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Author : Carmelo Mesa-Lago
Publisher : Unknown
Page : 248 pages
File Size : 46,9 Mb
Release : 1992
Category : Medical
ISBN : UTEXAS:059173000535498
Author : Tania Dmytraczenko,Gisele Almeida
Publisher : World Bank Publications
Page : 256 pages
File Size : 41,7 Mb
Release : 2015-06-30
Category : Medical
ISBN : 9781464804557
Over the past three decades, many countries of Latin America and the Caribbean have recognized health as a human right. Since the early 2000s, 46 million more people in the countries studied are covered by health programs with explicit guarantees of affordable care. Reforms have been accompanied by a rise in public spending for health, financed largely from general revenues that prioritized or explicitly target the population without capacity to pay. Political commitment has generally translated into larger budgets as well as passage of legislation that ring-fenced funding for health. Most countries have prioritized cost-effective primary care and adopted purchasing methods that incentivize efficiency and accountability for results, and that give stewards of the health sector greater leverage to steer providers to deliver on public health priorities. Evidence from the analysis of 54 household surveys corroborates that investments in extending coverage are yielding results. Though the poor still have worse health outcomes than the rich, disparities have narrowed considerably - particularly in the early stage of the life course. Countries have reached high levels of coverage and equity in utilization of maternal and child health services; coverage of noncommunicable disease interventions is not as high and service utilization is still skewed toward the better off. Catastrophic health expenditures have declined in most countries; the picture regarding equity, however, is mixed. While the rate of impoverishment owing to health-care expenditures is low and generally declining, 2-4 million people in the countries studied still fall below the poverty line after health spending. Efforts to systematically monitor quality of care in the region are still in their infancy. Nonetheless, a review of the literature reveals important shortcomings in quality of care, as well as substantial differences across subsystems. Improving quality of care and ensuring sustainability of investments in health remain an unfinished agenda.
Author : Tania Dmytraczenko
Publisher : Unknown
Page : 128 pages
File Size : 43,7 Mb
Release : 2015
Category : Electronic book
ISBN : OCLC:1066418805
Author : Catherine Overholt,Margaret K. Saunders
Publisher : World Bank Publications
Page : 246 pages
File Size : 41,6 Mb
Release : 1996
Category : Medical
ISBN : 0821330128
Conservation of biological diversity is important for sustainable development, and decentralization is a key aspect of good governance. Whether decentralization promotes conservation and if so, under what conditions, is the topic of this book. This study draws insights from field experience and traces the complex interactions among various factors involved, such as degree and type of decentralization, community participation, institutional capacity, and economic incentives. Local and international experts present case studies from experiences in Colombia, Costa Rica, India, Indonesia, Kenya, Nepal, Nigeria, the Philippines, Russia, and Zimbabwe. Subsequent chapters review 32 World Bank and Global Environment Facility projects and their impact on habitat conservation, describe a possible model of a decentralized country, and look at lessons learned from the overall study.
Author : Carmen Carpio,Natalia Santiago Bench
Publisher : World Bank Publications
Page : 130 pages
File Size : 41,7 Mb
Release : 2015-06-25
Category : Medical
ISBN : 9781464805950
This report provides a status update on the human resources for health (HRH) sub-system in six Latin American and Caribbean countries: Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay. The report structures its discussion around how the health workforce is financed, organized, managed, regulated, and performing. In the area of financing, the study presents the variety of contracting mechanisms, salary levels, and financial incentives offered across the countries and their role in being able to attract and retain health workers. On the organization of the HRH sub-system, the report looks at the skill-mix, training, and distribution of health care workers concluding that although the countries have made progress towards achieving key HRH targets and in making education more accessible, there continues to be limited absorption capacity for graduates, the Primary Health Care focus of training programs needs to be strengthened, and strategies to encourage rural service have not been able to fully address the gap in the distribution of health workers. In reviewing management strategies for HRH, the report presents how all countries have adopted the WHO Global Code of Practice on the International Recruitment of Health Personnel to recognize foreign-trained professionals to help address shortages and fill gaps of health worker presence in rural, remote areas. However, the countries continue to struggle with putting self-sufficiency policies in place to meet HRH needs such as the lack of promotion plans, limited non-monetary incentives, and the shortage of personnel for recruitment and eventual placement. In the area of regulation, the report presents the countries' efforts to reduce precarious employment and introduce HRH safety policies and legislation to regulate disputes and negotiations. On performance, the report found mixed results in the areas of access/availability to health workers and quality of care, factors discouraging dual practice, and unjustified absenteeism of health workers.
