Health sector reform in Peru: law, governance, universal coverage, and responses to health risks
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 conse...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
Instituto Nacional de Salud
2016-08-01
|
| Series: | Revista Peruana de Medicina Experimental y Salud Pública |
| Subjects: | |
| Online Access: | https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2338 |
| _version_ | 1818912642483355648 |
|---|---|
| author | Aníbal Velásquez Dalia Suarez Edgardo Nepo-Linares |
| author_facet | Aníbal Velásquez Dalia Suarez Edgardo Nepo-Linares |
| author_sort | Aníbal Velásquez |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T23:17:50Z |
| format | Article |
| id | doaj.art-6189e6dc39964745aef2ee52f20ccbe5 |
| institution | Directory Open Access Journal |
| issn | 1726-4634 1726-4642 |
| language | Spanish |
| last_indexed | 2024-12-19T23:17:50Z |
| publishDate | 2016-08-01 |
| publisher | Instituto Nacional de Salud |
| record_format | Article |
| series | Revista Peruana de Medicina Experimental y Salud Pública |
| spelling | doaj.art-6189e6dc39964745aef2ee52f20ccbe52022-12-21T20:02:03ZspaInstituto Nacional de SaludRevista Peruana de Medicina Experimental y Salud Pública1726-46341726-46422016-08-013335465510.17843/rpmesp.2016.333.23381800Health sector reform in Peru: law, governance, universal coverage, and responses to health risksAníbal Velásquez0Dalia Suarez1Edgardo Nepo-Linares2Universidad ESAN. Lima, Perú. Ministerio de Salud. Lima, Perú. Ministro de Salud, médico cirujano, magíster en Malariología y Saneamiento AmbientalMinisterio de Salud. Lima, Perú. abogada, especialista en Derechos Humanos.Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Consejo Nacional de Salud. Lima, Perú médico cirujano, especialista en Epidemiología de Campo.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.https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2338reforma de la atención de saludcobertura universalrespuesta a riesgos sanitarios |
| spellingShingle | Aníbal Velásquez Dalia Suarez Edgardo Nepo-Linares Health sector reform in Peru: law, governance, universal coverage, and responses to health risks Revista Peruana de Medicina Experimental y Salud Pública reforma de la atención de salud cobertura universal respuesta a riesgos sanitarios |
| title | Health sector reform in Peru: law, governance, universal coverage, and responses to health risks |
| title_full | Health sector reform in Peru: law, governance, universal coverage, and responses to health risks |
| title_fullStr | Health sector reform in Peru: law, governance, universal coverage, and responses to health risks |
| title_full_unstemmed | Health sector reform in Peru: law, governance, universal coverage, and responses to health risks |
| title_short | Health sector reform in Peru: law, governance, universal coverage, and responses to health risks |
| title_sort | health sector reform in peru law governance universal coverage and responses to health risks |
| topic | reforma de la atención de salud cobertura universal respuesta a riesgos sanitarios |
| url | https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2338 |
| work_keys_str_mv | AT anibalvelasquez healthsectorreforminperulawgovernanceuniversalcoverageandresponsestohealthrisks AT daliasuarez healthsectorreforminperulawgovernanceuniversalcoverageandresponsestohealthrisks AT edgardonepolinares healthsectorreforminperulawgovernanceuniversalcoverageandresponsestohealthrisks |