) !"#"$%&'"()*&)+,-.*)/01-"2,)3)4$"$%&#2",)+(2",-) ) Quiero hacer un llamado al país y a la comunidad internacional para que formemos una gran alianza nacional alrededor del tema de salud. Esta alianza debe ser capaz de propiciar un cambio seguro en el campo de la salud que beneficie a toda la población, sobre todo a los más pobres. 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G! 7',$D$.$6)6%,! 5#%! ,'3',! *)7)*%,! 6%! %?%&*%&! 6%7%06%0! 6%!0#%,+&',!.'B&',!%0!,).#69!2'&5#%!0'!7'6%3',!()*%&!3#*(),!*',),!,$! %,+)3',! 6$,*)7)*$+)6',! '! $0*%,)0+%3%0+%! )D&#3)6',! 7'&! .)! %0-%&3%6)6! G! ,'0! 3#G! 7'*),! .),! 5#%! 7'6%3',! ()*%&! ,$! 0'! %,+)3',! C$C',! + O?4$#@4+K3"a+PQQP+ 5,)6&7('8,)*&)+,-.*)&#)9-)+,-:,*(')));)) ?>) ) ) !"#"$%&'"()*&)+,-.*)/01-"2,)3)4$"$%&#2",)+(2",-) ) ' ' ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) N(6.'/*+=&%)+'#&'0*&1,0,&1)+'03*3'43'F&;+*<3 5,)6&7('8,)*&)+,-.*)&#)9-)+,-:,*(')));)) ??) ) 1,632,508 NIVELACION SALARIO INFERIOR AL MINIMO (6) NUEVO MODELO FUNCIONAMIENTO REGULAR 4. COMBUSTIBLES Y LUBRICANTES NUEVO MODELO FUNCIONAMIENTO REGULAR 3. INSUMOS MEDICO QUIRÚRGICOS NUEVO MODELO FUNCIONAMIENTO REGULAR 175,038 2,180,913 3,569,203 17,077,930 3,021,222 24,035,037 2,158,146 RECLASIFICACION DE PLAZAS 2. MEDICAMENTOS 7,985,500 130,088 198,037 469,200 1,978,960 10,017,563 9,371,657 21,694,202 17,419,252 414,662,455 MONTO 2011 OTRAS PLAZAS NUEVAS 2.4.1 Fortalecimiento RRHH del MSPAS (UFI, UACI). 2.3.4 Recursos Humanos Red de Laboratorios 2.2.2 Recursos Humanos SUIS 2.1.3 Recursos Humanos para SEM PLAZAS NUEVAS OTROS HOSPITALES (4) PLAZAS NUEVO MODELO DE ATENCION 1er NIVEL EN 125 MUNICIPIOS (5) PLAZAS NUEVAS HOSPITALES RECONSTRUIDOS (3) ESCALAFON (Recursos humanos Nuevos) 1. REMUNERACIONES ESCALAFON (Recursos humanos Actuales) RECURSOS ADICIONALES PARA EL 2011 PRESUPUESTO VOTADO + PLAN ANTICRISIS 2010 (1) CONCEPTO 337,449 88,924 1,566,428 606,624 2,863,939 1,484,167 149,912 556,388 469,200 1,978,960 5,519,032 11,531,870 2,503,614 18,638,599 567,181,015 MONTO 2012 330,457 90,258 1,849,644 615,723 2,114,117 1,506,430 182,000 490,376 469,200 1,978,960 4,868,463 12,129,445 909,241 19,943,301 621,367,503 MONTO 2013 241,644 91,612 1,263,093 624,959 1,212,765 1,529,026 231,558 565,819 469,200 1,978,960 4,370,220 8,833,741 905,330 21,339,333 675,147,064 MONTO 2014 92,986 634,333 1,551,961 6,442 75,442 469,200 1,978,960 740,227 22,833,086 725,034,377 MONTO 2015 Porcentaje de Variación % Presupuesto Funcionamiento Vs. PIB TOTAL PRESUPUESTO DE FUNCIONAMIENTO 2.2.4 Capacitación a usuarios del SUIS 1.4 Capacitaciones, Políticas y Normas RISS-APSS 11. FORMACIÓN DE RECURSOS HUMANOS Red de Laboratorios Sistema Único de Información en Salud (SUIS). Sistema de Emergencias Médicas (SEM) 11. EQUIPAMIENTO E INSUMOS RECURRENTE Complemento Nutricional 10. Apoyo al Primer Nivel de Atención 9. OTROS 8. SEGUROS DE BIENES INMUEBLES 7. MANTENIMIENTO NUEVO MODELO FUNCIONAMIENTO REGULAR 