign of its Organizational Structure through Ministerial Agreement 00015-2026, signed on September 25, 2026, by Minister Juan Carlos Aveiga Parra. The decision is recorded in Official Registry No. 389 of Wednesday, October 14, 2026, which opens the Executive Branch Agreements section with this instrument on page 2.

The agreement is issued in the exercise of the functions of the highest authority of the Ministry of Public Health, pursuant to Executive Decree No. 446 of July 10, 2026, which appointed Juan Carlos Aveiga Parra as the head of the health portfolio. The instrument was legalized as the dematerialization of the administrative normative act No. 00015-2026, dated September 25, 2026, by the Director of Document Management and User Service, Diana Alejandra Reinoso Caicedo.

Official Registry No. 389, corresponding to Year II and consisting of 59 pages, was published in Quito on Wednesday, October 14, 2026. The MSP agreement heads the summary under the heading “Executive Branch” and is the first document of the ordinary edition.

What the agreement mandates

The official summary outlines the content of the instrument with the formula “00015-2026 The implementation of the redesign of the Organizational Structure of the MSP is mandated.” The text opens the Executive Branch Agreements section on page 2 of the bulletin.

The identification data of the act are as follows:

• Number: Agreement 00015-2026.
• Signing date: September 25, 2026.
• Signing authority: Mgs. Juan Carlos Aveiga Parra, Minister of Public Health.
• Publication: Official Registry No. 389, Wednesday, October 14, 2026, page 2.
• Section: Executive Branch, Agreements.

Documentary process and custody

The certification statement records that the instrument was electronically signed and validated solely in FirmaEC. The legalization corresponds to the dematerialization of the administrative normative act No. 00015-2026, dated September 25, 2026.

The agreement, in both physical and digital formats, is kept in the repository of the Directorate of Document Management and User Service of the Ministry of Public Health. The certification was signed in Quito on September 25, 2026, by Diana Alejandra Reinoso Caicedo, director of that unit.

Regulatory framework and other provisions of the day

Executive Decree No. 446 of July 10, 2026, is the regulation that enabled the action of Minister Juan Carlos Aveiga Parra as the highest authority of the MSP. On that basis, the agreement now being published was issued.

On the same date, Supplement No. 389 of the Official Registry published Agreement 00014-2026 of the Ministry of Public Health, which delegates to the Undersecretary of Promotion, Intercultural Health, and Equality the integration of the Committee for the Prevention and Eradication of the Recruitment, Use, and Utilization of Girls, Boys, and Adolescents (COPRUUNNA).

Scope of the measure

The redesign of the Organizational Structure of the Ministry of Public Health reorganizes the internal organization of the health portfolio, whose undersecretariats and directorates execute health policies across the territory. Publication in the Official Registry grants the agreement general legal effects and incorporates it into the current legal framework.

For officials and users of the health system, the agreement implies a new map of competencies within the MSP, whose units handle governance, comprehensive care, and health surveillance on a national scale. The validity of the instrument depends on its official publication, which occurred on October 14, 2026.

Source: Official Registry No. 389, Wednesday, October 14, 2026, Executive Branch (Agreements), p. 2 (official reference: Ministerial Agreement 00015-2026).