Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 1. Synthesis of Findings

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...

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Main Author: World Bank
Format: Other Health Study
Language:English
en_US
Published: Washington, DC 2012
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2007/03/7489969/latin-america-caribbean-key-issues-central-america-health-reforms-diagnosis-strategic-implications-vol-1-2-synthesis-findings
http://hdl.handle.net/10986/7997
id okr-10986-7997
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ABILITY TO PAY
ACCESS TO SERVICES
ACCESSIBILITY
ADMINISTRATIVE COSTS
ALLIANCES
ANTENATAL VISITS
BABY
BASIC HEALTH SERVICES
BASIC SERVICES
BREASTFEEDING
CANCER
CATASTROPHIC EXPENDITURES
CENTRAL AMERICA
CENTRAL AMERICAN
CHILD CARE
CHILD HEALTH
CHILD HEALTH CARE
CHILD HEALTH SERVICES
CHILD MORTALITY
CHILD MORTALITY RATES
CHILD NUTRITION
CHRONIC MALNUTRITION
CITIZENS
COMMUNICABLE DISEASES
COMMUNITY HEALTH
COUNSELING
DEATHS
DECENTRALIZATION
DISADVANTAGED POPULATIONS
DISEASE CONTROL
DISTRIBUTION SYSTEMS
DOCTORS
EARLY DETECTION
ECONOMIC GROWTH
ESSENTIAL HEALTH SERVICES
FAMILY PLANNING
FAMILY PLANNING SERVICES
FERTILITY
FINANCIAL PROTECTION
FUNDS COLLECTION
HEALTH CARE
HEALTH CARE FINANCING
HEALTH CARE PROVISION
HEALTH CARE SERVICES
HEALTH CARE SYSTEMS
HEALTH CENTERS
HEALTH COSTS
HEALTH COVERAGE
HEALTH EXPENDITURES
HEALTH INDICATORS
HEALTH INSURANCE
HEALTH INTERVENTIONS
HEALTH MANAGEMENT
HEALTH MINISTRIES
HEALTH NEEDS
HEALTH OFFICIALS
HEALTH OUTCOMES
HEALTH PROBLEMS
HEALTH PROMOTION
HEALTH REFORM
HEALTH REFORMS
HEALTH RISKS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICES
HEALTH SPENDING
HEALTH STATUS
HEALTH SYSTEM
HEALTH SYSTEM PERFORMANCE
HEALTH SYSTEMS
HEALTH TARGETS
HEALTH WORKERS
HEALTHCARE SERVICES
HOSPITAL
HOSPITAL CARE
HOSPITALS
HOUSEHOLDS
HUMAN CAPITAL
HUMAN DEVELOPMENT
HYGIENE
ILLNESSES
IMMUNIZATION
INDIGENOUS GROUPS
INDIGENOUS POPULATIONS
INEQUITIES
INFANT
INFANT MORTALITY
INFANT MORTALITY RATES
INFANTS
INFORMATION SYSTEMS
INSTITUTIONAL CAPACITY
INSURANCE SCHEMES
KEY HEALTH INTERVENTIONS
LIFE EXPECTANCY
LOCAL CAPACITY
LOCAL COMMUNITIES
LOCAL HEALTH CENTERS
MALNOURISHED CHILDREN
MATERNAL HEALTH
MATERNAL MORTALITY
MATERNAL MORTALITY RATES
MEASLES
MEDICAL EDUCATION
MEDICINES
MICRONUTRIENT SUPPLEMENTATION
MIDWIVES
MILLENNIUM DEVELOPMENT GOALS
MINISTRIES OF HEALTH
MODERNIZATION
MORTALITY
NATIONAL HEALTH
NATIONAL HEALTH SYSTEM
NATIONAL PRIORITY
NEONATAL MORTALITY
NON-GOVERNMENTAL ORGANIZATIONS
NURSES
NURSING
NUTRITION
NUTRITION EDUCATION
NUTRITIONAL STATUS
PATIENTS
PEACE
PHYSICIANS
POOR HEALTH
POOR POPULATIONS
POSTNATAL CARE
POVERTY REDUCTION
PREGNANCY
PRIMARY CARE
PRIMARY HEALTH CARE
PRIMARY HEALTH SERVICES
PRIVATE SECTOR
PROGRESS
PUBLIC HEALTH
PUBLIC HEALTH SERVICES
PUBLIC SERVICE
QUALITY CONTROL
REDUCING MATERNAL MORTALITY
REPRODUCTIVE HEALTH
RESOURCE ALLOCATION
RESOURCE ALLOCATIONS
RESOURCE USE
RISK ADJUSTMENT
RURAL AREAS
RURAL WOMEN
SAFE WATER
SANITATION
SCHOOL ATTENDANCE
SERVICE DELIVERY
SERVICE DELIVERY SYSTEMS
SERVICE PROVIDERS
SOCIAL HEALTH INSURANCE