Author : Peter Lloyd-Sherlock
Publisher : University of London Press
Page : 220 pages
File Size : 42,5 Mb
Release : 2000
Category : Business & Economics
ISBN : UOM:39015055087897
Most Latin American countries are now attempting the radical reform of their healthcare financing and delivery systems. In many cases, these reforms complement and contribute to broader neo-liberal orthodoxies of economic and social reform. Key strategies include decentralising hospital administration and the promotion of private health insurance. However, experiences across the region are quite diverse, and countries such as Cuba persist with a system of healthcare based on very different principles. This book identifies key problems facing healthcare systems in the region and evaluates the reforms that have been implemented to date. It pays particular attention to problems of implementation and the impact that changes to health policy are having on poor and vulnerable groups.
Author : Marcos Cueto,Steven Paul Palmer
Publisher : Cambridge University Press
Page : 317 pages
File Size : 50,6 Mb
Release : 2015
Category : History
ISBN : 9781107023673
This book provides a clear, broad, and provocative synthesis of the history of Latin American medicine.
Author : Truman G. Packard,Cristian C. Baeza
Publisher : World Bank Publications
Page : 192 pages
File Size : 52,8 Mb
Release : 2006-06-20
Category : Medical
ISBN : 082136572X
'Beyond Survival' breaks new ground in the ongoing debate about health finance and financial protection from the costs of health care. The evidence and discussion support the need to consider financial protection, in addition to health status, as a policy objective when setting priorities for health systems. This book reviews the Latin American experience with health reform in the last 20 years and the fundamentals of health system financing, using new evidence to show the magnitude and mechanisms that determine the impoverishing effects of health events (diseases, accidents, and those of the life cycle). It provides options for policy makers on how to protect, and help household to protect themselves,against this impoverishment. The authors use empirical evidence from six case studies commissioned for this report, on Argentina, Chile, Colombia, Ecuador, Honduras, and Mexico. This book provides policy makers with a solid conceptual basis for decisions on the contents of mandatory health insurance benefit packages, choices of financing mechanisms, and the roles of public policy in this field. 'Beyond Survival' provides an in-depth analysis of, and organizational alternatives for, risk pooling and health insurance for financial protection. It analyzes the urgent need to extend risk pooling to the informal sector, the challenges for current social insurance arrangements, and options for policy makers to effectively extend risk pooling to the informal sector.
Author : Connie Weil,Joseph L. Scarpaci
Publisher : Prisma Books
Page : 372 pages
File Size : 55,6 Mb
Release : 1992
Category : Health
ISBN : UTEXAS:059173005564857
Author : Sherri L. Porcelain
Publisher : Routledge
Page : 242 pages
File Size : 43,6 Mb
Release : 2021-10-01
Category : History
ISBN : 9781000451238
Public Health and Beyond in Latin America and the Caribbean: Reflections from the Field explores the diverse and complex public health landscape, from global to regional to local, by considering historical and socio-cultural factors to contextualize the ongoing public health crisis. Drawing on four decades of field experience, research, and teaching, Sherri L. Porcelain uses case studies to offer a realistic view of the public heath struggle in Latin America and the Caribbean. Using specific countries as regional examples, the book shows how population health has been inextricably linked to political, economic, social, cultural, ethical, ecological, environmental, and technological factors. Chapters in this book will examine the history of public health issues associated with international development, globalization and the international political economy, disasters, diplomacy, and security studies coupled with the changing role of key actors driving the global and regional agendas. The final chapter examines the impact of the COVID-19 pandemic and what it means for the future of public health. This book is recommended for undergraduate students interested in the history of Latin America and the Caribbean as well as others concerned with global and regional population health challenges.
