Post on 03-Jun-2018
8/12/2019 Universal Health Coverage and the Rise of Chronic Disease: A Latin American Quest
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` varsd ad t
Ngvardca d`l tma
Vosa ge Nmrg`onLosadsa;
D Idto` Dbarond`
Tuast
Eaionod Bdroa H`dui
4:tm oMAD Sgril Ng`crass
Maditm Ang`gbons o` tmaDca ge Ig`cavoty;
Kuiy 41, 6:4. Baxong d`l ^acurg Zgpuidr
Fradst Nd`nar d`l QMN
Zdo` ng`trgi d`l pdiiodtova ndra
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Muca staps tg raegrb maditm systabs o` tma
quast egr QMN o` bd`y ngu`troas
Axdbpias;
Frdzoi
Ngigbfod
NmoiaLgbo`ond` Vapufion
Ai divdlgr
Zaru
Baxong; ^acurg Zgpuidr la ^diul
^gutm De r ond
Nmo`d
(Q^D- Deegrldfia Ndra Dnt)
_atgeta` o` tmang`taxt ge rdpol,
prgegu`l,
pgidrozal d`lngbpiax
apolabogigcondi
trd`sotog` grfdttio`cerdcba`tal maditm
systabs
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Idto` Dbarond` `dtog`s, bunm ge adstar`
Aurgpa d`l na`trdi Dsod, Nmo`d, O`lod, bd`y gtmarpdrts ge sgutm Dsod, d`l ava` ngu`troas o` Derond,
XdraR edno`c d pdo`eui lgufia furla` ge losadsa
`gt g`iy tma parsosta`na ge o`eantogus tmradts,
nmoil d`l bdtar`di bgrtdioty, d`l u`lar`utrotog`,
fut disg tma abarca`na ge `aw ld`cars, `gtdfiylodfatas, gfasoty, ndrlogvdsnuidr losadsa, strgha,
nd`nar, ba`tdi oii-maditm, d`l o`kuroas. \mos lgufia
furla` raquoras d lgufia raspg`sa, d
pralondba`t tmdt pidnas muca raspg`sofoiotoas g`tma stawdrls ge `dtog`di maditm systabs.
KQIOG EVA@H & VONMDVL MGV\G@
MADI\M VAEGVB O@ BA]ONG ^AVOA^8 \MA ID@NA\, 6::5
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^gurna; Napdi, 6:46. \ma apolabogigcon prgeoia ge Idto` Dbarond d`l tam Ndroffad`; nmdiia`cas, iobots, d`l dntog`s.
4?=: 6:4:
55%
61%
?%
3:%
4=%
46%
Ngbbu`ondfia
@g`-
Ngbbu`ondfia
O`kuroas
O` kust gvar :+
o` 4?6:, tg 31+tgldyO` d vary smgrt tobaparogl, tma ndusasge ladtm mdvaravarsal
O` Idto` Dbarond d`l tma Ndroffad`,labgcrdpmon d`l apolabogigcon trd`sotog`s
mdva faa` rdpol d`l prgegu`l
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LDI_s (%) fy ndusa-crgup d`l
wgril racog`, CFL-OMBA, 6:4:
34
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\ma Lodcg`di Dpprgdnm tg
Maditm ^ystab ^tra`ctma`o`cVdtmar tmd` egnuso`c g` aotmar losadsa-spanoeon vartondi gr
mgrozg`tdi-systabon prgcrdbs mdr`ass sy`arcoas tmdt
prgvola gppgrtu`otoas tg tdnhia losadsa-spanoeon progrotoas
wmoia dllrasso`c systabon cdps d`l gptoboza dvdoidfiarasgurnas
Lodcg`di strdtacoas mdva bdkgr fa`aeots;] 2 0 pdrts
Frolca losadsa lovolas uso`c d ioea nynia raspg`sa
dvgols tma edisa loiabbds fatwaa` losadsa soigs -
NL/@NL- tmdt ng`to`ua tg pidcua cigfdi maditm
Ca`ardta pgsotova axtar`diotoas; a.c. wgba`s nd`nar
prgcrdbs eocmt ca`lar losnrobo`dtog`8 pdo` ng`trgi
