Transcript Slide 1

Pan American Health Organization
Health in the Americas:
Regional Challenges and Strategic
Directions
Dr. Carissa Etienne
Assistant Director
SUMMIT IMPLEMENTATION REVIEW GROUP
XVI Meeting
March 29, 2007
Washington DC
Health Regional Challenges:
Old and New problems accumulation
The burden of diseases in countries by income, 2002
(Healthy years of life lost by 1.000 population)
Latin American & Caribbean
300
250
200
Global
average
Latin Ameria
& Caribbean
Low
income
High Income
98
OCDE,
High income
150
45
35
39
115
120
103
29
27
39
8
100
112
Midle
income
108
101
108
50
29
12
0
26
Group I (communicable diseases)
Group II (noncommunicable diseases)
Group III (injuries)
Source: WHO
Health Regional Challenges:
Old and New problems accumulation
The burden of diseases in countries by income, 2002
(Healthy years of life lost by 1.000 population)
Latin American & Caribbean
300
250
200
Global
average
98
Latin America
& Caribbean
Midle income
101
45
35
39
115
120
103
29
27
39
8
112
108
50
0
High Income
OCDE,
High income
150
100
Low
income
29
12
Group I (communicable diseases)
Group II (noncommunicable diseases)
Group III (injuries)
108
26
Source: WHO
The Health Regional Challenges:
The inequities
Infant mortality indigenous and non indigenous and place of residence
Death by 1.000 live birth
100
90
80
70
60
50
40
30
20
10
0
Bolivia 2001
Urbana no indígena
Ecuador 2001
Urbana indígena
Guatemala 2002
Rural no indígena
Rural indígena
México 2000
Total no indígena
Panamá 2000
Total indígena
Source: ECLAC, Millennium Development Goals: A view from Latin America and the Caribbean, 2005
The Health Regional Challenges:
Insufficient public expenditure for health
Changes in theof
Composition
National
Health Care Expenditure
over
Time. Latin
American
Composition
National of
Health
Expenditures
in Latin
America
and
the
and
the
Caribbean,
1980-2005
Caribbean 1980-2005 (% GDP)
8.0
7.0
NHE as % of GDP
6.0
5.0
4.0
3.0
2.0
1.0
0.0
1980
Central Gov.
Source: PAHO, 2006
1985
Local Gov.
1990
Public Insurance
1995
Household's Final Cons.
1998-2000
2004-05
Private Ins./Prepaid Medic.
The Health Regional Challenges:
Better distribution of the public expenditures in health
Distribution of public health expenditures for quintiles of income
Selected countries Q1=Poor Q5=Rich
Perú
Jamaica
Guatemala
Ecuador
Costa Rica
Chile
Colombia
Argentina
0%
20%
Quintil 1
40%
Quintil 2
Fuente: Suárez (2001) y Trejos (2002)
60%
Quintil 3
Quintil 4
80%
Quintil 5
100%
Strategic Goal
Towards healthier societies
more inclusive and more
equitable
Strategic Directions
Principles and values
Equity in Health
Pan American Solidarity
Strategic Directions
Framework for Action
Millennium Development Goals
Health Agenda for the Americas
Strategic Directions
Priority Areas of Action
Strengthening and expanding the Public
Health Programs and Services




Monitoring of the health situation and public health risks
Promotion of healthy behaviors
Protection against harm caused by environmental factors
Prevention and control of the communicable and non
communicable diseases
 Alert system and response to threats and disasters.
Strategic Directions
Priority Areas of Action
Towards Universal Access of Health Care
 Increase public expenditure in health (5-6% of GDP)
 Implementing mechanisms to reach the poor and
vulnerable groups
Organizing the health care delivery system to bridge the
gap in access and quality of health services
Strategic Directions
Conclusion
INVEST IN HEALTH,
BUILD A SAFER FUTURE
Thank You