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Implementation of PHC in Paraguay 2008 -2012

Implementation of PHC in Paraguay 2008 -2012. Patricia Lima Pereira Presentation for LIHP– Asunción, May 16 , 2012. Paraguay: Three ideas to know PHC in Paraguay. Context of International Health Implementation Process Pending challenges. Content. Where are we?. 60% territory 3%.

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Implementation of PHC in Paraguay 2008 -2012

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  1. Implementation of PHC in Paraguay2008 -2012 Patricia Lima Pereira Presentation for LIHP– Asunción, May 16, 2012

  2. Paraguay: Three ideas to know • PHC in Paraguay. Context of International Health • Implementation Process • Pending challenges Content

  3. Where are we? 60% territory 3% ≈ 400.000 km2 40% territory 97% 6,500,000 habitants

  4. Paraguay: Three Ideas to Become Familiar With

  5. 34% of the population is younger than 15 years old • Is young and (Forcibly) urban Fuente: Population Projection 2011. Department of Statistics and Census, Paraguay

  6. 58% live in urban areas Source: Department of Statistics and Census. 2012. Paraguay, 2006

  7. Migration from the countryside to the cities • Model agricultural exporter of soy versus traditional agriculture

  8. Is inequitable • 2% of the population is concentrated on 75% of the land • 10% of the population • makes 40% of national income Source : Department of Statistics and Census. Paraguay, 2006

  9. Deficit in qualified human capital • 6.7 doctors per 10,000 people, however 70% reside in urban metropolitan zones • Rural zones: 1.2 doctors per 10,000 people. • 2.8 nurses for 10,000 people. • Human resource training

  10. Universidades Economic reforms and State Reforms in the Health Sector 1975 Alma Ata 2000 ODM 2003 PHC-R VIH-SIDA Privado alta complejidad • The health system is fragmented and segmented Municipios Gobernaciones Tercer Nivel Malaria-ETV Segundo Nivel I.P.S. Privado baja complejidad ONG’s Materno-Infantil 1996 Law SNS 1954 ……………Dictator Stroessner 1989 1936  MSP 1943 IPS 2010 Indigenous Health Policy 2008 Public Health Policy (PHC) Medicina Tradicional Primer Nivel

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