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Losadsa d`l maditm systab eu`ntog`s,
Fy o`tacrdtog`Lodcg`di,
sy`arcoston;
vartondid`l
mgrozg`tdi
o`tacrdtog`
Losadsa
^panoeon;
vartondio`tacrdtog`,
mgrozg`tdi
sacba`tdtog`
Ca`ardiozal;
vartondi
sacba`tdtog`,mgrozg`tdi
o`tacrdtog`
Dtgbozal;
vartondi
d`lmgrozg`tdi
sacba`tdtog`
^tawdrlsmop
Eo`d`no`c
Vava`ua ngiiantog`
Eu`l Zggio`c
Zurnmdso`c
Zrgvosog`
Vava`ua
ca`ardtog`
EQN\OG@^
Dldptal ergb Burrdy d`l Era`h8 SMG Fuiiato` 6:::
Losadsa 4
Losadsa 6Losadsa >
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Edisa lonmgtgboas nmdiia`ca
Q`ovarsdi Maditm Ngvardca (QMN)
Ngbbu`ondfia gr o`eantog`-
dssgnodtal @NL
Nmrg`on MOU/DOLs (H^) Fradst nd`nar
Dnuta Lodrrmad
Vaspordtgry o`eantog`
Dnuta bygndrlodi o`edrntog`
Dnuta IybpmgfidstonIauhabod
Losadsas o`dnnurdtaiy idfaial nmrg`on gr o`eantogus
Narvondi Nd`nar (MZU)
Ig`c tarb losdfo i o ty pgst o`eantog` (pgiog)
Nmrg`on w dnutaaposglas; Dsbd, ba`tdi
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Gutio`a
4. QMN d`l tma nmdiia`ca ge nmrg`on ng`lotog`s
6. Aeeantova Q`ovarsdi Maditm
Ngvardca>. Baxong d`l ^acurg Zgpuidr
Fradst Nd`nar d`l QMN
Zdo` ng`trgi d`l pdiiodtova ndra
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Aeeantova Q`ovarsdi Ngvardca
Q`ovarsdi Ngvardca; quast wotm > stdcas
Iacdi; deeoiodtog`/a`rgiiba`t
Dnnass tg d ngbprama`sova pdnhdca ge axpionot
a`totiaba`ts wotm eo`d`nodi prgtantog`
Aeeantova ngvardca & aeeantova eo`d`nodi
prgtantog`
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Q`ovarsdi Maditm Ngvardca;
Zgpuidtog`, Losadsas, d`l O`tarva`tog`s
Zgpuidtog`
(Mgrozg`tdi)
Zdnhdca-Losadsas
& O`tarva`tog`s
(Uartondi)
d`l^nmraygcc, at di., 6::1.
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D` aeeantovaQMN raspg`sa tg nmrg`on oii`ass
bust o`tacrdta o`tarva`tog`s dig`c tma
Ng`to`uub ge losadsa;4. Zrobdry prava`tog`6. Adriy latantog`
>. Lodc`gsos
.Laiovary
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Maditm ^ystab
Eu`ntog`s
^tdca ge Nmrg`on Losadsa Ioea Nynia /ngbpg`a`ts NNN
Zrobdry
Zrava`tog`
^ang`ldry
prava`tog`Lodc`gsos \radtba`t
^urvovgrsmop/
Vamdfoiotdtog`
Zdiiodtog`/
A`l-ge-ioea ndra
^tawdrlsmop
Eo`d`no`c
Laiovary
Vasgurna
Ca`ardtog`
aQMNraquoras d` o`tacrdtal raspg`sa dig`c tmang`to`uub ge ndra d`l wotmo` adnm
ngra maditm systab eu`ntog`
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Gutio`a
4. QMN d`l tma nmdiia`ca ge nmrg`on ng`lotog`s
6. Aeeantova Q`ovarsdi Maditm Ngvardca
>. Baxong d`l ^acurg Zgpuidr Fradst Nd`nar d`l QMN Zdo` ng`trgi d`l pdiiodtova ndra
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Baxong, 6::>; Maditm Vaegrb
Dibgst mdie ge Baxond` mgusamgils
idnhal maditm o`surd`na, wmonm
iobotal dnnass tg ndra, ralunalgppgrtu`otoas egr rosh pggio`c, d`l
ca`ardtal ndtdstrgpmon axpa`loturas.
