ESTADO PLURINACIONAL DE BOLIVIA

PRIMARY HEALTH CARE •Universal health coverage

•Community participation

•Reorientation of health financing

•Appropiate health technology

•New organizational structures

•Needs based programming

• Intersectoral collaboration

•Unconventional human resources

INTERCULTURAL COMMUNITY and FAMILY HEALTH POLICY(SAFCI)

• Social participation

• Integrality

• Intercultural approach

• Inter-sectoral approach

Health

Promotion

Hea

lth

car

e sy

stem

• Segmented and Fragmented

• Exclusion: geographical, economic and cultural

• Highly mono- cultural approach

• Decontextualized from social and cultural dimensions of health

• Conceptualizes health as a market commodity

• Out of pocket spending is a key part of funding

• Does not take into account traditional medicine or social participation

Un

ifie

d h

ealt

h s

ytem

wit

h

SAFC

I • Unified, universal and free • Promotional, preventative-oriented

approach to addressing the determinants of health and vulnerable populations (indigenous peoples)

• Prioritizes family care at home and in the first level of care

• Conceptualizes health as a human right

• Transformation of health based on participation and social control of the community

• Articulates and complements traditional medicine with academic medicine

All the country with emphasis on

underserved and fareaway areas

Mi Salud Situation

Room

Health Information

System

Social projects

Family records

Family Visits

Family Services

HOW DOES IT WORK ?

ACHIEVEMENTS AND LESSONS LEARNED

Influenced political

decision-making

De crease in gaps and

better distribution

of human resources

Increased access to comprehensive health care

and more problem-solving capacity

Indigenous and vulnerable populations have greater access

to care

Revaluation of ancient and traditional medicine of

indigenous peoples

Community participation in the management and social control

of health

Increased investment in public health

Reduction of mortality and morbidity (bono Juancito Pinto, bono Juana Azurduy, prenatal

allowance, Nutribebe, food supplement for seniors

"Carmelo", retirement and disability bonus)

Reduction of malnutrition rates through the "Zero malnutrition"

programme

CHALLENGES

Implementation of the Unified System

(comprehensive and free of charge)

Mi Salud coverage in the 339 communes of Bolivia

Continue to increase investment in public health

Continue with the strategies for the reduction of

maternal and child mortality

Deepening the Mi Salud program, ensuring

continued works with the community in the

transformation of the social determinants of health.

Health services in indigenous networks built

with the participation of the indigenous territorial

authorities

UNIFIED HEALTH SYSTEM

The unified health system aims to ensure the inclusion and equity in health care through the implementation of the Intercultural Community and Family Health policy, giving priority to the promotion of health and prevention of disease, focusing on the social determinants of health, to contribute to the construction of a just and equitable society and to the well-being of all.

MI SALUD: ON THE PATH TOWARDS

A UNIFIED HEALTH SYSTEM