XIII. Health System in Venezuela

Page 71

Public power is distributed among the municipal power, the state power and the national power.

Bolivarian Republic of Venezuela

The Social Welfare Institute of the Ministry of Education (IPASME), and the Social Insurance Institute of the Armed Forces (IPSFA). Private subsystem: made up of private healthcare institutions that are directly financed by users' out-of-pocket payments or health insurance companies.

Solidarity, universality, integrity, unification, citizenship participation, co-responsibility, free of charge, equity, and multiethnic, pluricultural and multilingual sense of belonging in the design and execution of health policies, plans, services and programs.

The Law on Local Planning Councils creates Community Councils as spaces of people participation, where citizens play a leading role in the formulation, execution, control and evaluation of public policies.

The Venezuelan Institute of Social Security (IVSS), which acts within the purview of the Ministry of Labor.

The National Public Health System (SPNS) comprises institutions in the Public Administration financed with public resources; as follows: the Ministry of the People's Power for Health, the main provider of healthcare services.

There are two subsystems: the public and the private one.

Health system

Constitutional and legal framework of health - Health system structure Principles and values mentioned

Article 83 of the Constitution states that health is a fundamental social right that must be guaranteed by the State as part Social State based on of the right to life. To guarantee this right, the rule of law and Article 84 establishes the creation of a justice, democratic and National Public Health System (SPNS), which federal. must be inter-sectoral, decentralized and participatory, integrated to the social security Constitution in force: system and governed by the principles of 1999 gratuity, universality, integrality, equity, social integration and solidarity. Population: 28,883,000 inhabitants The Organic Health Law draft bill introduces a new institutionality; establishes that the Territory organized SPNS is to be built under the stewardship of in 23 states, a capital the Ministry of Health; healthcare providers district (Caracas, and other public services are integrated into seat of the National this system; and a network of health services Government), federal is set up; services are organized by level of dependences (more care, where the first level of care is the gate than 300 islands), 335 of entry into the health system. municipalities and 1,123 parishes. Principles and values

Country VENEZUELA

Sanitary Surveillance: The Autonomous Health Regulatory Board (SACS) is a service with budgetary autonomy acting within the purview of the Ministry of Health, and aimed at promoting and protecting the health of the population. The central level of Sanitary Surveillance is made up of the SACS, the Directorate General of Food Hygiene, Materials, Equipment, Facilities and Health Professionals, and the Directorate General of Drugs, Medicines and Cosmetics. The regional level has the same structure.

Epidemiological surveillance: The Directorate General of Epidemiology, the technical body of the MPPS, is in charge of stewarding the National Epidemiological Surveillance System throughout the country, in both public and private sectors. The structure of the epidemiological surveillance system corresponds to the public health organization levels and includes a basic surveillance subsystem and a group of specialized surveillance systems according to the public health priority programs.

As healthcare provider, the Venezuelan State guarantees: universal and equitable health promotion to the entire population, disease and accident prevention, timely, adequate and quality health recovery and rehabilitation.

The responsibility of the State as health steward and regulator is exercised through the MPPS, which establishes functions relative to the design and implementation of policies aimed at guaranteeing, promoting and protecting public and collective health, as well as the regulation and inspection of health, epidemiological and environmental areas.

The Ministry of Health was created in 1936 as the Ministry of Health and Social Insurance, and recently changed its name to Ministry of the People's Power for Health (MPPS).

Functions of the Ministry of the People's Power for Health

Chart 2 – Health system in Venezuela: Summary – constitutional framework, structure and priorities of current policy

Modernization and technology adaptation of hospitals, articulating them with comprehensive community health areas.

PHC physician training: In December 2011, the first class of comprehensive community physicians graduated (8,200 new professionals). There are around 28,000 students now receiving training.

Expanding the primary healthcare network by making health posts, doctors, eye and dentist care, and medicines available to families from the most marginalized sectors.

Overcoming social exclusion in health and guaranteeing access to health by millions of people who were excluded until then.

Current policy priorities

Health Systems in Venezuela

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