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Goals - Complete

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Transcript of Goals - Complete

1 purpose, 4 goals
Individuals are informed and share responsibility for their health status.
Access to high quality health and nutrition services where continuity of care is achieved.
Financial protection is achieved through efficient public expenditures in health.

Improved population health with financial protection, equity,and financial sustainability.
Effective health system governance and inter-sectoral coordination.

Reduced barriers of access to health services, health behavior changes, and pro-active informed users are associated with better health outcomes. 


Expand inter-sectoral education and
communication interventions
behavioral change.

interventions to reduce barriers and to stimulate demand for health services.


Primary care prevention-oriented models, within integrated networks, improve quality of care and reduce growth in health spending.

Properly regulated public-private partnerships are a promising strategy to improve service delivery.


Invest in infrastructure, equipment, ICT, HR optimization
strategies to
strengthen networks.

Strengthen networks
’ planning, organization and management models and systematize results.

regulatory framework
and tools for public and private sector integration and oversight.


Adequate health sector resource mobilization schemes promote economic efficiency, equity and financial sustainability.

More efficient spending (value for money) increases the impact of coverage expansions on individuals’ health and financial protection.


Strengthen efficiency of resource mobilization strategies and pooling schemes.

Promote priority setting mechanisms.

Create capacities and tools for innovative purchasing and results based planning and financing.


Strong governance fosters stakeholders’ accountability, improved quality and efficiency.

Individual health interventions are more effective when coupled with inter-sectoral, population based measures.


reform processes
aiming at refining stakeholders’ roles and accountability.

in terms of: sector stewardship; “health intelligence”; regulation and supervision; inter-sectoral coordination.

Epidemiologic transition and double burden of disease in Latin America and the Caribbean

Progress in nutrition, communicable diseases, and child and maternal health needs to be accelerated.

Chronic disease, violence, and accidents increasingly account for a larger share of premature death and disability.

Who is getting the slim look?

Rapid increase in exposure to risk factors
is likely to worsen the prevalence of chronic non-communicable diseases, including cardiovascular diseases, diabetes and cancer.

Disparities in maternal and child outcomes are still important...

...while inequities in the exposure to risk factors and prevalence of non-communicable diseases (NCDs) are growing


Health service delivery

Low quality of primary health care


Growing pressure on public expenditures

Growth of public health spending will reach at least 1.5% of GDP over the next two decades. 50% of growth could be driven by new technology.

In many Latin American and Caribbean countries, the establishment of priority setting mechanisms is still incipient.

Health service delivery

Fragmented model of health service provision

Obstacle for faster progress towards network integration and continuity of care.

Progress, but abundant room to strengthen the interaction between public and private sectors to improve service delivery.

Disease centered approaches


Inefficient public spending

In 2010, in 7 Latin American and Caribbean countries 20% of hospitalizations could have been prevented, saving about USD 3.7 billion (direct costs + costs of lost productivity)

Human resources

Deficiencies in number, distribution and productivity of health professionals

Urban areas may have 4 times as many physicians as rural areas.

Limited task shifting


Despite progress, there is substantial room to improve institutional capacity, health regulatory framework and adequate use of information

Weak standards for management and oversight of public and private provision.

Only 6% of Latin American and Caribbean population was included in national cancer registries vs. 96% in United States.


Level of public spending is most likely insufficient for financial protection

Out of pocket spending/total health spending is 34% in Latin American and Caribbean countries and 14% in OECD countries.

Fragmented financing schemes (contributory and non-contributory)

Administrative and economic inefficiencies and limits to risk pooling.

REMEDIAR+REDES. Comprehensive approaches for prevention and management of NCDs. From waist measurement to education through SMS.

New nutrition improvement strategies. Effective communication, incentives and new alliances for delivery.
Pathways for safe birth and healthy newborns. Addressing demand and supply barriers in a culturally appropriate way.
Bahamas, Panama, Bolivia, Guatemala, Colombia, Mexico, Peru
Panama, Nicaragua, Mexico, Ecuador
Towards seamless care. Strong and articulated networks of services to improve patient outcomes.
Brazil, El Salvador, Nicaragua, Argentina, Colombia
Hand in hand with the private sector to improve service quality.

Brazil,Honduras, Mexico, Colombia
Promoting knowledge exchange on how to build systemic approaches for evidence based priority setting.

Colombia: IETS, for its name in Spanish

Public good initiative to promote price benchmarking and more efficient purchasing of high cost drugs.
Mexico, Ecuador,Colombia
Payment mechanisms to reward better health care quality and outcomes.

Argentina, Dominican Republic, Panama, SM2015 Initiative
Programmatic support to steer health systems towards better results.
Colombia and Dominican Republic
Intersectoral solutions
to health challenges.

Guyana and Haiti
A future with better health

IDB supports LAC to confront the challenges of the next decade
by SPH

Implementation research:

Performance of integrated health networks with public and private players.

E-health and M-health innovations.

Communication strategies for behavioral change.

Robust health budget models: getting the numbers right.

Population based solutions. Broadening health impact.

Knowledge Development
Avg. 44
Avg. 62
Source: IDB Surveys in 6 countries: CO, MX, BR, ES, JA y PN (2013-2014)

*Includes Dominican Republic, Ecuador, Uruguay, Paraguay.
Adapted from: Hosseinpoor et al. Results from the World Health Survey. BMC Public Health 2012, 12:474
Patient receives reminders for due preventive care
Waiting time: specialist, less than 4 weeks
Persistence of socioeconomic, cultural, gender, and ethnic barriers to access health services
Full transcript