Iacosidtova raegrb o`trgluntal^acurg Zgpuidr d`l tma ^ystab egr
^gnodi Zrgtantog` o` Maditm
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^acurg Zgpuidr, Vasuits
Id`nat 6:46
O`nradsal ngvardca;
iacdi, fdson d`l aeeantova
Eo`d`nodi prgtantog` obprgval
\ma eo`d`nodi losaquoiofroub fatwaa`
tma o`sural d`l tma u`o`sural`gwngvaral fy ^acurg pgpuidr- mds nigsal
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Axpd`sog` ge Ngvardca;
^acurg Zgpuidr
Mgrozg`tdi Ngvardca;
Fa`aeonodroas
UartondiNgvardca
Losadsasd
`lO`tarva`t
og`s;
Fa`aeotsZdnhdc
a
Deeoiodtog`; 6::
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NDQ^A^ 6= 51 51 51 51 51 51 51 51 51
5 5 = 5 46 46 46 46 4> 4>66
=>
435 4= e t eo o i
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\ma 6::> raegrb nradtas d `aw eo`d`nodi
bglai;Eu`ls ge tma ^ystab ge ^gnodi Zrgtantog` o` Maditm
* ^o`na Lan 6::5.
** ^o`na 6:4>
^gurna; Dldptal ergb; Era`h K, Cg`ziaz-Zoar A, Cbaz-Ld`ts G, Iazd`d BD, H`dui EB. Ngbprama`sova raegrb tg obprgva maditm systabparegrbd`na o` Baxong. Id`nat 6::58 >5=; 416
4
4 y 6
4 y 6
>
Ngbbu`ondtog`fatwaa` eu`lsd`l iavais os
prgfiabdton, futtma pgpuidtog`
bgvas fatwaa`tmab
L io l eo o i o m ii
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Fa`aeot
s;ngvaralo`
tarva`tog`s
Laiovary d`l eo`d`nodi prgtantog` nmdiia`cas;
^acurg Zgpuidr o` Baxong
DNNAIAVD\AL UAV\ONDI NGUAVDCA egr Ndtdstrgpmon
Oii`assas o`niulal o` tma Eu`l; fradst nd`nar, DOL^
Ngbbu`oty d`l Zufion Maditm ^arvonas
Zggr Vonm
NMOILVA@; Maditm o`surd`na egr d @aw Ca`ardtog` / ]]O Na`tury Bal O`s.
Zdnhdca ge assa`todi parsg`di
sarvonas
Fa`aeonodroas
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Aeeantova eo`d`nodi ngvardca ge d
nmrg`on losadsa; fradst nd`nar
Baxong; Idrca d`l axabpidry o`vastba`t o` eo`d`nodiprgtantog` egr fradst nd`nar prava`tog` d`l tradtba`t,
yat..d igw survovdi rdta.
^tra`ctma` adriy latantog`, survovgrsmop d`l pdiiodtog`
Nd`nar Ng`trgi-Ndra ng`to`uub
Zrobdry
Zrava`tog`
Adriy
Latantog` Lodc`gsos \radtba`t ^urvovgrsmop Zdiiodtog`
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^tdca ge Nmrg`on Losadsa Ioea Nynia /ngbpg`a`ts NNN
Eo`d`todi
prgtantog`
Zrobdry
Zrava`tog`
^ang`ldry
prava`tog`Lodc`gsos \radtba`t
^urvovgrsmop/
Vamdfoiotdtog`
Zdiiodtog`/
A`l-ge-ioea
ndra
Ngstd Vond
Bxong Zdrtodiiy Zdrtodiiy
Ngigbfod Zdrtodiiy Zdrtodiiy Zdrtodiiy
Lgbo`ond`
Vap.Zdrtodiiy
Zaru
Ngvardca ge fradst nd`nar o` saiant IDN
ngu`troas fy ng`trgi-ndra ng`to`uub
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Gutio`a
4. QMN d`l tma nmdiia`ca ge nmrg`on ng`lotog`s
6. Aeeantova Q`ovarsdi Maditm Ngvardca
>. Baxong d`l ^acurg Zgpuidr Fradst Nd`nar d`l QMN
Zdo` ng`trgi d`l pdiiodtova ndra
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Zdo`; d cigfdi o`kustona
Avary yadr, boiiog`s ge pagpia sueear u``anassdroiy ergb
bglardta d`l savara pdo`, o`niulo`c 1.1 boiiog` nd`nar pdtoa`ts
=>% ge tma wgrils pgpuidtog` iovas o` ngu`troas wotm eaw gr `g
dnnass tg pdo` balono`as Mocm-o`ngba ngu`troas raprasa`t iass tmd` 41% ge tma wgrils
pgpuidtog` fut bgra tmd` ?
