Management for health services delivery

Latin America and the Caribbean

  • Supporting health research systems development in Latin America
    Jorge Arriagada, Francisco Becerra, Martine Berger, Josefina Bonilla, Luis Gabriel Cuervo, Eduardo Espinoza, Moisés Goldbaum, Xinia Gomez, Sylvia de Haan, Carel IJsselmuiden, Wendy McFarren, Ernesto Medina, Suzanne Jacob Serruya and Zaida Yadon
    2006, Council on Health Research for Development

    Experiences from Brazil, Bolivia, Chile, Costa Rica, El Salvador, Guatemala, Mexico, Nicaragua.
    Over the past decade, some Latin American countries have made consistent and substantial investments in research for health. This has resulted in major improvements in the quality and focus of health research and the delivery of related services to their populations.
    (26 pages, pdf 249kb)
  • Equity and Health Sector Reform In Latin America and The Caribbean from 1995 to 2005: Approaches and Limitations
    Walter Flores, Monica Riutort and Barbara Starfield, 2006, International Society for Equity in Health – Chapter of the Americas
    Expansion of medical insurance; contracting out to private providers; decentralization; devolution; granting autonomy to health care facilities; basic packages of services; the Cuban experience and health sector reform; lessons learned; recover and renovate primary health care as the framework for reform.
    (29 pages, 304kb)
  • Transparency and Corruption in the Health Sector: A Conceptual Framework and Ideas for Action in Latin American and the Caribbean
    William D. Savedoff, 2007, Inter-American Development Bank
    Defining corruption and fraud in health; classifying by roles and responsibilities; identifying vulnerabilities in the health system structure; how corruption and fraud are manifested, What to do about corruption in Latin America and the Caribbean’s health systems?
    (29 pages, pdf 288kb)
  • Renewing Primary Health Care in the Americas, A Position Paper of the Pan American Health Organization/World Health Organization (PAHO/WHO)
    pdf, 768kb

    2007, A Position Paper of the Pan American Health Organization/World Health Organization (PAHO/WHO)
    Approaches to primary health care; building primary health care–based health systems; core values, principles and elements; What are the benefits of a PHC–based health system? The way forward: learning from experience; building coalitions for change; strategic lines of action
    (48 pages)
  • Actores y reformas en salud en América Latina
    Daniel Maceira, 2007, Banco Interamericano de Desarrollo
    Las reformas de salud han sido objeto de gran debate en América Latina desde el inicio de los años noventa. Por un lado, hay aquellos que afirman que los instrumentos utilizados en la reforma no son apropiados y, sin hacer evaluaciones en profundidad sobre los motivos que llevan al éxito o al fracaso de las mismas, afirman que los instrumentos utilizados en la reforma no han sido apropiados1. Por otro, hay los que dicen que las reformas han resultado en mejoras de eficiencia en la gestión y entrega de los servicios sin basar sus informaciones en adecuada evidencia factual o estadística.
    (64 pages en español, pdf 439kb)
  • Challenges and Solutions in Health in Latin America
    Philip Musgrove, 2007, Copenhagen Consensus Center and the Inter-American Development Bank
    Defining the challenges: ignorance of need means lack of demand; impediments to obtaining wanted care; inefficient provision; substandard quality; defining the solutions: improving access to care; raising quality of care; improving efficiency; increasing public knowledge; costs of improving utilization of good quality care
    (72 pages, pdf 268kb)
  • Hospital Governance in Latin America: Results from a Four Nation Survey
    pdf, 579kb

    Richard J. Boguea Claude H. Hall, Jr.b Gerard M. La Forgiac, 2007, The World Bank
    Freeing hospitals from institutional and governmental control, referred to as facility-based management, seems to be associated with better hospital performance. The values underlying facility independence, however, must exist simultaneously with other socially or politically defined priorities and accountabilities.
    (78 pages, pdf 579kb)
  • Tough Choices: Investing in Health for Development
    Sergio Spinaci, Louis Currat, Padma Shetty, Valerie Crowell, Jenni Kehler, 2006
    Synthesis of country experiences over three years of following up on the findings of the 2001 report of the Commission on Macroeconomics and Health (CMH). the main challenges that countries have faced with respect to improving health investment planning; policy implications along which the efforts of national policy-makers and planners, as well as development partners.
    (124 pages, 871kb)
  • Health System Innovations in Central America, Lessons and Impact of New Approaches
    pdf, 953kb

    Working Paper No.57, Edited by Gerard M. La Forgia
    2006, The World Bank

    Recognizing the need to make their health systems more efficient, equitable, and cost effective, each country launched innovations to address specific problems or deficiencies in a particular program or function of the health system. The case studies in this book report on the results of these experiences, encompassing a range of issues from the expansion of primary care to the use of public-private partnerships and the establishment of a social security-financed delivery system
    (228 pages)
  • Diálogo Social - Como Herramienta para la Extensión de la Protección Social en Salud
    pdf, 2.58Mb

    2007, WHO Regional Office for the Americas
    Para la puesta en práctica de las actividades de diálogo social se elaboró una guía metodológica con el propósito de orientar dichas actividades hacia un proceso de construcción colectiva de opciones para eliminar la exclusión en salud en el marco del derecho a la salud.
    (118 pages)
  • Dialogo Social GUÍA METODOLÓGICA
    pdf, 447kb
  • Latin America and the Caribbean Health Accounts/National Health Accounts Website
    IADB, WHO, World Bank, USAID
  • Public Health Capacity in Latin America and the Caribbean: Assessment and Strengthening
    pdf, 721kb

    2007, WHO Regional Office for the Americas 11 Essential Public Health Functions (EPHFs) were defined as the set of conditions that improve public health practice. Measurement of the EPHF in 41 countries; analysis of the existing strengths and weaknesses in the public health sector; identification of additional examples of strategies and interventions for monitoring, evaluating and strengthening public health capacities by the countries at the national and sub-national levels.countries to examine assessment tools and decide how to proceed in strengthening their public health capacity. (80 pages, pdf 705kb)

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“Solve the problem rather than being alarmist without action”
Above the door to Clement Malau's office - Secretary for Health, Papua New Guinea

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