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Bolivia (Plurinational State of) - P4H Network
Current Health Expenditure (CHE) as % Gross Domestic Product (GDP)8.2%CHE/GDP
Out-of-pocket (OOPS) as % of Current Health Expenditure (CHE)22.7%OOP/CHE
Domestic General Government Health Expenditure (GGHE-D) as % General Government Expenditure (GGE)17.1%GGHE-D/GGE
Gross Domestic Product (GDP), in constant (2020) US$ per capita40.4KGDP (USD)
Population (in thousands)12.1MPopulation
Incidence of Catastrophic Health Spending at 10% Threshold (SDG 3.8.2) Total5.7%Catastrophic Health Spending

Bolivia advances towards universal health coverage

The constitution of Bolivia establishes the state’s obligation to guarantee and uphold the right to health state assumes primary financial responsibility[1] for the country’s health system. The Unified Health System (SUS) is composed of the public health system, social security, services that churches administer, private for-profit and nonprofit institutions and providers of traditional medicine.

Spending data for 2017 are several: Public spending on health equalled US$ 1.7 million or 11.2% of total public spending and 69.2% of total health spending. The general government financed 51.7% of current spending on health, mainly through the General Treasury of the Nation (43.1%) and with specific resources (8.5%). Private employers financed 17.3% of current health expenditures. Current public expenditure on health as a percentage of GDP was equal to 4.5%[2].

Gradual expansion of public insurance

The Seguro Nacional de Maternidad y Niñez was created in 1996 to provide basic benefits for pregnant women and children under 5 years of age. These benefits were later expanded by the Basic Health Insurance (1999) law and the Universal Maternal and Child Insurance (2002) law. The 2013 law called Ley475 proposed comprehensive care and financial health protection for people who did not have insurance, including pregnant women (from the beginning of pregnancy until 6 months after childbirth), children under 5 years of age, people over 60 years of age, women of childbearing age with respect to sexual and reproductive health care, and persons with disabilities[3].

To advance progress towards a single universal and free health system, in 2019 the law called Ley1152 expanded the beneficiary population for free health care to people not covered by social security. As a result of all these public insurance programs, household out-of-pocket spending fell from 33.5% of current health spending in 2000 to 21.3% in 2020.

References

[1] Artículo No.37. Constitución Política del Estado Plurinacional de Bolivia.2009 

[2] OMS.2018. Global Health Expenditures database

[3] OMS.2022. Global Health Expenditures database

Bolivia: 7.4 million people enrolled in the Unified Health System
NEWS |

Bolivia: 7.4 million people enrolled in the Unified Health System

Bolivia (Plurinational State of)
Health budget increases more than 10 times between 2005 and 2021 in Bolivia
NEWS |

Health budget increases more than 10 times between 2005 and 2021 in Bolivia

Bolivia (Plurinational State of)
DOCUMENT |

Law on Comprehensive Health Services of the Plurinational State of Bolivia

Bolivia (Plurinational State of)
DOCUMENT |

Law 2426 Universal Maternity and Child Insurance in Bolivia

Bolivia (Plurinational State of)
DOCUMENT |

Law 1152: Towards a Single, Universal and Free Health Care System in Bolivia

Bolivia (Plurinational State of)