SOCIAL HEALTH INSURANCE SCHEMES
SOCIAL SECTOR
SOCIAL SECURITY
SOCIAL WORKERS
SUPERVISION
SUSTAINABILITY
UNIONS
URBAN AREAS
USER FEES
VACCINATION
VACCINATIONS
VULNERABLE POPULATIONS
WORKERS
spellingShingle ABILITY TO PAY
ACCESS TO SERVICES
ACCESSIBILITY
ADMINISTRATIVE COSTS
ALLIANCES
ANTENATAL VISITS
BABY
BASIC HEALTH SERVICES
BASIC SERVICES
BREASTFEEDING
CANCER
CATASTROPHIC EXPENDITURES
CENTRAL AMERICA
CENTRAL AMERICAN
CHILD CARE
CHILD HEALTH
CHILD HEALTH CARE
CHILD HEALTH SERVICES
CHILD MORTALITY
CHILD MORTALITY RATES
CHILD NUTRITION
CHRONIC MALNUTRITION
CITIZENS
COMMUNICABLE DISEASES
COMMUNITY HEALTH
COUNSELING
DEATHS
DECENTRALIZATION
DISADVANTAGED POPULATIONS
DISEASE CONTROL
DISTRIBUTION SYSTEMS
DOCTORS
EARLY DETECTION
ECONOMIC GROWTH
ESSENTIAL HEALTH SERVICES
FAMILY PLANNING
FAMILY PLANNING SERVICES
FERTILITY
FINANCIAL PROTECTION
FUNDS COLLECTION
HEALTH CARE
HEALTH CARE FINANCING
HEALTH CARE PROVISION
HEALTH CARE SERVICES
HEALTH CARE SYSTEMS
HEALTH CENTERS
HEALTH COSTS
HEALTH COVERAGE
HEALTH EXPENDITURES
HEALTH INDICATORS
HEALTH INSURANCE
HEALTH INTERVENTIONS
HEALTH MANAGEMENT
HEALTH MINISTRIES
HEALTH NEEDS
HEALTH OFFICIALS
HEALTH OUTCOMES
HEALTH PROBLEMS
HEALTH PROMOTION
HEALTH REFORM
HEALTH REFORMS
HEALTH RISKS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICES
HEALTH SPENDING
HEALTH STATUS
HEALTH SYSTEM
HEALTH SYSTEM PERFORMANCE
HEALTH SYSTEMS
HEALTH TARGETS
HEALTH WORKERS
HEALTHCARE SERVICES
HOSPITAL
HOSPITAL CARE
HOSPITALS
HOUSEHOLDS
HUMAN CAPITAL
HUMAN DEVELOPMENT
HYGIENE
ILLNESSES
IMMUNIZATION
INDIGENOUS GROUPS
INDIGENOUS POPULATIONS
INEQUITIES
INFANT
INFANT MORTALITY
INFANT MORTALITY RATES
INFANTS
INFORMATION SYSTEMS
INSTITUTIONAL CAPACITY
INSURANCE SCHEMES
KEY HEALTH INTERVENTIONS
LIFE EXPECTANCY
LOCAL CAPACITY
LOCAL COMMUNITIES
LOCAL HEALTH CENTERS
MALNOURISHED CHILDREN
MATERNAL HEALTH
MATERNAL MORTALITY
MATERNAL MORTALITY RATES
MEASLES
MEDICAL EDUCATION
MEDICINES
MICRONUTRIENT SUPPLEMENTATION
MIDWIVES
MILLENNIUM DEVELOPMENT GOALS
MINISTRIES OF HEALTH
MODERNIZATION
MORTALITY
NATIONAL HEALTH
NATIONAL HEALTH SYSTEM
NATIONAL PRIORITY
NEONATAL MORTALITY
NON-GOVERNMENTAL ORGANIZATIONS
NURSES
NURSING
NUTRITION
NUTRITION EDUCATION
NUTRITIONAL STATUS
PATIENTS
PEACE
PHYSICIANS
POOR HEALTH
POOR POPULATIONS
POSTNATAL CARE
POVERTY REDUCTION
PREGNANCY
PRIMARY CARE
PRIMARY HEALTH CARE
PRIMARY HEALTH SERVICES
PRIVATE SECTOR
PROGRESS
PUBLIC HEALTH
PUBLIC HEALTH SERVICES
PUBLIC SERVICE
QUALITY CONTROL
REDUCING MATERNAL MORTALITY
REPRODUCTIVE HEALTH
RESOURCE ALLOCATION
RESOURCE ALLOCATIONS
RESOURCE USE
RISK ADJUSTMENT
RURAL AREAS
RURAL WOMEN
SAFE WATER
SANITATION
SCHOOL ATTENDANCE
SERVICE DELIVERY
SERVICE DELIVERY SYSTEMS
SERVICE PROVIDERS
SOCIAL HEALTH INSURANCE
SOCIAL HEALTH INSURANCE SCHEMES
SOCIAL SECTOR
SOCIAL SECURITY
SOCIAL WORKERS
SUPERVISION
SUSTAINABILITY
UNIONS
URBAN AREAS
USER FEES
VACCINATION
VACCINATIONS
VULNERABLE POPULATIONS
WORKERS
World Bank
Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 1. Synthesis of Findings
geographic_facet Latin America & Caribbean
description 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.
