Publication: Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management
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2011-02-04
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2012-03-19
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This report, which is a product of the World Bank's Recurso program - reviews Peru's recent advances in health sector policy and performance and discusses upcoming challenges. Using the 'accountability triangle' approach developed in the 2004 World Development Report (WDR 2004), it focuses on strengthening the accountability of health providers to users to leverage improved service quality and outcomes. The report builds on the health chapter of the initial Recurso report, developing and updating the analysis to take account of the changes in policy and performance in the Peru health sector in the period 2005-2010. The study focuses on two broad sets of reforms, implemented in recent years that are relevant to this agenda: those that aim to strengthen users' rights and entitlements to good quality health services and thus to stimulate demand; and those that aim to strengthen public sector management for delivering results in the health sector (budgetary planning, accountability and incentives). It asks whether institutional arrangements and incentives are adequate to achieve the desired levels of health coverage and quality for all Peruvians. It analyzes interactions between health entitlements, financing and service delivery in the poorest regions of Peru, identifies bottlenecks and conflicting policies and recommends options to improve synergies between the elements of the system.
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“World Bank. 2011. Peru - Recurso Programmatic AAA – Phase IV : Improving Health Outcomes by Strengthening Users’ Entitlements and Reinforcing Public Sector Management. © World Bank. http://hdl.handle.net/10986/2739 License: CC BY 3.0 IGO.”
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