附註:Includes bibliographical references (pages 93-94).
TABLE OF CONTENTS; Abstract; Acknowledgments; Acronyms and Abbreviations; Executive Summary; 1. Health Outcomes and Coverage in the Context of Decentralization; 2. Financing and Use of Services; Public Health Expenditures; Social Security and Cross-Subsidies; Distributional Impact of Health Expenditures; 3. Clarifying Targets and Accountability in the Context of Decentralization; Decentralization; National Commitments and Performance Agreements; Deepening the Focus on Results in the Context of the New Management Framework; 4. Public Health Insurance and Equity.
Design and Basic Characteristics of the Public Health Insurance in BoliviaThe Package of Services, User Empowerment and Targeting; Financing of Public Health Insurance-Relationship between Municipalities and the Central Government and Associated Incentives; Public Health Insurance and Equity; Administration of the Insurance and Incentives Embedded in the Payment Mechanism; Conclusions; 5. The Epidemiological Shield; Communicable and Vector-Borne Diseases in Bolivia; Epidemiological Shield Programs; 6. Human Resources for Health in Bolivia; Background Information; Main Findings; Discussion.
Recommendations7. Indigenous Empowerment and an Intercultural Approach to Health; The Indigenous Population, Poverty and Health; Organization and Political Participation of Indigenous Populations for Health; Partial Answers to Indigenous Health Needs; Recent Progress on Indigenous Health Indicators and Pending Challenges; Recommendations; 8. Conclusions and Recommendations; Maintaining the Focus on National Priorities in the Context of the SUMI; Strengthening Efforts to Extend Care to Poor Rural Areas and Indigenous People.
Improving the Effectiveness of the Decentralized System in the Context of the New Management ModelAnnex A. National Health Accounts, 2000; Annex B. Equity and Coverage of Priority Health Services; Annex C. Determinants of Use of Health Services in Bolivia; References; TABLES; 1.1: Comparative Indicators: Latin America; 1.2: Maternal Mortality Rate, by Geographic Region (maternal deaths per 100,000 live births); 1.3: Maternal Mortality Rate and Use of SBS Services, by Regions (maternal deaths per 100,000 live births).
1.4: Trends in Economic Growth and Infant Mortality Rate (percentages, annual average)2.1: National Health Expenditures 2000; 2.2: Public Health Expenditures (excludes Social Security); 2.3: Bed Occupancy Rates and Average Lengths of Stay (2001); 3.1: Performance Indicators included in Regional Performance Agreements 1999, 2000 and 2001; 3.2: National Commitments for Health; 3.3: Ranking of Departments by Performance; 4.1: The Evolution of Public Health Insurance in Bolivia; 4.2: Municipal SBS Surpluses vs. Socioeconomic Indicators.
摘要:Bolivia has made significant progress in health status and equity in the last decade, due to the implementation of a series of health policies directed primarily at reducing maternal and infant mortality and controlling communicable diseases. This report analyzes these policies, draws lessons from their implementation, discusses remaining challenges, and provides recommendations in the context of the country's latest policy developments.
