Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management
This report, which is a product of the World Bank's Recurso program - reviews Peru's recent advances in health sector policy and performance and discusses upcoming challenges. Using the 'accountability triangle' approach developed in the 2004 World Development Report (WDR 2004), it focuses on strengthening the accountability of health providers to users to leverage improved service quality and outcomes. The report builds on the health chapter of the initial Recurso report, developing and updating the analysis to take account of the changes in policy and performance in the Peru health sector in the period 2005-2010. The study focuses on two broad sets of reforms, implemented in recent years that are relevant to this agenda: those that aim to strengthen users' rights and entitlements to good quality health services and thus to stimulate demand; and those that aim to strengthen public sector management for delivering results in the health sector (budgetary planning, accountability and incentives). It asks whether institutional arrangements and incentives are adequate to achieve the desired levels of health coverage and quality for all Peruvians. It analyzes interactions between health entitlements, financing and service delivery in the poorest regions of Peru, identifies bottlenecks and conflicting policies and recommends options to improve synergies between the elements of the system.
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| Language: | English |
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World Bank
2011-02-04
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| Subjects: | CHILD HEALTH, CHILD HEALTH SERVICES, COMMUNITIES, EXPENDITURES, FOOD SECURITY, HEALTH CARE, HEALTH CARE CENTERS, HEALTH CARE FACILITIES, HEALTH CENTERS, HEALTH FACILITIES, HEALTH SERVICES, INFANT HEALTH, INFANT HEALTH CARE, INTERVENTION, MATERNAL AND CHILD HEALTH, NUTRITION, PRIMARY CARE, |
| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000356161_20110301002050 https://hdl.handle.net/10986/2739 |
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CHILD HEALTH CHILD HEALTH SERVICES COMMUNITIES EXPENDITURES FOOD SECURITY HEALTH CARE HEALTH CARE CENTERS HEALTH CARE FACILITIES HEALTH CENTERS HEALTH FACILITIES HEALTH SERVICES INFANT HEALTH INFANT HEALTH CARE INTERVENTION MATERNAL AND CHILD HEALTH NUTRITION PRIMARY CARE CHILD HEALTH CHILD HEALTH SERVICES COMMUNITIES EXPENDITURES FOOD SECURITY HEALTH CARE HEALTH CARE CENTERS HEALTH CARE FACILITIES HEALTH CENTERS HEALTH FACILITIES HEALTH SERVICES INFANT HEALTH INFANT HEALTH CARE INTERVENTION MATERNAL AND CHILD HEALTH NUTRITION PRIMARY CARE |
| spellingShingle |
CHILD HEALTH CHILD HEALTH SERVICES COMMUNITIES EXPENDITURES FOOD SECURITY HEALTH CARE HEALTH CARE CENTERS HEALTH CARE FACILITIES HEALTH CENTERS HEALTH FACILITIES HEALTH SERVICES INFANT HEALTH INFANT HEALTH CARE INTERVENTION MATERNAL AND CHILD HEALTH NUTRITION PRIMARY CARE CHILD HEALTH CHILD HEALTH SERVICES COMMUNITIES EXPENDITURES FOOD SECURITY HEALTH CARE HEALTH CARE CENTERS HEALTH CARE FACILITIES HEALTH CENTERS HEALTH FACILITIES HEALTH SERVICES INFANT HEALTH INFANT HEALTH CARE INTERVENTION MATERNAL AND CHILD HEALTH NUTRITION PRIMARY CARE World Bank Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management |
| description |
This report, which is a product of the
World Bank's Recurso program - reviews Peru's
recent advances in health sector policy and performance and
discusses upcoming challenges. Using the
'accountability triangle' approach developed in
the 2004 World Development Report (WDR 2004), it focuses on
strengthening the accountability of health providers to
users to leverage improved service quality and outcomes. The
report builds on the health chapter of the initial Recurso
report, developing and updating the analysis to take account
of the changes in policy and performance in the Peru health
sector in the period 2005-2010. The study focuses on two
broad sets of reforms, implemented in recent years that are
relevant to this agenda: those that aim to strengthen
users' rights and entitlements to good quality health
services and thus to stimulate demand; and those that aim to
strengthen public sector management for delivering results
in the health sector (budgetary planning, accountability and
incentives). It asks whether institutional arrangements and
incentives are adequate to achieve the desired levels of
health coverage and quality for all Peruvians. It analyzes
interactions between health entitlements, financing and
service delivery in the poorest regions of Peru, identifies
bottlenecks and conflicting policies and recommends options
to improve synergies between the elements of the system. |
| topic_facet |
CHILD HEALTH CHILD HEALTH SERVICES COMMUNITIES EXPENDITURES FOOD SECURITY HEALTH CARE HEALTH CARE CENTERS HEALTH CARE FACILITIES HEALTH CENTERS HEALTH FACILITIES HEALTH SERVICES INFANT HEALTH INFANT HEALTH CARE INTERVENTION MATERNAL AND CHILD HEALTH NUTRITION PRIMARY CARE |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management |
