# Chiapas public health management and reform > Live situation record from CLSTR: https://clstr.news/situations/chiapas-public-health-management-and-reform > Updated: 2026-09-04T03:59:18.000Z. Sources: 4. Developments: 2. Health organizations in Chiapas have called for an investigation into the management of the State HIV Coordination. Spokesperson Rosemberg López Samayoa of Una Mano Amiga en la Lucha contra el Sida suggested that a resurgence in HIV cases may be linked to “institutional lack of coordination and weakened organizational participation.” Advocates have urged state leadership to investigate allegations of nepotism and ensure the agency is led by experienced personnel. In response to broader healthcare needs, the Secretary of Health for Chiapas, Luis Ignacio Avendaño Bermúdez, has initiated internal reforms to improve medical services and accessibility. These measures include conducting field visits to regional communities, enhancing care for pregnant women and newborns, improving emergency response times, and increasing the availability of ambulances. The reform also emphasizes the use of digital tools for patient follow-up and better communication between health departments to utilize real-time hospital data. ## Timeline ### 2026-09-04: Chiapas Health Secretary implements reforms to improve medical services Chiapas Health Secretary Luis Ignacio Avendaño Bermúdez is implementing reforms to improve medical accessibility, emergency response, and maternal care through regional field assessments and digital tools. 2 sources. https://clstr.news/cluster/chiapas-health-secretary-implements-reforms-to-improve-medical-services ### 2026-08-23: Chiapas health groups demand investigation into HIV coordination management Health organizations in Chiapas are requesting an investigation into the State HIV Coordination and opposing the potential reappointment of Alejandro Rivera Marroquín to the leadership role. 2 sources. https://clstr.news/cluster/chiapas-health-groups-demand-investigation-into-hiv-coordination-management --- Cite as: Chiapas public health management and reform. CLSTR, https://clstr.news/situations/chiapas-public-health-management-and-reform