Marini, AlessandraGragnolati, Michele2014-08-012014-08-012003-01https://hdl.handle.net/10986/19187Unlike many other countries in Latin America, Guatemala is only at the beginning of the demographic, and epidemiological transition. The population is young, is growing rapidly, and is still primarily rural. Guatemala is among the worst performers in terms of health outcomes in Latin America, with one of the highest infant mortality rates, and one of the lowest life expectancies at birth. Major causes of death in Guatemala still include treatable, and communicable diseases, such as diarrhea, pneumonia, cholera, malnutrition, and tuberculosis. A significant share of Guatemalans lack access to health care services. A combination of both supply- and demand-side constraints limit the ability of households to seek health care services in Guatemala, with supply-side constraints playing a more dominant role in rural areas than urban. Some progress has been made in reforming the health sector. Important steps have been taken on the institutional side, with health being one of the pilot ministries to decentralize financial management under the Integrated System for Health Care (SIAS program). Public spending has shifted toward preventive care, which is essential for treating the health problems faced by the poor. Despite these efforts, spending and health outcomes has not improved significantly. In addition, public spending on health is not well targeted. Overall, public health spending benefits the highest quintiles disproportionately, By type of facility, public spending on hospitals is by far the more regressive.en-USCC BY 3.0 IGOACCESS TO HEALTH SERVICESACCIDENTSACUTE RESPIRATORY INFECTIONSADEQUATE HEALTHADOLESCENTSAGEDAGINGALCOHOLISMAVERAGE AGEBABIESBASIC HEALTH CAREBASIC HEALTH SERVICESBIRTH CONTROLBIRTHSCARE SERVICESCAUSES OF DEATHCHILD HEALTHCHILD MORTALITYCHILDBEARINGCHILDREN PER WOMANCHOLERACOMMUNICABLE DISEASESCONTRACEPTIVE METHODSCONTRACEPTIVE PILLSCONTRACEPTIVE USECONTRACEPTIVES AMONG ADOLESCENTSDEATHSDIARRHEADISCRIMINATIONDOCTORSEMPLOYMENTEPIDEMICSEPIDEMIOLOGICAL CHANGESEPIDEMIOLOGICAL TRANSITIONETHNIC GROUPSEXTREME POVERTYFAMILIESFAMILY PLANNINGFIRST BIRTHHEALTH CAREHEALTH CARE SERVICESHEALTH CENTERSHEALTH CONDITIONSHEALTH COSTSHEALTH FACILITIESHEALTH FACILITYHEALTH FINANCINGHEALTH FOR ALLHEALTH INDICATORSHEALTH MINISTRIESHEALTH OUTCOMESHEALTH POSTSHEALTH SECTORHEALTH SERVICESHEALTH STATUSHIGH FERTILITYHOSPITALSHUMAN RIGHTSILLITERACYIMMUNIZATIONIMMUNIZATION COVERAGEINCOMEINFANT MORTALITYINFANT MORTALITY RATEINFANT MORTALITY RATESINFECTIONSINFECTIOUS DISEASESINHABITANTSLIFE EXPECTANCYLIFE EXPECTANCY AT BIRTHLIVE BIRTHSMALNUTRITIONMIDWIVESMIGRANT POPULATIONMIGRANTSMIGRATIONMODERN MEDICINEMORBIDITYMORTALITYMORTALITY RATEMOTHERSOLDER MOTHERSPARASITIC DISEASESPARENTSPATIENTSPOLICY RESEARCHPOPULATION GROWTHPREGNANCIESPREGNANCYPRENATAL CAREPRIMARY CAREPRIMARY HEALTH CAREPRIVATE SECTORPROBABILITYPROSTITUTIONPUBLIC HEALTHPUBLIC HOSPITALSPUBLIC SERVICESREPRODUCTIVE AGEREPRODUCTIVE YEARSRISK OF ACCIDENTSSELF-MEDICATIONSEXUALLY ACTIVESEXUALLY TRANSMITTED DISEASESSIBLINGSSUGARTOTAL FERTILITY RATETOTAL POPULATIONTRADITIONAL VALUESTUBERCULOSISURBAN AREASUSE OF CONTRACEPTIVESVIOLENCEVOLUNTARY ORGANIZATIONSWORKERSWORKFORCEYOUNG PEOPLEYOUTH10.1596/1813-9450-2966