health reform in el salvador eduardo espinoza, people’s health assembly 3 july 2012, cape town
TRANSCRIPT
HEALTH REFORM IN EL SALVADOREduardo Espinoza,
People’s Health Assembly 3
July 2012, Cape Town
A Health System in RuinsSocial Security Hospital Beds per 1,000 Enrollees
Eduardo Espinoza. MSPAS November 2009
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Goal of the Reform
Guarantee all Salvadorans the right to health, through a National
Integrated Health System that continually strengthens public services (including Social Security)
and regulates private services.
8 PRIORITY AXIS4
Eliminating Fees in System
Including the Excluded
“ECOS”: Community-BasedFamily Health Teams
Expanding Coverage
PARTICIPATORY POLICY-MAKING• National Health Policy• National Medicines Policy and Law
• Vaccines Law• Mental Health Policy• Sexual and Reproductive Health
• Breastfeeding
• Occupational Health and Safety
• Internal Control• Social Participation• Oral Health• Human Resources Development
• Blood Banks
Involving over 400 stakeholders from all
sectors of society!
Basic Principles of theMedicines Law
Unified Health Information System
• Family Health Data System
• Production of Services• National Supply System
• Comprehensive Patient Care
• Online Morbidity and Mortality Data
• Epidemiological Surveillance
• HIV/AIDS Surveillance• Online Education Platform
• Multiple Videoconferencing Platform
A remarkable Case…..
$326.1$368.5 $371.5
$399.3
$459.0
$517.3
$0.0
$100.0
$200.0
$300.0
$400.0
$500.0
$600.0
2005 2006 2007 2008 2009 2010
Increasing the budget in crisis? ¡¡¡¿For health?!!!
A gallopingeconomiccrisis
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