HEALTH REFORM IN EL SALVADOR Eduardo Espinoza, People’s Health Assembly 3 July 2012, Cape Town.

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Presentation transcript:

HEALTH REFORM IN EL SALVADOR Eduardo Espinoza, People’s Health Assembly 3 July 2012, Cape Town

A Health System in Ruins Social Security Hospital Beds per 1,000 Enrollees Eduardo Espinoza. MSPAS November

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 AXIS Health System Reform Health Service Networks Drugs and Vaccines Emergen cy Medical System National Institute of Health National Health Forum Intersectoral Work Health Human Resource s Unified Health Informatio n System 4

Eliminating Fees in System Including the Excluded

“ECOS”: Community-Based Family 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 the Medicines Law Single regulatory authority NO conflicts of interest within the authority Price regulation mechanisms Effective quality control mechanisms

National Health Forum

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….. Increasing the budget in crisis? ¡¡¡¿For health?!!! A galloping economic crisis 12