BUILDING HOPEChanging Health System in El Salvador

Eduardo EspinozaDeputy Minister for Health Policy

HEALTH2

It is a fundamental human right and a public good

It is a social outcome to be built in the community with the community

BUILDING HOPE: Strategies and Recommendations for Health

Guarantee the right to health of all Salvadorans through a National Health System that steadily strengthens public and effectively regulates its private segments, and provides access to health promotion, prevention, care, and rehabilitation, and a healthy, safe environment.

It will be equity-based and also based in Primary Health Care strategy. (Equity, Social Justice, intersectoral work, Social Participation)

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OBJECTIVE

ContentsDecision Making, Evaluation, Building Policy, Accountability

Skills Partially, working for it

Social Participation

Category elements

Possibilities

Legal status

Juridical-legal status of civil society organizations

Mechanisms

National Health Forum, HIV Program and other Government Spaces

Community Organization:Transverse axis

Social inclusion measures and Legal Framework construction(Civil Society)5

2001: Law on Prevention and Control of Infection caused by the Human Immunodeficiency Virus

2004: A new fight to approve the Regulations of the Law

2009: Ministerial Ordinance against homophobia (Ordinance limited to health services)

Social inclusion measures and Legal Framework construction (New Government)6

June 2009: Abolition of fees in the public health system: A

third of the population (poor and extremely poor) with access to health services

First study (baseline) for the measurement of stigma and discrimination index

Phone hotline to report violations of the right to health January 2010: It gives legal status to

Sex worker organizations Trans-gender organizations Women living with HIV (ICW-El Salvador) Organizations of Men Who Have Sex with Men

March 2010: The Ministry of Health launched in the Government Center “Translatin Initiative” to sensitize the population and public institutions to non-discrimination of Trans groups

Social inclusion measures and Legal Framework construction (New Government)7

May 2010: Presidential Ordinance against stigma and discrimination in public institutions based on sexual orientation or gender identity

May 2010: Creation of the Directorate for Sexual Diversity

(in the Ministry of Social Inclusion) Election of the Executive Director by the

Alliance for Sexual Diversity (LGBTT organizations) which coincided with PCB visit to El Salvador

Social inclusion measures and Legal Framework construction (New Government)8

June 2010: First National Meeting of the National Health Forum (with a sectoral table on Sexual and Reproductive Health)

Creation of the Unit for Stigma and Discrimination Claims by HIV status or belonging to the LGBTT community in the Attorney for the Defense of Human Rights

The National HIV/AIDS Program of Ministry of Health establishes permanent contact and joint work with NGOs and networks of people with HIV to address problems related to the rights of people with HIV

It starts working with the Ministry of Education to modify the curriculum in Sexual and reproductive health, including the fight against stigma and discrimination

The fight against stigma and discrimination is an outcome of...9

The tireless work of civil society The government's political will The conceptual framework of health:

As a public good As a fundamental human right

In the belief that sustainability is only possible in the context of strengthening the health system as a whole

Please see our health policy on our website:http://www.mspas.gob.sv/pdf/HEALTH_POLICY_EL_SALVADOR_(Building_Hope).pdf

Thank you for your attention

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