Browsing by Autor "Herland Tejerina Silva"

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    Mapping primary health care renewal in South America
    (Oxford University Press, 2016) Naydú Acosta-Ramírez; Lígia Giovanella; Román Vega Romero; Herland Tejerina Silva; Patty Fidélis de Almeida; Gilberto Jiménez Ríos; Hedwig Goede; Suelen Carlos de Oliveira
    The process of implementing a renewed PHC approach is affected by how health systems are funded and organized. Both models face many obstacles. In addition, care system organization, intersectoral coordination and social participation are weak in most of the countries.
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    Panorama de la Atención Primaria de Salud en Suramérica: concepciones, componentes y desafíos
    (Centro Brasileiro de Estudos de Saúde, 2015) Lígia Giovanella; Patty Fidélis de Almeida; Román Vega Romero; Suelen Carlos de Oliveira; Herland Tejerina Silva
    El artículo presenta un panorama de la Atención Primaria de Salud en Suramérica a partir de mapeos realizados en los 12 países según una matriz analítica organizada en las dimensiones: conducción, financiamiento, características de la prestación y organización, coordinación de cuidados e integración a la red de servicios, fuerza de trabajo, participación social, acción intersectorial e interculturalidad. Se observa diversidad en la implementación y de abordajes de APS, condicionada por directrices políticas, modalidades de protección social y segmentación de los sistemas de salud. Se destacan iniciativas innovadoras de atención primaria integral y se identifican los principales desafíos.
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    Revisiting health policy and the World Bank in Bolivia
    (SAGE Publishing, 2011) Herland Tejerina Silva; Pierre De Paepe; Werner Soors; Oscar Lanza; Marie‐Christine Closon; Patrick Van Dessel; Jean‐Pierre Unger
    This article analyses the influence of the World Bank on reforms of the health sector in Bolivia during the period 1986–2006, and assesses their impact on the health care delivery system to date. The article examines the transformation of health services undertaken by the current socialist government since 2006. A literature review and interviews with decision-makers critically examine the outcome of reforms on criteria linked to health system integration. The study illustrates that Bolivia applied quite comprehensively the WB recommendations. Among others these included indirect privatization through public health services’ restriction of access to a basic package of care and decentralization with devolution. In consequence, the segmentation and fragmentation of the health system was exacerbated, accessibility and quality of care suffered and health status barely improved. The article attempts to locate the relationship between policy, health care delivery and health systems functioning.