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Peru - Health financing profile (English)

In the past decade, Peru has shown great success in lowering child mortality and has reached near-universal coverage of immunizations (93 percent) and prenatal care (95 percent of women have at least one prenatal visit). Despite these successes, however, Peru continues to struggle with the issue of inequality in access to health services between the relatively affluent urban districts (with 20 percent poverty) and poor rural districts (with 61 percent poverty). In 2011, 85 percent of births in urban areas took place in health facilities and 58 percent in rural areas, a vast improvement from a decade earlier (24 percent in rural areas and 58 percent in urban areas), yet still a large disparity. While programs in areas such as maternal and child health, tuberculosis and malaria are generally well-funded through initiatives such as PARSALUD and other special funding sources, Peru is striving to finance its broader health system in a way that incentivizes the expansion of infrastructure and human resource capabilities into poor rural areas. The 'Comprehensive Health Insurance' (SIS) was introduced in 2002 to provide free or low-cost health insurance to those living in poverty and extreme poverty. This, along with the conditional cash transfer program, Juntos, has been an important step in this direction and has greatly increased coverage as well as demand for services. The primary challenge then is to increase capacity in poor districts and provide health coverage for the indigent as well as for other vulnerable groups.


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    Class, Deena Cavagnero, Eleonora Rajkumar, Sunil Ferl, Katharina

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    Latin America & Caribbean,

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    Peru - Health financing profile

  • Keywords

    rural area;private insurance;general government expenditure;maternal and child health;Out of Pocket Spending;Seguro Integral de Salud;national health accounts;Micro and Small Enterprises;living in poverty;Poverty & Inequality;Upper Middle Income Countries;social health insurance schemes;conditional cash transfer program;social health insurance system;total expenditure on health;access to health service;comprehensive health insurance;extreme poverty;poor rural district;total fertility rate;payment for service;health finance indicators;demand for service;public health intervention;public health facility;private health insurer;number of beneficiaries;informal sector worker;epidemiological transition;human resource capability;risk pool;poor rural population;Exchange Rates;Public Facilities;independent worker;voluntary plan;global health;health expenditure;basic package;health coverage;dramatic increases;financial mechanism;political decision;Health Workers;fixed budget;service coverage;disease burden;Cardiovascular Disease;generally well;nutritional deficiency;health indicator;urban districts;special fund;Prenatal Care;Child Mortality;Medical care;external resource;urban population;health program;health authorities;vulnerable group;demographic indicator;benefit package;monthly premium;urban region;emergency service;employer contribution;variable cost;public funding;low-income population;guaranteed benefit;resource levels;advanced infrastructure;public coverage;payroll contribution;private insurer;health status;



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Class, Deena Cavagnero, Eleonora Rajkumar, Sunil Ferl, Katharina

Peru - Health financing profile (English). Health financing profile ; Peru Washington, D.C. : World Bank Group.