Improving Access to Health Care Services through the Expansion of Coverage Program : The Case of Guatemala

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dc.creatorLao Pena, Christine
dc.date2013-05-01T21:32:35Z
dc.date2013-05-01T21:32:35Z
dc.date2013-01
dc.date.accessioned2026-07-01T00:47:04Z
dc.descriptionSince the signing of the 1996 Peace Accords, Guatemala has made efforts to establish economic and political stability, and to improve its social indicators. The country's Constitution states that access to health care is a basic right of all Guatemalans. In practice, however, it has been challenging for the Government of Guatemala to guarantee this right using public facilities. As a result, it has been trying to improve access to health services using both Ministry of Public Health and Social Assistance (MOH) facilities and staff, and alternative health service providers, particularly nongovernmental organizations (NGOs). This case study reviews the experience implementing the Expansion of Coverage Program (Programa de Extension de Cobertura, PEC) that was established by the Government of Guatemala in 1997 to improve coverage of health and nutrition services to poor, rural, and largely indigenous areas by contracting NGOs. It describes its origins; its package of services; contracting, financing, monitoring, and supervision mechanisms; and its contributions to improving access and strengthening primary health care services in Guatemala. It also discusses opportunities and challenges that need to be addressed to continue to improve health services coverage in the country.
dc.descriptionEn 1997 en Gobierno lanzo el Programa de Extensión de Cobertura (PEC) con el fin de ampliar la cobertura de los servicios de salud y nutrición en las zonas pobres, rurales y mayoritariamente indígenas, mediante la contratación de ONG’s. A pesar de los aportes que ha hecho, el PEC sigue dependiendo en gran medida de las prioridades de cada gobierno y del contexto económico y político prevaleciente, en especial en lo que atañe a las percepciones sobre la contratación se servicios con entidades no gubernamentales. En este estudio de caso se presenta un análisis de la ejecución del PEC. También se describe el origen del proyecto, el paquete de servicios que ofrece, sus mecanismos de contratación, financiamiento, seguimiento y supervisión, y la manera en que el PEC ha ayudado a ampliar y fortalecer el acceso a la atención de salud primaria en Guatemala. Además, se hace un análisis de las oportunidades que existen y los retos que tienen que abordarse para seguir aumentando la cobertura de los servicios de salud pública del país.
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dc.identifierhttps://hdl.handle.net/10986/13283
dc.identifierhttps://doi.org/10.1596/13283
dc.identifier.urihttp://hdl.handle.net/123456789/410940
dc.languageen_US
dc.publisherWorld Bank, Washington DC
dc.relationUNICO Studies Series;No. 19
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectability to pay
dc.subjectAccess to Health Care
dc.subjectAccess to Health Care Services
dc.subjectaccess to health services
dc.subjectaged
dc.subjectauxiliary nurses
dc.subjectbaby
dc.subjectbasic health care
dc.subjectBasic Health Services
dc.subjectbasic nutrition
dc.subjectbeds
dc.subjectbirth attendant
dc.subjectbirth attendants
dc.subjectbreast cancer
dc.subjectbreastfeeding
dc.subjectburns
dc.subjectcapitation
dc.subjectcare during pregnancy
dc.subjectCare for Children
dc.subjectcervical cancer
dc.subjectChild Care
dc.subjectchild health
dc.subjectchild mortality
dc.subjectchild mortality rates
dc.subjectchronic malnutrition
dc.subjectcivil society organizations
dc.subjectcivil war
dc.subjectclinics
dc.subjectcommunicable diseases
dc.subjectcommunity health
dc.subjectcommunity participation
dc.subjectcomplications
dc.subjectcondoms
dc.subjectcounseling
dc.subjectcounselors
dc.subjectdeaths
dc.subjectdebt
dc.subjectdeveloping countries
dc.subjectdevelopment goals
dc.subjectdiphtheria
dc.subjectdoctors
dc.subjectemergencies
dc.subjectemergency care
dc.subjectemergency obstetric care
dc.subjectemergency plan
dc.subjectfamilies
dc.subjectfamily health
dc.subjectfamily health services
dc.subjectfamily planning
dc.subjectfamily planning methods
dc.subjectfinancial management
dc.subjectfolic acid
dc.subjectfood security
dc.subjectfractures
dc.subjectGeneral Health System
dc.subjectgovernment agencies
dc.subjectgovernment support
dc.subjectgross domestic product
dc.subjectgross national income
dc.subjectHealth Administration
dc.subjectHealth Care
dc.subjecthealth care expenditures