Author : María Eugenia Bonilla-Chacín
Publisher : World Bank Publications
Page : 249 pages
File Size : 43,8 Mb
Release : 2013-12-24
Category : Business & Economics
ISBN : 9781464800177
This book examines the health and economic impact of noncommunicable diseases in Latin America and the Caribbean and the governance challenges in designing and implementating multisectoral interventions to prevent these conditions, including policies to improve diet, increase physical activity, and reduce tobacco use and alcohol abuse.
Author : UNICEF Staff
Publisher : UNICEF
Page : 46 pages
File Size : 52,5 Mb
Release : 2008-05
Category : Education
ISBN : 9789280642506
Annotation. The State of Latin American and Caribbean Children 2008 is a regional edition of UNICEF s The State of the World s Children 2008 report. Complementary to the global report, it examines child survival in Latin America and the Caribbean and highlights the need to place child health at the heart of the region s development and human rights agenda. It also outlines programmes, policies and partnerships that can accelerate progress towards the Millennium Development Goals.
Author : Carmen Carpio
Publisher : Unknown
Page : 128 pages
File Size : 44,6 Mb
Release : 2015
Category : Electronic book
ISBN : OCLC:1066535564
Author : Helena Ribe,David A. Robalino,Ian Walker
Publisher : World Bank Publications
Page : 136 pages
File Size : 47,9 Mb
Release : 2010-06-22
Category : Social Science
ISBN : 082138399X
This study highlights the interaction between social protection programs and labor markets in the Latin America region. It presents new evidence on the limited coverage of existing programs and emphasizes the challenges caused by high informality for achieving universal social protection for old age income, for health, for unemployment risks and for anti poverty safety nets. It identifies interaction effects between SP programs and the behavioral responses of workers, firms and social protection providers, which can further undermine efforts to expand coverage, summarizing evidence from recent work across the region. It argues for a re-design of financing to eliminate cross subsidies between members of contributory programs and subsidies that effectively tax income from formal employment. Instead, it advocates well-targeted, tax-funded tapered subsidies to provide incentives to the savings efforts of low income workers, coupled with an effective safety net for the extreme poor who have no capacity to contribute to financing their own social protection arrangements. It also argues for the consolidation of programs and harmonization of benefits packages across different insurers. The book develops an overall conceptual framework and presents in-depth analysis of the main SP sectors of pensions, health, unemployment insurance and safety net transfers.
Author : Carmen Carpio
Publisher : Unknown
Page : 130 pages
File Size : 40,7 Mb
Release : 2015-06-19
Category : Medical economics
ISBN : 1464805946
The health workforce is the foundation of care and affects quality and outcomes; human resources for health(HRH) constitutes the largest portion of the health care budget of most countries. Latin America and theCaribbean has been challenged by imbalances in workforce composition, distribution, and skill mix, as wellas by variations in productivity and quality.The Health Workforce in Latin America and the Caribbean: An Analysis of Colombia, Costa Rica, Jamaica, Panama,Peru, and Uruguay provides an update on HRH in these six countries. The discussion is structured around fivekey areas of the workforce: financing, organization, management, regulation, and performance.** Financing: The authors present the variety of contracting mechanisms, salary levels, and financialincentives, and their roles in attracting and retaining health workers.** Organization: The countries have made progress toward achieving HRH targets and making educationmore accessible. However, the absorption capacity remains limited for graduates, the primary health carefocus of training programs needs to be strengthened, and the strategies to encourage rural service havenot effectively addressed the distribution gap of health workers.** Management: All six countries have adopted the World Health Organization's Global Code of Practice onthe International Recruitment of Health Personnel to recognize foreign-trained professionals to helpaddress shortages and fill gaps in rural and remote areas. However, the countries continue to strugglewith implementing self-sufficiency policies to build the capacity to meet needs. Such policies includepromotion plans, nonmonetary incentives, and personnel for recruitment and eventual placement.** Regulation: The countries are working to reduce precarious and unprotected employment, introducesafety policies to decrease occupational diseases and workplace accidents, and enact legislation toresolve disputes.** Performance: Mixed results have been achieved in health outcomes, access and availability, quality ofcare and patient satisfaction, professional practice, and productivity and efficiency.