Extension of Health Services Coverage in El Salvador : The RHESSA Project Experience

For a variety of reasons, the governments of Central America have struggled to provide basic healthcare services to their rural and impoverished populations. The lack of incentives for healthcare personnel to reside in or even to travel to remote a...

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Main Authors: Cortez, Rafael, Bablumian, Isabella, Fernandez, Danilo
Format: Brief
Language:English
Published: World Bank, Washington, DC 2012
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2009/12/11472732/extension-health-services-coverage-el-salvador-rhessa-project-experience
http://hdl.handle.net/10986/10217
id okr-10986-10217
recordtype oai_dc
spelling okr-10986-102172021-04-23T14:02:49Z Extension of Health Services Coverage in El Salvador : The RHESSA Project Experience Cortez, Rafael Bablumian, Isabella Fernandez, Danilo ALLOCATION OF RESOURCES AT RISK GROUPS CERVICAL CANCER CHILD NUTRITION COMMUNITIES COMPLICATIONS DEATHS DISADVANTAGED POPULATIONS DOCTORS EARLY DETECTION EARTHQUAKE EQUITABLE ACCESS EXTENDED SERVICES FEE-FOR-SERVICE HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH NEEDS HEALTH RESULTS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH STRATEGY HEALTH SYSTEM HEALTHCARE SERVICES HEALTHCARE SYSTEM HOSPITAL HOSPITAL BEDS IMPROVEMENTS IN HEALTH INDIGENOUS POPULATIONS INFANT INFANT MORTALITY INFANT MORTALITY RATE INFECTIOUS DISEASES INFORMATION SYSTEM INHABITANTS INSTITUTIONAL CAPACITY INSTITUTIONALIZATION LIFE EXPECTANCY LIVE BIRTHS MATERNAL MORTALITY MEDICAL ATTENTION MEDICAL SUPPLIES MEDICINES MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MOBILE HEALTH UNITS MORTALITY NATIONAL PRIORITY NEWBORNS NON-GOVERNMENTAL ORGANIZATIONS NURSE NURSES NUTRITION POOR HEALTH PREGNANCIES PREGNANT WOMEN PRIVATE SECTOR PROGRESS PROVISION OF HEALTH SERVICES PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH SYSTEM QUALITY OF SERVICES RURAL AREAS SERVICES FOR CHILDREN SET OF GOALS TRANSPORTATION VACCINATION VACCINATIONS VACCINES VULNERABLE POPULATIONS For a variety of reasons, the governments of Central America have struggled to provide basic healthcare services to their rural and impoverished populations. The lack of incentives for healthcare personnel to reside in or even to travel to remote areas, along with the deep rural-urban and rich-poor divides have resulted in poor coverage and poor health indicators. Further, language and cultural barriers and the lack of a budget for transportation in the rural departments have added to the complications in meeting the needs of the poor. In an effort to address the poor health indicators and the clients' complaints, to achieve equitable access to healthcare, and to reach the goals established by the Millennium Development Goals, the Salvadoran Government sought to extend essential healthcare services to disadvantaged populations, especially mothers and children, the poor, and rural and indigenous populations. With the help of a World Bank loan, the Ministry focused on: (1) solidifying the provision of health services to remote and poor areas; (2) expanding coverage; and (3) institutionalizing the program to assure its sustainability and governance for improved health results. Given the emerging financial crisis, which could affect the size and effectiveness of social budgets, the challenge is to maintain this program and consolidate the improvements of the health indicators. 2012-08-13T10:45:35Z 2012-08-13T10:45:35Z 2009-12 http://documents.worldbank.org/curated/en/2009/12/11472732/extension-health-services-coverage-el-salvador-rhessa-project-experience http://hdl.handle.net/10986/10217 English en breve; No. 149 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research :: Brief Publications & Research Latin America & Caribbean El Salvador
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic ALLOCATION OF RESOURCES
AT RISK GROUPS
CERVICAL CANCER
CHILD NUTRITION
COMMUNITIES
COMPLICATIONS
DEATHS
DISADVANTAGED POPULATIONS
DOCTORS
EARLY DETECTION
EARTHQUAKE
EQUITABLE ACCESS
EXTENDED SERVICES
FEE-FOR-SERVICE
HEALTH INDICATORS
HEALTH INTERVENTIONS
HEALTH MANAGEMENT
HEALTH NEEDS
HEALTH RESULTS
HEALTH SERVICE
HEALTH SERVICES
HEALTH STATUS
HEALTH STRATEGY
HEALTH SYSTEM
HEALTHCARE SERVICES
HEALTHCARE SYSTEM
HOSPITAL
HOSPITAL BEDS
IMPROVEMENTS IN HEALTH
INDIGENOUS POPULATIONS
INFANT
INFANT MORTALITY
INFANT MORTALITY RATE
INFECTIOUS DISEASES
INFORMATION SYSTEM
INHABITANTS
