Peru’s Comprehensive Health Insurance and New Challenges for Universal Coverage

This case study analyzes the progress of Peru's Comprehensive Health Insurance (SIS) and evaluates the challenges that remain to achieving universal health care coverage. Peru is an upper-middle-income country with a gross domestic product (GDP) per capita of just over US$10,000 (purchasing pow...

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Bibliographic Details
Main Author:	Francke, Pedro
Format:	Working Paper
Language:	en_US
Published:	World Bank, Washington DC 2013
Subjects:	access to contraception access to drugs access to services adolescents Adult mortality age groups aged basic infrastructure beds budget caps budget ceiling budget increase budget process cancer cancer patients cardiovascular disease child health child health care child mortality childbirth chronic malnutrition cities citizen Citizens Communicable diseases comprehensive care Contraceptive prevalence contraceptive use crowding deaths demand for health demand for health services demand for services democracy Dependency ratio developing countries diabetes Discrimination Discrimination against women doctors drugs early detection economic growth education of women emergencies emergency care employment Epidemiological Transition equilibrium equitable access Essential Health Services expenditures families family planning Fee-for-service fertility fertility rate financial risks general practice gross domestic product Health Administration health care health care coverage health care management health centers Health Coverage health education Health expenditure health facilities health financing Health for All health inequities health infrastructure Health Insurance Health Interventions health outcomes health plan health policies health policy health posts health problems health professionals health promoters health promotion health reform health sector Health service health services health spending Health Strategies Health System health system reform health systems health workers healthcare services HIV/AIDS holistic approach hospital Hospital beds hospital care hospital services hospitals human development human resources Human Rights ill health illness illnesses immunization immunizations income income countries income households Income inequality indexes indigenous populations infant infant mortality Infant mortality rate informal payments insurance plans insurers international economic crisis intervention large cities levels of infant life expectancy live births local governments malaria management of health management systems maternal care maternal health maternal mortality Maternal mortality rate maternal mortality ratio maternity leave Medical Care medical school medical specialists medicines mental health midwives Ministry of Health modernization morbidity mortality mother national level national policies national policy Neonatal mortality number of people nurses Office of Health outpatient care outpatient services patient patients physician physicians practitioners pregnant women prenatal care primary care primary health care private pharmacies private sector private spending progress provision of care public expenditure public expenditure on health Public Health public health care public health care services Public health expenditure public health expenditures public health programs public health services public health system public hospitals public insurance public insurance scheme public sector Public Spending purchasing power purchasing power parity quality control quality of health quality of life referral system regional hospital reimbursement rates reproductive health reproductive health program resource constraints resource needs respect rural areas rural populations sanitation sanitation facilities Skilled birth attendance social programs social security social security systems surgery TB control technical assistance technical capacity transportation tuberculosis universal access urban areas urban development urban populations user fees vulnerable populations woman workers working-age population
Online Access:	http://hdl.handle.net/10986/13294