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Health Care Financing in Central America and the Andean Region: A Workshop Report

Published online by Cambridge University Press:  24 October 2022

Dieter K. Zschock
Dieter K. Zschock*
Affiliation:
SUNY at Stony Brook
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The goal of “health for all by the year 2000” was endorsed by member nations of the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) at the International Conference on Primary Health Care, held at Alma Ata, U.S.S.R., in September 1978. The goal of attaining total health care coverage of the population had been agreed upon by the Ministers of Health of the Americas at their III Special Meeting in 1972. Meeting again in 1977, the ministers took stock of the region's accomplishments and remaining shortcomings in preparation for the Alma Ata conference. They concluded that their institutional health care systems, which bear the major responsibility for providing total coverage, had not yet attained this goal; among the reasons mentioned were institutional rigidities that made it difficult to determine and respond to unattended needs for health care, and the financial inaccessibility to large population groups of the institutions providing health services. These problems were compounded by a “significant increase in the cost of medical care … which reduces the resources available for providing universal coverage.”

Type
Research Reports and Notes
Information
Latin American Research Review , Volume 15 , Issue 3 , 1980 , pp. 149 - 168
Copyright
Copyright © 1980 by Latin American Research Review

Footnotes

*

The workshop was held in Melgar, Colombia, 23–27 April 1979. It was sponsored by the International Health Programs Division of the American Public Health Association (APHA) under contract AID/ta–C–1320 of the U.S. Agency for International Development (USAID). The Pan American Health Organization (PAHO) cooperated in workshop preparations and also contributed financially. The Colombian Association of Medical Schools (ASCOFAME) was responsible for local arrangements and contributed support services. A private corporation, American Medical International, Inc. (AMI) also contributed financially. Dr. Herbert T. Dalmat of APHA served as project director and Dr. Abel Dueñas Padron, Director of ASCOFAME, served as chairman of the workshop, assisted by Dra. Lucia Cock de Leiva. The author of this report designed and coordinated the workshop program.

References

Bibliography

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John Massey. “Presentación de la Agencia Internacional de Desarrollo.” Workshop paper.Google Scholar
Lauro Valdovinos. “Servicios que ofrece la American Medical International.” Workshop paper.Google Scholar
Ministerio de Previsión Social y Salud Pública. “Informe financiero de Bolivia, 1964–1967.” Workshop paper.Google Scholar
Caja Nacional de Seguridad Social. “Financiamiento del seguro enfermedad—maternidad.” Workshop paper.Google Scholar
International Development Research Centre. “Proyectos de investigación en la división de ciencias de la salud en América Latina.” Bogotá, Colombia. March 1979.Google Scholar
Ministerio de Salud. “El nuevo sistema de financiamiento de la salud en Chile.” Workshop paper.Google Scholar
Ministerio de Salud y Departamento Nacional de Planeación. “Aspectos del financiamiento y gasto en salud, Colombia, 1974–1980.” Workshop paper.Google Scholar
Raul Orejuela Bueno, Ministro de Salud. Informe al Honorable Congreso de la República de Colombia, 1974–1978.Google Scholar
Ministerio de Salud. “Análisis de financiación de salud.” Workshop paper.Google Scholar
Ministry of Health and Ministry of National Planning. “Extension of Coverage of Health Services.” Paper prepared for the International Conference on Primary Health Care, Alma Ata, U.S.S.R., 6–12 September 1978.Google Scholar
Untitled workshop papers contributed by the Junta Nacional de Planificación, Ministerio de Salud Pública, and Instituto Ecuatoriano de Seguridad Social.Google Scholar
Ministerio de Salud. “Aspectos generales del sector salud en El Salvador.” Workshop paper.Google Scholar
Carlos Estrada Sandoval. “Financiamiento del sector salud.” Workshop paper.Google Scholar
Oswaldo Daetz Caal. “Financiación de los programas de salud de la seguridad social en Guatemala.” Workshop paper.Google Scholar
Irma S. de Diaz, Merlin Fernandez, y Bardales, Gustavo. “Financiamiento de los servicios de salud en Honduras.” Workshop paper.Google Scholar
Abraham Drobny. “Financiamiento de servicios de salud.” Workshop paper.Google Scholar
José Vera Lamperein. “Financiamiento del sector salud en terminos monetarios y reales.” Workshop paper.Google Scholar
José Vera Lamperein. “Estudios del financiamiento del sector salud.” Washington, D.C., 18 April 1979. A guide.Google Scholar
Ministerio de Salud y Caja de Seguro Social. “Financiamiento del sector salud en Panama.” Workshop paper.Google Scholar
Ministerio de Salud y Caja de Seguro Social. Sistema integrado de salud: presupuesto de ingresos, gastos, e inversiones, 1978.Google Scholar
Carlos Novoa Zañartu y Enrique Rubin de Celis. “Aspectos financieros del sector salud, Perú 1979.” Workshop paper.Google Scholar
John Massey. “Presentación de la Agencia Internacional de Desarrollo.” Workshop paper.Google Scholar