The democratization of health in Mexico: financial innovations for universal coverage

From: Victor Zamora <victor@victorzamora.com>
Date: 2009/7/2


------Mensaje original------
De: Ruggiero, Mrs. Ana Lucia (WDC)
Remitente: Equity, Health & Human Development
Para: list:equidad
Responder a: list:equidad
Asunto: [EQ] The democratization of health in Mexico: financial innovations for universal coverage
Enviado: 2 Jul, 2009 10:54

The democratization of health in Mexico: financial innovations for universal coverage Julio Frenk a, Octavio Gómez-Dantés b & Felicia Marie Knaul ca. Harvard School of Public Health, Boston, MA, United States of America. b. National Institute of Public Health, Cuernavaca, MO, Mexico. c. Mexican Health Foundation, Mexico, DF, Mexico.Bulletin of the World Health Organization Volume 87, Number 7, July 2009, 485-564
Available online as at: http://www.who.int/bulletin/volumes/87/7/08-053199/en/index.html
"……In Mexico, important strides have been made in increasing people's access to comprehensive health care, thanks to a health reform that made health care a legal right, as prescribed by amendment to the Mexican Constitution in 1983. Through the new Seguro Popular, by 2010 high-quality health care will have been extended to everyone in Mexico. Thus, the democratization of health care – defined as the application of democratic norms and procedures to individuals deprived of the benefits and duties of citizenship, such as women, youngsters, ethnic minorities or workers of the informal sector of the economy29 – will have been attained.
This paper has provided evidence that the financial innovations linked to the Sistema de Protección Social en Salud are improving insurance coverage, the availability of health infrastructure and basic health inputs, health-service utilization, effective health-care coverage, and the levels of financial protection enjoyed by the Mexican population, especially among the poor.
However, Mexico continues to face important challenges, mainly in connection with emerging diseases. Disease control efforts before the epidemiological transition yielded important improvements, but as immunization coverage increased and deaths from diarrhoea, acute respiratory infections and reproductive events dropped, non-communicable diseases began to take a proportionately larger toll. As a result, there is a critical need for additional public funding to extend access to costly interventions for non-communicable
www.victorzamora.blogspot.com

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