| title_short |
Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management |
| title_full |
Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management |
| title_fullStr |
Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management |
| title_full_unstemmed |
Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management |
| title_sort |
peru - recurso programmatic aaa – phase iv : improving health outcomes by strengthening users’ entitlements and reinforcing public sector management |
| publisher |
World Bank |
| publishDate |
2011-02-04 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000356161_20110301002050 https://hdl.handle.net/10986/2739 |
| work_keys_str_mv |
AT worldbank perurecursoprogrammaticaaaphaseivimprovinghealthoutcomesbystrengtheningusersentitlementsandreinforcingpublicsectormanagement AT worldbank perurecursoprogramaticoaaafaseivmejorandolosresultadosdesaludmedianteelfortalecimientodelosderechosdelosusuariosydelagestiondelsectorpublico |
| _version_ |
1807159080110784512 |
| spelling |
dig-okr-1098627392024-08-08T15:46:44Z Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management Perú - Recurso prográmatico AAA fase IV : mejorando los resultados de salud mediante el fortalecimiento de los derechos de los usuarios y de la gestión del sector público Peru - Recurso Programatico AAA fase IV : mejorando los resultados de salud mediante el fortalecimiento de los derechos de los usuarios y de la gestion del sector publico Peru - Recurso Programatico AAA fase IV : mejorando los resultados de salud mediante el fortalecimiento de los derechos de los usuarios y de la gestion del sector publico World Bank CHILD HEALTH CHILD HEALTH SERVICES COMMUNITIES EXPENDITURES FOOD SECURITY HEALTH CARE HEALTH CARE CENTERS HEALTH CARE FACILITIES HEALTH CENTERS HEALTH FACILITIES HEALTH SERVICES INFANT HEALTH INFANT HEALTH CARE INTERVENTION MATERNAL AND CHILD HEALTH NUTRITION PRIMARY CARE This report, which is a product of the World Bank's Recurso program - reviews Peru's recent advances in health sector policy and performance and discusses upcoming challenges. Using the 'accountability triangle' approach developed in the 2004 World Development Report (WDR 2004), it focuses on strengthening the accountability of health providers to users to leverage improved service quality and outcomes. The report builds on the health chapter of the initial Recurso report, developing and updating the analysis to take account of the changes in policy and performance in the Peru health sector in the period 2005-2010. The study focuses on two broad sets of reforms, implemented in recent years that are relevant to this agenda: those that aim to strengthen users' rights and entitlements to good quality health services and thus to stimulate demand; and those that aim to strengthen public sector management for delivering results in the health sector (budgetary planning, accountability and incentives). It asks whether institutional arrangements and incentives are adequate to achieve the desired levels of health coverage and quality for all Peruvians. It analyzes interactions between health entitlements, financing and service delivery in the poorest regions of Peru, identifies bottlenecks and conflicting policies and recommends options to improve synergies between the elements of the system. El presente documento reseña los avances recientes en el Perú en materia de políticas y desempeño del sector de la salud, y discute los desafíos futuros. Usando el enfoque del “triángulo de rendición de cuentas” desarrollado en el Informe sobre el Desarrollo Mundial 2004 – IDM 2004 (Banco Mundial 2004), el trabajo se concentra en el fortalecimiento de la rendición de cuentas de los proveedores de salud respecto de los usuarios con el fin de mejorar la calidad de los servicios y resultados. El estudio está focalizado en dos grandes conjuntos de reformas implementadas los últimos años, que son relevantes para esta agenda: aquellas que apuntan a fortalecer los derechos y garantías de los usuarios para la obtención de servicios de buena calidad, con el fin de estimular la demanda; y aquellas orientadas a fortalecer la gestión del sector público para lograr mejores resultados en el sector de la salud (planificación presupuestal, rendición de cuentas e incentivos). También evalúa si los arreglos e incentivos institucionales son adecuados para lograr los niveles deseados de cobertura y calidad para todos los peruanos. Asimismo, el trabajo analiza las interacciones entre las dimensiones de fortalecimiento de los derechos a la salud, los aumentos en el financiamiento y las mejoras en la entrega de servicios en las regiones más pobres del Perú. Finalmente identifica cuellos de botella y políticas en conflicto y recomienda opciones para mejorar las sinergias entre los componentes del sistema. 2012-03-19T10:12:18Z 2012-03-19T10:12:18Z 2011-02-04 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000356161_20110301002050 https://hdl.handle.net/10986/2739 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank application/pdf text/plain application/pdf text/plain World Bank |