SciELO - Scientific Electronic Library Online

 
vol.33 issue3The national agreement as a space of consensus for defining the objectives of health care reform and establishing peruvian health policiesChallenges to decentralization and local participation within the health rights protection framework: experience of the SUSALUD northern macro-regional intendance author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista Peruana de Medicina Experimental y Salud Publica

Print version ISSN 1726-4634

Abstract

VELASQUEZ, Aníbal; SUAREZ, Dalia  and  NEPO-LINARES, Edgardo. Health sector reform in Peru: law, governance, universal coverage, and responses to health risks. Rev. perú. med. exp. salud publica [online]. 2016, vol.33, n.3, pp.546-555. ISSN 1726-4634.  http://dx.doi.org/10.17843/rpmesp.2016.333.2338.

In 2013, Peru initiated a reform process under the premise of recognizing the nature of health as a right that must be protected by the state. This reform aimed to improve health conditions through the elimination or reduction of restrictions preventing the full exercise of this right, and the consequent approach aimed to protect both individual and public health and rights within a framework characterized by strengthened stewardship and governance, which would allow system conduction and effective responses to risks and emergencies. The reform led to an increase in population health insurance coverage from 64% to 73%, with universalization occurring through the SIS affiliation of every newborn with no other protection mechanism. Health financing increased by 75% from 2011, and the SIS budget tripled from 570 to 1,700 million soles. From 2012 to May 2016, 168 health facilities have become operational, 51 establishments are nearing completion, and 265 new projects are currently under technical file and work continuity with an implemented investment of more than 7 billion soles. Additionally, this reform led to the approval of the Ministry of Health intervention for health emergencies and strengthened the health authority of the ministry to implement responses in case of risks or service discontinuity resulting from a lack of regional or local government compliance with public health functions.

Keywords : Health care reform; Universal health coverage; Response to sanitary risks.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License