2018, Number 4
Technical review of the health sector reform proposal in Guatemala: a critical analysis
Calderón PMR
Language: Spanish
References: 10
Page: 40-47
PDF size: 99.20 Kb.
ABSTRACT
Introduction: A commendable effort to reform the health sector of Guatemala comprising valuable information and reference on: (1) current health situation and challenges, (2) gaps and obstacles in health services access and coverage, (3) legal and public health principles regarding health rights, universal access and coverage, and primary health care, (4) alignment with the National Development Plan “K´atun: Our Guatemala 2032”, (5) ideas, analysis, studies and innovation strategies and structural changes to be researched, and (6) rationale to strengthen and restore the leadership role of the Ministry of Public Health and Social Welfare. Development: per proposal, the “Process to Reform the Health Sector” falls short in terms of the following expectations: (1) effect real change to create a comprehensive, integrated, effective and efficient population health system during the new presidential term, (2) resolve the current health crisis, (3) implement innovations and structural changes to enhance health system performance, and (4) integrate the work, resources and infrastructure of different but complementary health stakeholders. Conclusion: the health sector of Guatemala faces a critical and historic crossroad conducive to either failure or success. A new presidential term may be devoted to research the correct mix of strategies and options to reform the system unless immediate and real change is made at the technical, programmatic, managerial, financial, political and structural levels.REFERENCES