HEALTH REFORM IN EL SALVADOREduardo Espinoza,

People’s Health Assembly 3

July 2012, Cape Town

A Health System in RuinsSocial Security Hospital Beds per 1,000 Enrollees

Eduardo Espinoza. MSPAS November 2009

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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 AXIS4

Eliminating Fees in System

Including the Excluded

“ECOS”: Community-BasedFamily 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 theMedicines Law

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…..

$326.1$368.5 $371.5

$399.3

$459.0

$517.3

$0.0

$100.0

$200.0

$300.0

$400.0

$500.0

$600.0

2005 2006 2007 2008 2009 2010

Increasing the budget in crisis? ¡¡¡¿For health?!!!

A gallopingeconomiccrisis

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