Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 2. Main Report
No hay miniatura disponible
Fecha
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Washington, DC
Resumen
Descripción
The main objective of this report is to
identify and analyze the most pressing health sector issues
in the sub region of El Salvador, Guatemala, Honduras, and
Nicaragua (referred to as CA4) while building on the
successes already attained, in order to lay the groundwork
for discussing and refining strategies and policies in CA4.
It will focus on analyzing (a) CA4 health sector
performance, measured by financial protection and a subset
of health indicators; and (b) health system functions of
financing and service delivery. The report also addresses
three topics that CA4 stakeholders selected as their main
areas of interest: (a) decentralization processes initiated
in these countries; (b) the design and implementation of
alternative strategies to improve access to basic maternal
and child health care services: and (c) the high prevalence
of malnutrition. The synthesis of findings can be found in
volume 1 of the report. In volume 2, aside from the
introduction, the report comprises five chapters: Chapter 2
discusses the different aspects that characterize the health
sector of these countries: health care financing, financial
coverage and protection, efficiency and equity in the
allocation of resources and service coverage and
utilization. Chapter 3 describes the extent and consequences
of the various decentralization processes. Chapter 4
presents the different strategies being followed to improve
access and extend basic health services, and Chapter 5
focuses on malnutrition and strategic considerations for
cost effective programs in CA4.
Palabras clave
ADMINISTRATIVE COSTS, AGRICULTURE, AMBULATORY CARE, BASIC HEALTH SERVICES, BASIC SERVICES, BREAST FEEDING, BREASTFEEDING, CANCER, CAPITA HEALTH EXPENDITURE, CATASTROPHIC EXPENDITURES, CENTRAL AMERICA, CENTRAL AMERICAN, CHILD CARE, CHILD HEALTH, CHILD HEALTH CARE, CHILD MORTALITY, CHILD MORTALITY RATES, CHILD NUTRITION, CHRONIC MALNUTRITION, CITIZENS, COMMUNICABLE DISEASES, CONTRACEPTION, CONTRACEPTIVE METHOD, CONTRACEPTIVES, DEATH RATES, DECENTRALIZATION, DELIVERY SYSTEM, DELIVERY SYSTEMS, DISASTERS, DISEASE CONTROL, ECONOMIC GROWTH, ECONOMIC INEQUALITY, ECONOMIC STATUS, ESSENTIAL HEALTH SERVICES, EXTERNAL DEBT, FAMILY PLANNING, FERTILITY, FERTILITY LEVELS, FERTILITY RATE, FERTILITY RATES, FINANCIAL PROTECTION, GROSS DOMESTIC PRODUCT, HEALTH CARE, HEALTH CARE DELIVERY, HEALTH CARE FINANCING, HEALTH CARE PROVIDERS, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CARE SYSTEMS, HEALTH COVERAGE, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH INDICATORS, HEALTH INSURANCE, HEALTH OFFICIALS, HEALTH OUTCOMES, HEALTH POLICY, HEALTH REFORM, HEALTH REFORMS, HEALTH SECTOR, HEALTH SERVICES, HEALTH STATUS, HEALTH STATUS INDICATORS, HEALTH SYSTEM, HEALTH SYSTEMS, HIV, HOSPITAL, HOSPITAL ADMISSION, HOSPITAL ADMISSIONS, HOUSEHOLD INCOME, HOUSEHOLDS, HUMAN CAPITAL, HUMAN DEVELOPMENT, ILLNESS, IMMUNIZATION, INCIDENCE ANALYSIS, INCOME COUNTRIES, INDIGENOUS PEOPLES, INFANT, INFANT FEEDING, INFANT MORTALITY, INFANT MORTALITY RATE, INFANT MORTALITY RATES, INSURANCE COVERAGE, INTEGRATED HEALTH CARE, LATIN AMERICAN, LIFE EXPECTANCY, MALNOURISHED CHILDREN, MALNUTRITION AMONG CHILDREN, MARRIED WOMEN, MATERNAL HEALTH, MATERNAL HEALTH SERVICES, MATERNAL MORTALITY, MATERNAL MORTALITY RATES, MEDICAL FACILITY, MEDICINES, MILLENNIUM DEVELOPMENT GOAL, MINISTRY OF HEALTH, MORTALITY, NATIONAL POPULATION, NATURAL DISASTERS, NURSE, NUTRITION, NUTRITION PROGRAMS, NUTRITIONAL STATUS, PARASITIC DISEASES, PARTICIPATORY PROCESS, PATIENTS, PEACE, PHYSICIANS, POCKET PAYMENTS, POLITICAL SUPPORT, POOR NUTRITION, POPULATION GROWTH, POSTPARTUM CARE, PRESCHOOL CHILDREN, PRIMARY HEALTH CARE, PRIVATE SECTOR, PROGRESS, PUBLIC SECTOR, PUBLIC SPENDING, REPRODUCTIVE HEALTH, RURAL AREAS, RURAL POPULATION, SAFE WATER, SERVICE DELIVERY, SOCIAL SECTOR, SOCIAL SECURITY, SOCIAL SECURITY SYSTEMS, SOUTH AMERICA, SOUTH AMERICAN, SUPERVISION, SUSTAINABILITY, TETANUS, UNEMPLOYMENT, VICIOUS CYCLE, VULNERABILITY, WARS, WORKERS, WORLD HEALTH ORGANIZATION