1 / 11

Chilean National NCD Response and Health System Reform

Explore Chile's NCD situation, public health response, health system indicators, and strategies for improving health outcomes.

azana
Download Presentation

Chilean National NCD Response and Health System Reform

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. National NCD Situation and ResponseTania Alfaro MorgadoDepartment of EpidemiologyMinistry of Health of Chile Seminar on Public Health Aspects of NCD, Lausanne, 10-18 August, 2010

  2. Basic Indicators • Estimated population (2010): 17.094.275 • Gross Domestic Product (GDP) per capita (2009): U$14.700 • Spending in health(2008): 6,9% of GDP

  3. Our Health System Ministry of Health Consejos Subsecretaría de Salud Pública Subsecretaría de Redes Asistenciales ISP Superintendencia de Salud SEREMI CENABAST FONASA ISAPRES Servicios de Salud (RED) Otras Actividades Reguladas Laboratorios Prestadores Privados APS Municipal Otros Establecimientos del Servicio Hospitales Autogestión en Red

  4. Our situation in health • Life expectancy of birth (2008): average 78,45 years (male: 75,49 years; female: 81,53 years) • Mortality rate (2006): 5.2 per 1.000 population • Burden of Diseases´ studie (2007): 84% of DALYs because NCD; attributable mortality to risk factors • National Health Survey (2003):

  5. Cardiovascular DiseaseHighrisk and veryhighrisk National: 54.9% Males: 64.2% Females: 46.2% Source: NationalHealthSurvey, 2003, Ministry of Health, Chile

  6. Our efforts (1) • Improve health goals reached • Decrease inequalities in health • Face challenges of aging of the population and of change in society • Provide services according population´s expectations

  7. Cases Spending Health problem (N°) (MM US$) 56 Health problems 4.234.295 890 34 Chronic Diseases 2.512.298 708 % of participation 59% 80% Our efforts (2) • Health sector reform: Explicit Guarantees to Health (GES) • Contains access, opportunity, quality and financial protection • More than 60 health problems included (2010) • 2009: 80% of spending in GES because of NCD (59%) • Evaluation of National Health Objectives (2009) • National Plan of Health in process (2010)

  8. Our efforts (3): Some specifics strategies • Noncommunicable Diseases Department (2004) • Cardiovascular Health Program: cardiovascular risk factors in one program • Cancer program: cervical cancer screening (1987)---GES (2010)

  9. Our efforts (4): Some specifics strategies • Surveillance: Noncommunicable Diseases´ Surveillance and Studies Unit (2004) in the Department of Epidemiology • Research: Burden of Disease, Quality of Life, National Health Survey, GYTS • Cancer registries : national childhood cancer registry and population –based cancer registries (Valdivia and Antofagasta) • System of surveillance by intoxication of pesticides (REVEP)

  10. Challenge in Health • Reducing the inequalities in health • Emphasizing the promotion of health • Improving the primary care system

More Related