Peru

Peru has a decentralized health care system administered by 5 entities: the Ministry of Health (MINSA), which provides health services for 60% of the population; EsSalud, which provides for 30% of the population; and the Armed Forces (FFAA), National Police (PNP), and the private sector together provide services to the remaining 10% (Recursos humanos en salud al 2011). The resulting system contains multiple providers of services and insurance, often performing functions with a high degree of overlap and little coordination. Health workers often work several jobs in multiple subsectors.

There has been an increasing trend in the overall number of health workers despite an increase in health worker outmigration, but no significant difference in HRH densities with the exception of nursing, which has increased (9.7/10,000; Recursos humanos en salud al 2011). There also has been an increased demand for providers, especially medical specialists, over the past decade due to the implementation of universal health insurance and associated policies. Current national HRH density is 17.8/10,000 population.

Overall, inequitable geographic distribution of health workers continues, with Lima and coastal areas having the highest densities, and the areas of Piura (9.6), Lambayeque (10.7) and Loreto (10.8) having the lowest (Recursos humanos en salud al 2011). Demographic differences in densities as well as urban/rural differences have begun to disappear due to implementation of the SERUMS plan, a decentralized HRH retention plan to distribute and retain health workers in remote areas. The plan was developed with an accompanying technical guide containing a baseline, and review of good practices and procedures to implement a long-term retention policy based on intersectoral agreements. Other achievements include: development of a national HRH observatory, and development and implementation of a national HRH strategic plan that is fully costed and integrated with a broader health plan.

COUNTRY COORDINATION AND FACILITATION (CCF) IN PERU:

CCF phases’ description and recommendations

Click on graph to read more about the CCF phases

Peru has completed Phases 1-3 of the CCF process and currently is involved in Phases 4 and 5: Mobilization of Resources for HRH Interventions, and Implementation and Monitoring of the HRH Plan.

Peru’s HRH retention policy partners include:

  • the Health and Social Security Commission;
  • Executive Branch President of the Council of Ministers;
  • Secretary of Decentralization;
  • National Civil Service Authority (SERVIR);
  • regional governments;
  • Ministry of Finance and Economy; Ministry of Education;
  • Civil Society; and
  • International Organizations (GHWA, PAHO/WHO, UNASUR, Andean Agreement).

As part of the CCF process, Peru has been able to: support open dialogue and consensus-building with HRH stakeholders on best health worker retention strategies; improve management capacity at local levels; and create fellowships to obtain diplomas in HRH policy implementation.

Health Workforce Data

HUMAN RESOURCES FOR HEALTH PLAN

HEALTH SECTOR STRATEGIES / PLANS

Country case studies & other documents

>> More Resources From the HRH Global Resource Center

ALLIANCE MEMBERS WORKING IN PERU

Share

KAMPALA DECLARATION AND AGENDA FOR GLOBAL ACTION PROGRESS

KD/AGA Progress Graph Peru

COUNTRY MAP:

STATISTICS:

Total population: 29,797,694
Gross national income per capita (PPP international $): 8930
Life expectancy at birth m/f (years): 74/77

More information from:

SEND US YOUR FEEDBACK:

All reasonable precautions have been taken by the Alliance to verify the information contained on this web page. Notwithstanding, the Secretariat of the Alliance welcomes any comments, suggestions and notifications of errors or inconsistencies, which can be submitted using the form above.