Social protection in health schemes for mother and child population:
lessons learned from the Latin American Region
Pan American Health Organization. Area of Health Systems Strengthening. Health Policies and Systems Unit.
English: PDF [178p.] at: http://www.paho.org/english/AD/THS/OS/SPHS-eng.pdf
Spanish: PDF [181p] at: http://www.paho.org/spanish/AD/THS/OS/SPHS-spa.pdf
“….Due to the wide variety of interventions in place, the task of identifying and describing social protection in health schemes (SPHS) for mother, newborn and child populations in the Latin American and Caribbean (LAC) region is an arduous one. While nearly all Latin American countries have implemented immunization and nutrition programs that are standardized according to a global consensus based on worldwide experience on what works best, health protection schemes aimed at guaranteeing access to health care to mothers and children are heterogeneous and have achieved varying degrees of success.
Along with those factors within the health sector that hinder the timely delivery and quality of health services, a number of conditions outside the health sector play a key role in determining access to care and health outcomes in LAC countries. The political situation and social determinants of health are of paramount importance in the performance of social protection in health schemes SPHS in the region, given the fact that political instability and inequity shape the social landscape of many countries….” from Pedro Brito
3. Conceptual Framework
3.1) Description of the Social Protection in Health Schemes (SPHS) currently in place in the region -
3.2) Analysis of the strengths and weaknesses of the SPHS
4. Analytical Framework
4.3) Conducting the Analysis
4.4) Information Sources
4.5) Limitations of the analysis
5. Case Studies
5.1) Universal Mother & Child Insurance (
5.2) The Family Health Program (
5.3) Mother & Child Social Health Protection Policy (
5.4) Free Maternity and Child Care Law (
5.5) Mother and Child Voucher (
5.6) OPORTUNIDADES Program (Mexico)
5.7) Integrated Health Insurance (Peru)
7. Discussion and Lessons Learned
This report is the product of a joint initiative between PAHO/WHO, USAID, SIDA and AECI
Two teams: from the Health Policies and Systems Unit (HSS-HP) and the Women and Reproductive Health Unit (FCH-CLAP/WR) and Child and Adolescent Unit (FCH-CA), under the supervision of Eduardo Levcovitz and Gina Tambini. - Cecilia Acuña, HSS-HP led the research team.
The research team: Virginia Camacho, FCH-CLAP/WR; Andrew Griffin, HSS-HP; Rafael Obregon, FCH-CA; Jessica Rada, Intern, HSS-HP; Caroline Ramagem, HSS-HP; Sarah Watson, Intern, HSS-HP. Information support: Soledad Urrutia, HSS-HP and Rachel Kauffmann, FCH-WR. Administrative support, Cristine Sulek
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