dc.subjectHealth Care System
dc.subjectHealth Centers
dc.subjectHealth Expenditure
dc.subjectHealth Expenditures
dc.subjecthealth facilities
dc.subjecthealth information
dc.subjecthealth information systems
dc.subjecthealth insurance
dc.subjectHealth Management
dc.subjectHealth Organization
dc.subjecthealth outcomes
dc.subjecthealth posts
dc.subjecthealth professionals
dc.subjecthealth providers
dc.subjectHealth Reforms
dc.subjecthealth risks
dc.subjecthealth sector
dc.subjectHealth Service
dc.subjectHealth Service Delivery
dc.subjecthealth service providers
dc.subjecthealth services
dc.subjecthealth services administration
dc.subjectHealth Strategy
dc.subjectHealth System
dc.subjecthealth systems
dc.subjecthepatitis B
dc.subjecthigh-risk pregnancies
dc.subjectHIV
dc.subjectHome visits
dc.subjectHospital
dc.subjectHospital beds
dc.subjecthospitals
dc.subjectHunger
dc.subjecthygiene
dc.subjectill health
dc.subjectillness
dc.subjectimmunization
dc.subjectimmunizations
dc.subjectincome
dc.subjectindigenous peoples
dc.subjectindigenous populations
dc.subjectInfant
dc.subjectinfant health
dc.subjectInfant mortality
dc.subjectInfant mortality rate
dc.subjectinfluenza
dc.subjectInformation System
dc.subjectinjuries
dc.subjectinpatient care
dc.subjectinstitutional capacity
dc.subjectInsurance
dc.subjectIntegrated Health Care
dc.subjectIntegrated Management of Childhood Illnesses
dc.subjectiron
dc.subjectlegal status
dc.subjectLife expectancy
dc.subjectlive births
dc.subjectLiving Standards
dc.subjectmalaria
dc.subjectmaternal deaths
dc.subjectmaternal health
dc.subjectmaternal mortality
dc.subjectmaternal mortality rate
dc.subjectmaternal mortality rates
dc.subjectmaternity care
dc.subjectmeasles
dc.subjectmedical professionals
dc.subjectmedical records
dc.subjectmedical services
dc.subjectmedical staff
dc.subjectmedicines
dc.subjectmicronutrient supplementation
dc.subjectmidwife
dc.subjectmidwives
dc.subjectmilitary personnel
dc.subjectMillennium Development Goal
dc.subjectMinistry of Health
dc.subjectmorbidity
dc.subjectmortality
dc.subjectmother
dc.subjectmumps
dc.subjectneonatal services
dc.subjectnewborn
dc.subjectnewborns
dc.subjectnurse
dc.subjectnurses
dc.subjectnursing
dc.subjectnutrition
dc.subjectnutritional deficiencies
dc.subjectnutritionists
dc.subjectpatients
dc.subjectPeace
dc.subjectpediatric care
dc.subjectpharmacies
dc.subjectpharmacy
dc.subjectPhysician
dc.subjectPhysicians
dc.subjectpolice force
dc.subjectpolio
dc.subjectpolio vaccine
dc.subjectpolitical support
dc.subjectpopulation groups
dc.subjectpostpartum care
dc.subjectpregnancy
dc.subjectpregnant women
dc.subjectprenatal care
dc.subjectprimary care
dc.subjectprimary health care
dc.subjectprimary health care services
dc.subjectprimary health care system
dc.subjectprocess evaluation
dc.subjectprogress
dc.subjectprovision of care
dc.subjectpsychologists
dc.subjectPublic Health
dc.subjectPublic health expenditure
dc.subjectpublic health programs
dc.subjectpublic health services
dc.subjectpublic health spending
dc.subjectpublic hospitals
dc.subjectPublic Information
dc.subjectpublic services
dc.subjectpurchasing power
dc.subjectpurchasing power parity
dc.subjectquality of health
dc.subjectquality of health care
dc.subjectquality of services
dc.subjectrabies
dc.subjectradiotherapy
dc.subjectrehabilitation
dc.subjectreproductive age
dc.subjectresource flows
dc.subjectrespect
dc.subjectrural areas
dc.subjectrural communities
dc.subjectrural population
dc.subjectrural women
dc.subjectService Provider
dc.subjectservice provision
dc.subjectservices for children
dc.subjectsexually transmitted diseases
dc.subjectskilled staff
dc.subjectsocial programs
dc.subjectSocial Security
dc.subjectsocial work
dc.subjectTB control
dc.subjecttertiary level
dc.subjecttetanus
dc.subjectTraditional birth attendant
dc.subjecttraditional birth attendants
dc.subjectTuberculosis
dc.subjectunder-five mortality
dc.subjectunions
dc.subjectuniversal access
dc.subjecturban women
dc.subjectuse of family planning
dc.subjectvaccination
dc.subjectvaccines
dc.subjectwaste
dc.subjectwaste disposal
dc.subjectwhooping cough
dc.subjectworkers
dc.subjectWorld Health Organization
dc.subjectyoung children
dc.titleImproving Access to Health Care Services through the Expansion of Coverage Program : The Case of Guatemala
dc.titleGuatemala - Mejora del acceso a los servicios de salud mediante el Programa de Extensión de Cobertura - Serie de estudios ÚNICO
dc.titleMejora del acceso a los servicios de salud mediante el Programa de extensión de Cobertura (PEC)

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