By Inter-American Development Bank
From Few to Many is the 1st accomplished examine Colombia s 1993 healthiness method reforms. It describes the implementation of common medical health insurance, together with a backed procedure for the bad, and examines the effect of this and different reforms in the course of a time whilst Colombia skilled crushing recession and inner clash that displaced part one million humans. sooner than the reforms, 1 / 4 of the Colombian inhabitants had medical insurance. Subsidies did not achieve the bad, who have been susceptible to catastrophic monetary results of disorder. but by means of 2008, eighty five percentage of the inhabitants benefited from medical insurance. The e-book describes the demanding situations and merits of imposing social health and wellbeing reforms in a constructing nation, exploring future health care financing, institutional reform, the consequences of political will on overall healthiness care, and extra. The reforms have supplied very important classes not just for endured reform in Colombia, but in addition for different international locations dealing with related demanding situations.
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Additional resources for From Few to Many
Differentials in vaccination by socioeconomic status worsened after the recession; the wealthiest quintile had vaccination rates 32 percent higher than the poorest quintile in 2000 and these differences have been maintained over time (Flórez and Soto, 2006). Given that vaccination is free and universal, and that geographical access to public care providers is nearly universal in Colombia, these socioeconomic differentials in access may be explained by remaining economic, socio-cultural, and informational barriers to access, including the cost of transportation, opportunity costs, and household knowledge.
2005). It is also important to note that after the implementation of the NMCP in 1998 there has been an improvement in disease registry, increasing diagnostic coverage by almost 30 percent in areas with high transmission rates (Dirección General de Salud Pública, 2004). Another hypothesis is that the institutional changes brought about by the health sector reforms have affected the implementation of malaria prevention and control measures. Carrasquilla (2006) explored this relationship by compiling secondary data on epidemiological indicators, risk factors, and financial resources for malaria prevention and control in 255 malaria-endemic municipalities in Colombia for the period 1991 to 2000.
Biomédica 24(4): 341–44. Richards, T. 1997. Colombia Struggles with Health Reform. British Medical Journal 315(7107): 501–04. J. Yepes. 1999. La descentralización de la salud en Colombia: estudio de casos y controles. Informe técnico. Bogotá: Asociación Colombiana de la Salud. J. Yepes, and B. Cantor. 1998. La descentralización de la salud: el caso de tres municipios colombianos. Informe técnico. Bogotá: Asociación Colombiana de la Salud. J. P. Arbeláez. 2004. Tendencia de la mortalidad y los egresos hospitalarios por tuberculosis, antes y durante la implementación de la reforma del sector salud, Colombia, 1985–1999.