Examinando por Autor "Nepo-Linares, Edgardo"

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Acceso Abierto
El Acuerdo Nacional como espacio de consenso para la definición de los objetivos de la reforma de salud y establecer políticas de salud en el Perú
(Instituto Nacional de Salud, 2016-08-09) Nepo-Linares, Edgardo; Velásquez, Aníbal
After several months of arduous deliberations, the National Agreement, a policy coordination forum highest level in Peru, approved a document entitled “The objectives of health care reform.” In this article it review the work done and the product reached by consensus, which includes as priorities, among others, strengthening of SIS like public insurance, implementation of a policy of multi-year investment, strengthening the protection of health rights outlined, strengthening the primary health care and improving access to safe and effective medicines. The effect is an agreement that gives significance to a process that has the character of state policy and defines the framework within which they must develop health policies in the following years.
Acceso Abierto
Reforma del sector salud en el Perú: derecho, gobernanza, cobertura universal y respuesta contra riesgos sanitarios
(Instituto Nacional de Salud, 2016-08-12) Velásquez, Aníbal; Suarez, Dalia; Nepo-Linares, Edgardo
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.