health projects in southern cone countries social programs division regional operations department 1...

Health Projects in Southern Cone CountriesSocial Programs DivisionRegional Operations Department 1

Tomás Engler, MD, MPH

Region 1 Health Sector ProjectsArgentinaBoliviaBrasilChileParaguayUruguay

Region 1Health Sector Projects

Argentina Primary Health Reform

(US$90 million) (27%) BA Province Social

Investment (US$233 million)(P)

Bolivia Epidemiological Shield

(US$45 million) (37%)

Brasil PROFAE (US$185 million)

(54%) QualiSUS (US$TBD)

Chile Comprehensive

Development Indigenous Communities (US$35 million, US$2,4 million health) (25% / 9%)

Paraguay Epidemiological Shield

(US$40 million) (P) Primary Healthcare

Reform (US$8 million) (33%)

Uruguay No current IDB health

projects

Region 1 Health Sector Projects - Bolivia

Epidemiological ShieldUS$45 million 37% disbursedChagas controlEpidemiological SurveillanceHealth Sector Reform Studies

Region 1 Health Sector Projects - Brasil

PROFAEUS$185 million 54% disbursedSchooling and Professionalization of

auxilliary health workersStrengthening of health worker

technical schoolsStrengthening of regulation of health

personnel trainingHealth sector labor market information

Region 1 Health Sector Projects - Brasil

Qualification and Humanization of Single Health System (SUS) Program (QualiSUS) US$ To Be DeterminedStated Goal: To upgrade the health

care production complex, investing in the supply & availability of services to underserved population groups.

Region 1 Health Sector Projects - Chile

Comprehensive Development of Indigenous Communities -Health ComponentUS$2,4 million 9% disbursedInter-cultural Model of CareCultural Pertinence of Health CareStrengthening of Indigenous MedicineImprovement of Community Access to

Inter-Cultural HealthCare Network

Region 1 Health Sector Projects - Paraguay

Primary Healthcare Reform US$8,3 million 33% disbursed Strengthening of regional autonomy Excellent professional initiative Improvement of vital statistics Human resource development Procurement & distribution of supplies Infrastructure rehabilitation and equipment Referral system Information, education and communication

Region 1 Health Sector Projects - Paraguay

Epidemiological Shield

US$40 millionChagas and Malaria ControlEpidemiological

Surveillance System

Region 1 Health Sector Projects - Argentina

Primary Health Care ReformUS$90 million 27% disbursedHuman resource developmentMOH restructuringProvincial primary healthcare reform

(La Pampa, Córdoba)Essential drugs (59%) – RemediarSocial marketing

Region 1 Health Sector Projects - Argentina

Province of Buenos Aires Social Investment Program (AR-L1007)US$233 millionMinistry of Health (provincial)

Calle 51 N° 1120 e/17 y 18 - (1900), LA PLATA

Telephone: 54 221451-1021 to 29

www.ms.gba.gov.ar

Province of Buenos Aires Social Investment ProgramHuman Development: Infant development units, conversion of food programs

into subsidies, beneficiary registry system upgrading, training & technical assistance

Education: Increased coverage of pre-school programs, school

reinsertion, information systems

Health: Expanded primary health care & nutrition programs and

centers for children under 6, pregnant women, training of community health agents and technical staff, health and epidemiological record systems.

Province of Buenos Aires

Province of Buenos Aires

Province of Buenos Aires Population, 2001 Census

0 to 14 yrs.28%

65+ yrs.10%

15 to 64 yrs.62% 13.8 million

Province of Buenos AiresVital Statistics by Sanitary Region, 2002

0

5

10

15

20

Birth Rate Mortality InfantMortality

MaternalMortality

I II III IV V VI VIIa VIIb VIII IX X XI Province

Province of Buenos AiresMinistry of Health Structure

Instituto Obra Médico Asistencial (IOMA) Organ Ablation and Implantation Coordinating Center (CUCAIBA)Healthcare Coordination Health Services Drug Policy Oral Health Program Informatics Sanitary Emergencies Regional Coordination

Health Promotion & Disease Prevention PROMIN Rehabilitation AIDS / STD Prevailing Pathologies Diabetes Prevention &

Control Program (ProDiaBA)

Genital & Mammary Cancer Program (ProGeMa)

Epidemiology MCH

Sanitary Comptroller Sanitary coordination

and control Control Central Laboratory

Addiction Control Care for Addicted Institutional Relations Administration

Health Planning Planning Information Training for Health Professional Training Technical Training

Administration Management Accounting Cost Recovery Technical Services Personnel

Province of Buenos AiresMinistry of Health Structure

Province of Buenos AiresMinistry of Health Programs

AIDSVaccine-preventable diseasesEarly detection genital-mammary & cervico-uterine cancerPoliomyelitisMaternal & child healthPROMIN

Province of Buenos AiresMinistry of Health Programs

Education for Health

Oral Health

More Life Plan

ProDiaBA

Mental health

War veterans

Province of Buenos AiresMinistry of Health Network

180 Provincial Care Centers (30K users)

77 Hospitals

Centralized Procurement System

Province of Buenos AiresVaccination Coverage

Province of Buenos Aires Hospitals by Sanitary Region

Sanitary Region Nº of Hospitals

I 2

II 1

III 1

IV 3

V 10

VI 15

VIIa 4

VIIb 3

VIII 6

IX 8

X 3

XI 21

Total 77

Province of Buenos AiresCentralized Procurement System

Drugs

Disposable materialDomesticImported

X-Ray film

IV Solutions

Province of Buenos AiresLegislation

Professional practicePublic health controls (e.g., vaccination, food, AIDS notification, toxic substances, cigarette & alcohol sales, laboratories)School healthMental healthCitizen and patient rightsProtection of patients with infectious diseaseDrugsResearchAdministrative (salary scales, procedures)

All are Opportunities to

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