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Revista Cubana de Tecnología de la Salud

ISSN 2218-6719 (Print)
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2018, Number 4

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Rev Cub de Tec de la Sal 2018; 9 (4)

Technical review of the health sector reform proposal in Guatemala: a critical analysis

Calderón PMR
Full text How to cite this article

Language: Spanish
References: 10
Page: 40-47
PDF size: 99.20 Kb.


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ABSTRACT

Introduction: A commendable effort to reform the health sector of Guatemala comprising valuable information and reference on: (1) current health situation and challenges, (2) gaps and obstacles in health services access and coverage, (3) legal and public health principles regarding health rights, universal access and coverage, and primary health care, (4) alignment with the National Development Plan “K´atun: Our Guatemala 2032”, (5) ideas, analysis, studies and innovation strategies and structural changes to be researched, and (6) rationale to strengthen and restore the leadership role of the Ministry of Public Health and Social Welfare. Development: per proposal, the “Process to Reform the Health Sector” falls short in terms of the following expectations: (1) effect real change to create a comprehensive, integrated, effective and efficient population health system during the new presidential term, (2) resolve the current health crisis, (3) implement innovations and structural changes to enhance health system performance, and (4) integrate the work, resources and infrastructure of different but complementary health stakeholders. Conclusion: the health sector of Guatemala faces a critical and historic crossroad conducive to either failure or success. A new presidential term may be devoted to research the correct mix of strategies and options to reform the system unless immediate and real change is made at the technical, programmatic, managerial, financial, political and structural levels.


REFERENCES

  1. World Health Organization. The World Health Report 2000: Health Systems: Improving Performance. WHO, Geneva, Switzerland, 2003.

  2. Sartorius N. The Meanings of Health and Its Promotion. Croat Med J. 2006 Aug; 47(4): 662-664.

  3. World Health Organization. A Framework for Health System Performance Assessment. WHO, Geneva, Switzerland, 2005.

  4. Roberts M, et al. Health sector reforms: Concepts, market based reforms and health inequities In India. ResearchGate, 2004.

  5. United States Agency for International Development. Latin American & Caribbean Regional Health Sector Reform Initiative. USAID, USA, 2001.

  6. International Society for Equity in Health. Equity and Health Sector Reform in Latin America & the Caribbean: From 1995 to 2005: Approaches and Limitations. ISEH, USA, 2006.

  7. World Health Organization. Health Sector Reform and District Health Systems. WHO, Geneva, Switzerland, 2003.

  8. Berman PA, Bosseert T. A Decade of Health Sector Reform in Developing Countries: What we have learned? Data for Decision Making Project Symposium, Harvard School of Public Health. Washington, D.C. 2000.

  9. Gobierno de la República de Guatemala. Propuesta de la Reforma al Sector Salud: Saliendo de la crisis. Documento de Trabajo. Vicepresidencia de la República y Ministerio de Salud Pública y Asistencia Social. Mayo 2016.

  10. United States Agency for International Development. Health and Nutrition Facts. USAID Guatemala, 2015.




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C?MO CITAR (Vancouver)

Rev Cub de Tec de la Sal. 2018;9