INSTITUTIONAL CAPACITY
INSTITUTIONALIZATION
LIFE EXPECTANCY
LIVE BIRTHS
MATERNAL MORTALITY
MEDICAL ATTENTION
MEDICAL SUPPLIES
MEDICINES
MILLENNIUM DEVELOPMENT GOAL
MILLENNIUM DEVELOPMENT GOALS
MINISTRY OF HEALTH
MOBILE HEALTH UNITS
MORTALITY
NATIONAL PRIORITY
NEWBORNS
NON-GOVERNMENTAL ORGANIZATIONS
NURSE
NURSES
NUTRITION
POOR HEALTH
PREGNANCIES
PREGNANT WOMEN
PRIVATE SECTOR
PROGRESS
PROVISION OF HEALTH SERVICES
PROVISION OF SERVICES
PUBLIC HEALTH
PUBLIC HEALTH SYSTEM
QUALITY OF SERVICES
RURAL AREAS
SERVICES FOR CHILDREN
SET OF GOALS
TRANSPORTATION
VACCINATION
VACCINATIONS
VACCINES
VULNERABLE POPULATIONS
spellingShingle ALLOCATION OF RESOURCES
AT RISK GROUPS
CERVICAL CANCER
CHILD NUTRITION
COMMUNITIES
COMPLICATIONS
DEATHS
DISADVANTAGED POPULATIONS
DOCTORS
EARLY DETECTION
EARTHQUAKE
EQUITABLE ACCESS
EXTENDED SERVICES
FEE-FOR-SERVICE
HEALTH INDICATORS
HEALTH INTERVENTIONS
HEALTH MANAGEMENT
HEALTH NEEDS
HEALTH RESULTS
HEALTH SERVICE
HEALTH SERVICES
HEALTH STATUS
HEALTH STRATEGY
HEALTH SYSTEM
HEALTHCARE SERVICES
HEALTHCARE SYSTEM
HOSPITAL
HOSPITAL BEDS
IMPROVEMENTS IN HEALTH
INDIGENOUS POPULATIONS
INFANT
INFANT MORTALITY
INFANT MORTALITY RATE
INFECTIOUS DISEASES
INFORMATION SYSTEM
INHABITANTS
INSTITUTIONAL CAPACITY
INSTITUTIONALIZATION
LIFE EXPECTANCY
LIVE BIRTHS
MATERNAL MORTALITY
MEDICAL ATTENTION
MEDICAL SUPPLIES
MEDICINES
MILLENNIUM DEVELOPMENT GOAL
MILLENNIUM DEVELOPMENT GOALS
MINISTRY OF HEALTH
MOBILE HEALTH UNITS
MORTALITY
NATIONAL PRIORITY
NEWBORNS
NON-GOVERNMENTAL ORGANIZATIONS
NURSE
NURSES
NUTRITION
POOR HEALTH
PREGNANCIES
PREGNANT WOMEN
PRIVATE SECTOR
PROGRESS
PROVISION OF HEALTH SERVICES
PROVISION OF SERVICES
PUBLIC HEALTH
PUBLIC HEALTH SYSTEM
QUALITY OF SERVICES
RURAL AREAS
SERVICES FOR CHILDREN
SET OF GOALS
TRANSPORTATION
VACCINATION
VACCINATIONS
VACCINES
VULNERABLE POPULATIONS
Cortez, Rafael
Bablumian, Isabella
Fernandez, Danilo
Extension of Health Services Coverage in El Salvador : The RHESSA Project Experience
geographic_facet Latin America & Caribbean
El Salvador
relation en breve; No. 149
description For a variety of reasons, the governments of Central America have struggled to provide basic healthcare services to their rural and impoverished populations. The lack of incentives for healthcare personnel to reside in or even to travel to remote areas, along with the deep rural-urban and rich-poor divides have resulted in poor coverage and poor health indicators. Further, language and cultural barriers and the lack of a budget for transportation in the rural departments have added to the complications in meeting the needs of the poor. In an effort to address the poor health indicators and the clients' complaints, to achieve equitable access to healthcare, and to reach the goals established by the Millennium Development Goals, the Salvadoran Government sought to extend essential healthcare services to disadvantaged populations, especially mothers and children, the poor, and rural and indigenous populations. With the help of a World Bank loan, the Ministry focused on: (1) solidifying the provision of health services to remote and poor areas; (2) expanding coverage; and (3) institutionalizing the program to assure its sustainability and governance for improved health results. Given the emerging financial crisis, which could affect the size and effectiveness of social budgets, the challenge is to maintain this program and consolidate the improvements of the health indicators.
format Publications & Research :: Brief
author Cortez, Rafael
Bablumian, Isabella
Fernandez, Danilo
author_facet Cortez, Rafael
Bablumian, Isabella
Fernandez, Danilo
author_sort Cortez, Rafael
title Extension of Health Services Coverage in El Salvador : The RHESSA Project Experience
title_short Extension of Health Services Coverage in El Salvador : The RHESSA Project Experience
title_full Extension of Health Services Coverage in El Salvador : The RHESSA Project Experience
title_fullStr Extension of Health Services Coverage in El Salvador : The RHESSA Project Experience
title_full_unstemmed Extension of Health Services Coverage in El Salvador : The RHESSA Project Experience
title_sort extension of health services coverage in el salvador : the rhessa project experience
publisher World Bank, Washington, DC
publishDate 2012
url http://documents.worldbank.org/curated/en/2009/12/11472732/extension-health-services-coverage-el-salvador-rhessa-project-experience
http://hdl.handle.net/10986/10217
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