format Economic & Sector Work :: Other Health Study
author World Bank
author_facet World Bank
author_sort World Bank
title Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 1. Synthesis of Findings
title_short Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 1. Synthesis of Findings
title_full Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 1. Synthesis of Findings
title_fullStr Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 1. Synthesis of Findings
title_full_unstemmed Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 1. Synthesis of Findings
title_sort key issues in central america health reforms : diagnosis and strategic implications, volume 1. synthesis of findings
publisher Washington, DC
publishDate 2012
url http://documents.worldbank.org/curated/en/2007/03/7489969/latin-america-caribbean-key-issues-central-america-health-reforms-diagnosis-strategic-implications-vol-1-2-synthesis-findings
http://hdl.handle.net/10986/7997
_version_ 1764403819866750976
spelling okr-10986-79972021-04-23T14:02:37Z Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 1. Synthesis of Findings World Bank ABILITY TO PAY ACCESS TO SERVICES ACCESSIBILITY ADMINISTRATIVE COSTS ALLIANCES ANTENATAL VISITS BABY BASIC HEALTH SERVICES BASIC SERVICES BREASTFEEDING CANCER CATASTROPHIC EXPENDITURES CENTRAL AMERICA CENTRAL AMERICAN CHILD CARE CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MORTALITY CHILD MORTALITY RATES CHILD NUTRITION CHRONIC MALNUTRITION CITIZENS COMMUNICABLE DISEASES COMMUNITY HEALTH COUNSELING DEATHS DECENTRALIZATION DISADVANTAGED POPULATIONS DISEASE CONTROL DISTRIBUTION SYSTEMS DOCTORS EARLY DETECTION ECONOMIC GROWTH ESSENTIAL HEALTH SERVICES FAMILY PLANNING FAMILY PLANNING SERVICES FERTILITY FINANCIAL PROTECTION FUNDS COLLECTION HEALTH CARE HEALTH CARE FINANCING HEALTH CARE PROVISION HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CENTERS HEALTH COSTS HEALTH COVERAGE HEALTH EXPENDITURES HEALTH INDICATORS HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH MINISTRIES HEALTH NEEDS HEALTH OFFICIALS HEALTH OUTCOMES HEALTH PROBLEMS HEALTH PROMOTION HEALTH REFORM HEALTH REFORMS HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH TARGETS HEALTH WORKERS HEALTHCARE SERVICES HOSPITAL HOSPITAL CARE HOSPITALS HOUSEHOLDS HUMAN CAPITAL HUMAN DEVELOPMENT HYGIENE ILLNESSES IMMUNIZATION INDIGENOUS GROUPS INDIGENOUS POPULATIONS INEQUITIES INFANT INFANT MORTALITY INFANT MORTALITY RATES INFANTS INFORMATION SYSTEMS INSTITUTIONAL CAPACITY INSURANCE SCHEMES KEY HEALTH INTERVENTIONS LIFE EXPECTANCY LOCAL CAPACITY LOCAL COMMUNITIES LOCAL HEALTH CENTERS MALNOURISHED CHILDREN MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATES MEASLES MEDICAL EDUCATION MEDICINES MICRONUTRIENT SUPPLEMENTATION MIDWIVES MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MODERNIZATION MORTALITY NATIONAL HEALTH NATIONAL HEALTH SYSTEM NATIONAL PRIORITY NEONATAL MORTALITY NON-GOVERNMENTAL ORGANIZATIONS NURSES NURSING NUTRITION NUTRITION EDUCATION NUTRITIONAL STATUS PATIENTS PEACE PHYSICIANS POOR HEALTH POOR POPULATIONS POSTNATAL CARE POVERTY REDUCTION PREGNANCY PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH SERVICES PRIVATE SECTOR PROGRESS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SERVICE QUALITY CONTROL REDUCING MATERNAL MORTALITY REPRODUCTIVE HEALTH RESOURCE ALLOCATION RESOURCE ALLOCATIONS RESOURCE USE RISK ADJUSTMENT RURAL AREAS RURAL WOMEN SAFE WATER SANITATION SCHOOL ATTENDANCE SERVICE DELIVERY SERVICE DELIVERY SYSTEMS SERVICE PROVIDERS SOCIAL HEALTH INSURANCE SOCIAL HEALTH INSURANCE SCHEMES SOCIAL SECTOR SOCIAL SECURITY SOCIAL WORKERS SUPERVISION SUSTAINABILITY UNIONS URBAN AREAS USER FEES VACCINATION VACCINATIONS VULNERABLE POPULATIONS WORKERS 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. 2012-06-14T14:59:05Z 2012-06-14T14:59:05Z 2007-03 http://documents.worldbank.org/curated/en/2007/03/7489969/latin-america-caribbean-key-issues-central-america-health-reforms-diagnosis-strategic-implications-vol-1-2-synthesis-findings http://hdl.handle.net/10986/7997 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work Latin America & Caribbean