Public health research and education in Mexico require further decentr
alization to improve its availability, quality and relevance for the d
evelopment of local health systems. This article presents the experien
ce of the Northern Regional Center for Health Systems Development (NUR
EDESS-Norte), a consortium for the decentralization and regionalizatio
n of public health research and education of El Colegio de la Frontera
Norte and the National Institute of Public Health. Nuredess-Norte ini
tiated its activities in 1990 establishing a binational network of hea
lth systems consultants along the border, following a common methodolo
gy to improve health system quality through research. Later a Health S
ystems Development Teaching Program was established at the level of sp
ecialization with a high degree of decentralization and linkage with l
ocal health systems. Nuredess-Norte undertakes research, design and ev
aluation of innovations along the US-Mexico border. Emphasis is given
to community participation and the development of primary health care.