Health financing in Peru: Analysis of the current situation and policy challenges to 2021
Peru faces the challenge of the financial transition of its health system, which consists of replacing a scheme highly dependent on out-of-pocket spending to a pooled system where health system users use pre-payment systems and/or health insurance to share the...
Social protection systems in Latin America and the Caribbean: Chile
The document presents a review of the different social protection systems in Chile, and Chapter VI analyzes the health system, indicating that the 2004 Law establishes the Explicit Health Guarantees (GES) as guarantees of the state health system. In 2005, an initial...
Explicit health guarantees in Chile: the AUGE benefit plan
The Universal Access with Explicit Guarantees (AUGE) benefit plan initially defined a basic plan for social health insurance in 2006, consisting of guaranteed and explicit treatments for 56 priority health conditions. In 2010, it was expanded to 69 and subsequently...
The pending health care reform in Chile: Reflections on a proposal for the transformation of the system.
Although Chile achieved positive overall health results at the regional level, this country maintains a health system segmented by risk and income, which stands out for its levels of inequity. A presidential commission commission commissioned in 2014 posed two...

Ministry of Public Health presents National Health Plan 2022-2032 for the Dominican Republic
The National Health Plan 2022-2032 seeks to characterize a joint vision between social security and other entities that make up the health system in the Dominican Republic. It proposes to provide health insurance to the 278 municipalities, which are the main actors of...

New documents available on Chile’s country page
New documents available on the Chile country page / Nuevos documentos disponibles en la página país de Chile

P4H Annual Review 2021-2022 – Annex

MoH of Ukraine published financial and budget reports for 2021
On October 20, 2022, the Ministry of Health of Ukraine published annual financial and budget reports for the past year of 2021 on its website. Publishing healthcare financing reports is a good practice for transparency and public accountability. Among the documents...

Stakeholder Validation of the GiZ BACKUP Health funded GOPA Assessment and Recommendations on Sierra Leone Social Health Insurance (SLeSHI) Implementation
This workshop provided an opportunity for stakeholders to be updated on recent developments around the preparations for SLeSHI implementation by the Ministry of Health and Sanitation (MoHS). GOPA expert, Professor Holst shared key findings and recommendations from the...
Chile abolishes copayments in step towards UHC
The Government of Chile has extended free medical care to everyone in the public health system, establishing the “zero copayment” as one of the key steps to move towards a universal health-care system. However, some other broader reforms on health will not have the...

Registration is now available for free health care for migrants living in Bolivia
The Ministry of Health and Sports, through the Unified Health System, enabled the registration to this system for foreign migrants living in Bolivia, which grants them the benefit of free care in the first, second and third level health centers of the public sector...

Mali: the Board of Directors considers the results of the Compulsory Health Insurance scheme to be satisfactory.
The directors of the Caisse Malienne de Sécurité Sociale (CMSS) and those of the Assurance Maladie Obligatoire (AMO) met for their 28th and 18th board meetings. According to Sékou Oumar Dembélé, representative of the Minister of Health and technical advisor to the...

Côte d’Ivoire: the obligation to subscribe to Universal Health Coverage is divisive
In Côte d'Ivoire, a decree adopted by the Council of Ministers on Wednesday September 28 makes universal health coverage (CMU) compulsory for all social classes. A decision that divides the population. Proof of enrolment in the Couverture Maladie Universelle scheme,...

Designing social protection for people with disabilities: Lessons from Australia and Singapore
Our regional expert, Esabelle Yam Lo Yan, Australian National University, shares her views about social protection for people with disabilities, highlighting lessons from Australia and Singapore. The Asia and Pacific region is home to 690 million persons with...

Forgone healthcare and financial burden due to out-of-pocket payments in Bangladesh
The health financing system in Bangladesh is underfunded, forcing the households to incur OOPE to avail health care services. As a result, around 16% households incurred financial catastrophe in 2011, 5% non-poor households became poor, and 7% of Bangladeshi...