Of the ten dimensions studied, only the dimension of teamwork in the service an average score of 79.5% for the three health institutions with 72.5 for the PSP, 83.5% for the CNTS and 82.5% for ICA. CNTS and the PSP have a management support for security with respective scores of 80% and 75%. This is not the case of ICA (49.7%). These three structures do not have enough staff to cope with the workload (PSP 32%, CNTS: 45%, ICA: 25, 4%) These structures are also characterized by the lack of freedom of expression (PSP 33%, CNTS: 47%, ICA 53.3%) and poor organization of services does not allow an improvement in the quality of care (PSP 46.7%, CNTS: 53.3%, ICA 48.3%).