The number of documents available on the P4H Network’s digital platform reflects the network’s scope of work. The majority of documents are primary source materials created by country nationals or resources produced by organizations working in social health protection (SHP) and/or health financing (HF).
Public Health and its Financial Challenges: Models and Results (Ecuador)
This research by Katherine Porras Valarezo in Ecuador (2025) shows the complexity of aiming for universal health coverage. It highlights challenges in equitable access in a country with institutional fragmentation and high rates of labor informality and structural...
Did health reform improve financial protection for disadvantaged groups in Ecuador? A socio-economic inequality assessment of catastrophic health expenditures 2006-2014
In BMJ Open, Edy Quizhpe Ordóñez, Miguel San Sebastian, Enrique Teran, and Anni-Maria Pulkki-Brännström present a socio-economic inequality assessment of Ecuador’s health reforms from 2006 to 2014. The study evaluates whether the reforms—which made public health...
IX and X Andean Forum on Health and Economics – Proceedings
These reports summarize the objective of the Andean Health and Economy Forum in general, as well as the previous meetings. In more detail, it describes the ninth and tenth forums. The 119-page document includes both the speeches and the work at the dialogue tables.
Efficiency of Public Health Spending in Ecuador
It analyzes both the expenditure and the output that this expenditure generates, using official data at the health facility level. The study is complemented by an application that allows the policy maker to query the database, identify improvements in resource...
Ecuador’s court orders tax changes to comply with right to health
Ecuador's justice system has ordered the elimination of a supreme decree that reduced and even eliminated specific taxes on ultra-processed foods, tobacco, alcohol, weapons, and plastics, to ensure compliance with the right to health. This elimination underscores the...
Public health spending in Ecuador
The resources allocated to health between 2008 and 2014 are evaluated to verify whether they have been allocated to compliance with supranational regulations that seek to guarantee the human right to health.Public spending on health in Ecuador grew from 1.57% of Gross...
Ecuador: Institutional Strategic Plan 2021 – 2025
This plan includes a first chapter with a diagnosis and analysis of the Institution to determine its initial situation. The second chapter presents the guiding elements and sets out the vision, mission, axes and strategic objectives. The third chapter concludes with...
Policy recommendations applied to the health care payment system to improve sustainability and access to the population in Ecuador
Financing of the National Health System
The 2008 Constitution established free and universal public health services for all levels of care in Ecuador. The health system is financed with resources from the general state budget, workers' and employers' contributions to mandatory social security and to the...