HEALTH SYSTEMS PROFILE HONDURAS - PAHO/WHO

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PENSIDA PLHA PMRTN PNGCA PNM PRAF PRIESS PRS RAMNI RAS-HON RESSCAD RRAS-CA SAICM SANAA SECPLAN SEFIN SERNA SIAFI SIC SIDA SIECA SINEIA SS STD TB TDA TFR UCOS UECF UMSS UNAH UNAIDS UNAT UNDP UNEP UNFPA UNICEF UNS UPEG UPNFM US USAID WB WTO National Strategic Plan for AIDS People Living with HIV/AIDS Master Plan for National Reconstruction and Transformation National Air Quality Management Plan Honduran National Drug Policy Family Assistance Program Comprehensive Health Sector Reform Program Poverty Reduction Strategy Accelerated Reduction of Maternal and Newborn Mortality Honduran Water and Sanitation Network Dominican Republic-Central America Health Sector Meetings Central American Regional Water and Sanitation Network Strategic Approach to International Chemicals Management Autonomous National Water Supply and Sewer System Service Honduran Ministry of Planning Honduran Ministry of Finance Honduran Ministry of the Environment and Natural Resources Financial Management System Honduran Ministry of Industry Trade and Tourism Swedish International Development Authority Secretariat of Central American Economic Integration National Environmental Impact Assessment System Honduran Ministry of Health Sexually Transmitted Disease Tuberculosis Open Unemployment Rate Total Fertility Rate Community Health Units Coverage and Financing Expansion Unit Ministry of Health Modernization Unit National Autonomous University of Honduras Joint United Nations Program on HIV/AIDS Technical Analysis Unit United Nations Development Program United Nations Environment Program United Nations Population Fund United Nations Children’s Fund United Nations System Management Planning and Evaluation Unit Francisco Morazán National Pedagogical University Health Units United States Agency for International Development World Bank World Trade Organization
Table of Contents EXECUTIVE SUMMARY...........................................................................................................................................1 1. CONTEXT OF HEALTH SYSTEM.................................................................................................................3 1.1 ANALYSIS OF HEALTH SITUATION........................................................................................................3 1.1.1 DEMOGRAPHIC ANALYSIS ...................................................................................................................3 1.1.2 EPIDEMIOLOGICAL ANALYSIS ............................................................................................................4 1.1.3 MILLENNIUM DEVELOPMENT GOALS ...............................................................................................1 1.2 HEALTH DETERMINANTS.........................................................................................................................7 1.2.1 POLITICAL DETERMINANTS.................................................................................................................7 1.2.2 ECONOMIC DETERMINANTS................................................................................................................8 1.2.3 SOCIAL DETERMINANTS.......................................................................................................................9 1.2.4 ENVIRONMENTAL DETERMINANTS ..................................................................................................11 2. FUNCTIONS OF THE NATIONAL HEALTH SYSTEM ...........................................................................13 2.1 STEERING ROLE........................................................................................................................................13 2.1.1 MAPPING OF THE NATIONAL HEALTH AUTHORITY......................................................................14 2.1.2 CONDUCT/LEAD ..................................................................................................................................15 2.1.3 REGULATION........................................................................................................................................18 2.1.4 PERFORMANCE OF THE ESSENTIAL PUBLIC HEALTH FUNCTIONS...........................................18 SOURCE: SS, HEALTH SERVICES ACCESS PROGRAM...................................................................................................19 2.1.5 ORIENTATION OF FINANCING...........................................................................................................20 2.1.6 GUARANTEE OF ASSURANCE ............................................................................................................21 2.1.7 HARMONIZATION OF SERVICE DELIVERY ......................................................................................22 2.2 FINANCING ................................................................................................................................................23 2.3 DELIVERY OF SERVICES.........................................................................................................................23 2.3.1 SUPPLY AND DEMAND OF HEALTH SERVICES...............................................................................24 2.3.2 DEVELOPMENT OF HEALTH WORKFORCE.....................................................................................25 2.3.3 MEDICINES AND OTHER HEALTH PRODUCTS ...............................................................................26 2.3.4 EQUIPMENT AND TECHNOLOGY......................................................................................................27 2.3.5 QUALITY OF SERVICES .......................................................................................................................28 2.4 INSTITUTIONAL MAPPING OF THE HEALTH SYSTEM......................................................................31 3. MONITORING PROCESSES OF CHANGE AND REFORM ...................................................................32 3.1 EFFECT ON SYSTEM FUNCTIONS ........................................................................................................37 3.2 EFFECT ON GUIDING PRINCIPLES OF THE REFORMS....................................................................38 3.3 ANALYSIS OF ACTORS ............................................................................................................................40 BIBLIOGRAPHY.......................................................................................................................................................43
Page 1 and 2: HEALTH SYSTEMS PROFILE HONDURAS MON
Page 3 and 4: PAHO HQ Library Catalog-in-Publicat
Page 5: Acronyms AIN-C ARV BCH CALAGUA CESA
Page 9 and 10: Ministry of Health; progressive int
Page 11 and 12: TABLE 1. DEMOGRAPHIC TREND BY SEX A
Page 13 and 14: TABLE 2. POPULATION MORBIDITY AND R
Page 15 and 16: TABLE 4A. INFANT AND CHILD MORTALIT
Page 17 and 18: MDG MDG 5: Improve maternal health
Page 19 and 20: MDG Target 8: Have halted by 2015 a
Page 21 and 22: 1.2 HEALTH DETERMINANTS 1.2.1 POLIT
Page 23 and 24: TABLE 7. OPEN UNEMPLOYMENT RATE HON
Page 25 and 26: 1.2.4 ENVIRONMENTAL DETERMINANTS Th
Page 27 and 28: 2. FUNCTIONS OF THE NATIONAL HEALTH
Page 29 and 30: Ministry of Health responsibilities
Page 31 and 32: TABLE 12. ACCESS TO MINISTRY OF HEA
Page 33 and 34: FIGURE 3. EPHF MEASUREMENT RESULTS
Page 35 and 36: FIGURE 5. MINISTRY OF HEALTH BUDGET
Page 37 and 38: 2.2 FINANCING According to the resu
Page 39 and 40: Primary care provided by the SS inc
Page 41 and 42: TABLE 25. MEDICINES BY SELECTED IND
Page 43 and 44: The SS has a quality assurance depa
Page 45 and 46: 2.4 INSTITUTIONAL MAPPING OF THE HE
Page 47 and 48: In health, the PMRTN identified the
Page 49 and 50: (management information systems, st
Page 51 and 52: 3.1 EFFECT ON HEALTH SYSTEM FUNCTIO
Page 53 and 54: in this area, coverage is lower tha
Page 55 and 56: 18. Community associations 19. Publ
Page 57:
BIBLIOGRAPHY Banco Central de Hondu
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HEALTH SYSTEMS PROFILE HONDURAS - PAHO/WHO

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