Mónica Ayala

Mónica Ayala is the director of the Instituto Salvadoreño del Seguro Social (ISSS), where she has been at the center of controversy regarding the management of medical resources and staff. Recently, she faced criticism from Rafael Aguirre, the secretary general of the Sindicato de Médicos Trabajadores del ISSS, for the alleged mismanagement that led to the dismissal of numerous medical professionals, including critical specialists, which has resulted in significant patient care disruptions.