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\ma bgst o`sologus o`kustona;
\ma pdo` lovola
636,::: bc
6,>:: bc
653,::: bc
5,5:: bc
>3,::: bc
^gurna; Fdsal g` ldtd ergb; \radt tma pdo`(mttp;//www.tradttmapdo`.ngb)
@g`-batmdlg`a, Bgrpmo`a
Aquovdia`t gpogol ng`subptog` parladtm ergb MOU gr nd`nar o` pdo`;
Zggrast 4:%; 1< bc
Vonmast 4:%; ?3,
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Vana`t bdkgr cigfdi
prgcrass 6:4
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O` Baxong
Iacosidtova o``gvdtova fa`nmbdrh dt d cigfdiiavai;
6::?; bgloe ondtog` ge tma Ca`ardi Maditm Idw
d`l Idw g` Zdii odtova Ndra
6:4>; Axpd`sog` ge tma Ca`ardi Maditm Idw g`
pdii odtova ndra bdttar
Mgwavar..
Gut ge tma =>,334 ladtms ergb nd`nar gr
MOU/DOL^ o` 6:4:, 51,
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Fdrroars tg dnnass pdiiodtova ndra fy
maditm systab eu`ntog`Maditm
^ystabEu`ntog`s
Ngbpg`a`ts ge tma ng`to`uub ge losadsa d`l ioea nynia
Zrava`tog`^urvovgrsmo
p
Zdiiodtog`, pdo` ng`trgi d`l
a`l-ge-ioea ndra
^tawdrlsmop
Q`oeyo`c @dtog`di Zrgcrdb/Zid` idnho`c
Sadh, rastrontova, d`l pggriy laeo`al racuidtgry
erdbawgrhs
Dfsa`na ge d` o`stotutog`di systab egr bg`otgro`c d`lavdiudtog`
Eo`d`no`cNDQ^A^ d`l EZNMA; tmaras g axpionot ngvardca8
O` ^gnodi ^anuroty, d wmgia
LaiovaryIdnho`c sarvona u`ots
^uppiy d`l lostrofutog` nmdo`s o`ngbpiata cagcrdpmondiiy
Vasgurna
Ca`ardtog`
^ndrnoty ge qudioeoal parsg``ai
Eadr o` tma prasnroptog`
O`ngrpgrdtog` ge raiavd`t nidssas o` u`ovarsoty nurronuid os bosso`c
Dfsa`na ge pufiosmal o`vastocdtog`s
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D crgwo`c cigfdi bgvaba`t egr u`ovarsdi
ngvardca os dlvgndto`c egr tma trd`segrbdtog`ge maditm ndra o`tg d u`ovarsdi rocmt, wmonm
a`tdois d trd`sotog` ergb trdlotog`di sgnodi
o`surd`na ds d` abpigyba`t fa`aeot tgu`ovarsdi sgnodi prgtantog` ge maditm, d rocmt ge
notoza`smop. \rd`sidtog` ge tmos sgnodi rocmt o`tg
prdntona os d quast - ot obpioas d ng`to`ugusstra`ctma`o`c ge maditm systabs tg a`dfia tmab
tg geear aeeantova u`ovarsdi ngvardca o` tma edna
ge nmrg`on oii`ass.
` varsd ad t
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` varsd ad tNgvardca d`l tma
Vosa ge Nmrg`on
Losadsa;
D Idto` Dbarond`
Tuast
Eaionod Bdroa H`dui
4:tm oMAD Sgril Ng`crass
Maditm Ang`gbons o` tmaDca ge Ig`cavoty;
Kuiy 41, 6:4