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Health sector reform in Bolivia : a decentralization case study.
Bolivia has made significant progress in health status and equity in the last decade, due to the implementation of a series of health policies directed primarily at reducing maternal and infant mortality and controlling communicable diseases. This report analyzes these policies, draws lessons from t...
| Clasificación: | Libro Electrónico |
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| Autor Corporativo: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Washington, D.C. :
World Bank,
©2004.
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| Colección: | World Bank country study.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- TABLE OF CONTENTS; Abstract; Acknowledgments; Acronyms and Abbreviations; Executive Summary; 1. Health Outcomes and Coverage in the Context of Decentralization; 2. Financing and Use of Services; Public Health Expenditures; Social Security and Cross-Subsidies; Distributional Impact of Health Expenditures; 3. Clarifying Targets and Accountability in the Context of Decentralization; Decentralization; National Commitments and Performance Agreements; Deepening the Focus on Results in the Context of the New Management Framework; 4. Public Health Insurance and Equity.
- Design and Basic Characteristics of the Public Health Insurance in BoliviaThe Package of Services, User Empowerment and Targeting; Financing of Public Health Insurance-Relationship between Municipalities and the Central Government and Associated Incentives; Public Health Insurance and Equity; Administration of the Insurance and Incentives Embedded in the Payment Mechanism; Conclusions; 5. The Epidemiological Shield; Communicable and Vector-Borne Diseases in Bolivia; Epidemiological Shield Programs; 6. Human Resources for Health in Bolivia; Background Information; Main Findings; Discussion.
- Recommendations7. Indigenous Empowerment and an Intercultural Approach to Health; The Indigenous Population, Poverty and Health; Organization and Political Participation of Indigenous Populations for Health; Partial Answers to Indigenous Health Needs; Recent Progress on Indigenous Health Indicators and Pending Challenges; Recommendations; 8. Conclusions and Recommendations; Maintaining the Focus on National Priorities in the Context of the SUMI; Strengthening Efforts to Extend Care to Poor Rural Areas and Indigenous People.
- Improving the Effectiveness of the Decentralized System in the Context of the New Management ModelAnnex A. National Health Accounts, 2000; Annex B. Equity and Coverage of Priority Health Services; Annex C. Determinants of Use of Health Services in Bolivia; References; TABLES; 1.1: Comparative Indicators: Latin America; 1.2: Maternal Mortality Rate, by Geographic Region (maternal deaths per 100,000 live births); 1.3: Maternal Mortality Rate and Use of SBS Services, by Regions (maternal deaths per 100,000 live births).
- 1.4: Trends in Economic Growth and Infant Mortality Rate (percentages, annual average)2.1: National Health Expenditures 2000; 2.2: Public Health Expenditures (excludes Social Security); 2.3: Bed Occupancy Rates and Average Lengths of Stay (2001); 3.1: Performance Indicators included in Regional Performance Agreements 1999, 2000 and 2001; 3.2: National Commitments for Health; 3.3: Ranking of Departments by Performance; 4.1: The Evolution of Public Health Insurance in Bolivia; 4.2: Municipal SBS Surpluses vs. Socioeconomic Indicators.