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Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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Page 1: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Health Projects in Southern Cone CountriesSocial Programs DivisionRegional Operations Department 1

Tomás Engler, MD, MPH

Page 2: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Region 1 Health Sector ProjectsArgentinaBoliviaBrasilChileParaguayUruguay

Page 3: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 4: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Region 1 Health Sector Projects - Bolivia

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

Page 5: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 6: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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.

Page 7: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 8: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 9: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Region 1 Health Sector Projects - Paraguay

Epidemiological Shield

US$40 millionChagas and Malaria ControlEpidemiological

Surveillance System

Page 10: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 11: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 12: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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.

Page 13: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Province of Buenos Aires

Page 14: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Province of Buenos Aires

Page 15: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Province of Buenos Aires Population, 2001 Census

0 to 14 yrs.28%

65+ yrs.10%

15 to 64 yrs.62% 13.8 million

Page 16: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 17: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 18: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 19: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Province of Buenos AiresMinistry of Health Programs

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

Page 20: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Province of Buenos AiresMinistry of Health Programs

Education for Health

Oral Health

More Life Plan

ProDiaBA

Mental health

War veterans

Page 21: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Province of Buenos AiresMinistry of Health Network

180 Provincial Care Centers (30K users)

77 Hospitals

Centralized Procurement System

Page 22: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Province of Buenos AiresVaccination Coverage

Page 23: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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

Page 24: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

Province of Buenos AiresCentralized Procurement System

Drugs

Disposable materialDomesticImported

X-Ray film

IV Solutions

Page 25: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

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)

Page 26: Health Projects in Southern Cone Countries Social Programs Division Regional Operations Department 1 Tomás Engler, MD, MPH

All are Opportunities to

Become a Partner for Health!!!