The state of Merida is one of the seven states in the country that signed the agreement to decentralize the health sector in 1992, under the provisions of the Constitution of the state of Merida, now the Constitution of the Bolivarian State of Merida (amended in 2014), is in charge of the Health Corporation of the Bolivarian State of Merida, which in turn is subdivided into Health Districts, which are distributed according to geographical location, population density and existing health centres, as well as Autonomous Health Institutes such as the Los Andes University Hospital, FarmaMérida, Nutrition and Food, Health Plan, Social Development and Sor Juana Inés de la Cruz Hospital; The regional public health system is not the only one since there are parallel systems, both public, mixed and private, such as the Venezuelan Institute of Social Security, which has administrative offices and a hospital, the health system of the University of Los Andes: It has the Institute for Teacher Prevention (APULA IPP) and the Center for Comprehensive Medical Care (CAMIULA), the Institute for Protection and Social Assistance of the Educational Teaching Profession (IPASME) under the National Executive and another of the Regional Executive, the Military Pavilion attached to the MPPDS, Public Health Laboratories attached to the National Institute of Hygiene "Rafael Rangel" as well as private health systems operating within the territory.