6. SERVICIOS BASICOS 5. ALIMENTOS PARA HUMANOS CONCEPTO 37% 2.4% 567,181,015 182,124 996,730 309,800 1,358,225 473,800 1,502,123 18,425,594 1,150,000 2,782,208 302,105 786,527 1,134,868 MONTO 2011 10% 2.5% 621,367,503 209,876 1,148,612 309,800 1,358,225 473,800 1,868,758 17,250 67,029 214,029 139,638 84,366 MONTO 2012 9% 2.5% 675,147,064 254,800 1,394,472 309,800 1,358,225 473,800 1,895,371 17,509 68,035 302,569 141,733 85,631 MONTO 2013 7% 2.5% 725,034,377 324,181 1,774,179 309,800 1,358,225 473,800 1,484,926 17,771 69,055 187,343 143,859 86,916 MONTO 2014 4% 2.5% 756,470,502 9,019 49,362 309,800 1,358,225 473,800 530,914 18,038 70,091 146,017 88,219 MONTO 2015 9,029,066 Adquisición de Equipos Red de % Presupuesto Funcionamiento + Inversión Vs. PIB Porcentaje de Variación TOTAL PRESUPUESTO FUNCIONAMIENTO + INVERSION Porcentaje de Variación Rehabilitación de Establecimientos de Salud del Primer Nivel de Atención. SUBTOTAL RECURSOS DE INVERSIÓN Fortalecimiento del Sistema de Información de Redes Construcción y equipamiento de hospitales Hospital Maternidad Fortalecimiento de la Red deHospitales (BM) Equipamiento Hospitales Instituto Nacional de Salud 2.3.1 Equipamiento e insumos no recurrentes Laboratorios 2.3.5 Fortalecimiento de la Red de Laboratorio 2.3.3 Construcción edificio del nuevo Laboratorio Central. 2.2.1 Equipos de informática, servidores y telefonía IP 2.9% 34% 680,458,733 23% 113,277,717 16,320,537 773,000 23,336,213 31,788,130 9,000,000 357,566 1,281,000 334,504 161,301 2,160,000 Adquisición de Vehículos 2.1.1 Equipamiento y obra física en las unidades de máxima urgencia 2.1.4 Fortalecimiento del Sistema de Emergencias BM) 18,736,400 29,925,466 MONTO 2011 Construcción de Infraestructura 1.2 Adecuación Infraestructura Física para APS 11. CONSTRUCCIÓN Y EQUIPAMIENTO RECURSOS DE INVERSIÓN CONCEPTO 2.8% 1% 685,855,742 -43% 64,488,238 15,081,471 1,000,000 9,000,000 2.7% 6% 728,255,144 -18% 53,108,080 1,000,000 9,000,000 2,000,000 5,000,000 5,000,000 2,000,000 442,701 1,586,000 323,512 1,159,000 414,148 7,000,000 7,000,000 302,646 199,706 8,227,326 3,009,000 15,229,200 26,465,526 MONTO 2013 145,939 7,069,470 3,249,000 13,157,200 23,475,670 MONTO 2012 2.7% 6% 768,703,218 -18% 43,668,840 1,000,000 9,000,000 2,000,000 5,000,000 442,701 1,586,000 414,148 7,000,000 199,706 5,396,686 2,202,000 9,427,600 17,026,286 MONTO 2014 2.6% 1% 774,026,495 -60% 17,555,993 1,000,000 2,000,000 5,000,000 136,216 488,000 127,430 7,000,000 61,448 1,742,899 MONTO 2015 TOTAL PRESUPUESTO ANUAL SUBTOTAL FORTALECIMIENTO MSPAS Gestión Adminsitrativa del Proyecto BID Gestión Adminsitrativa del Proyecto BM Fortalecimiento capacidad de rectoría y regulación del MSPAS (BM) Fondo de contingencia para Emergencias (BM) Fortalecimiento MSPAS y Administración de Proyectos CONCEPTO 680,884,680 425,947 425,947 MONTO 2011 692,575,795 6,720,053 470,053 735,087,544 6,832,400 582,400 1,250,000 1,500,000 1,500,000 1,250,000 3,500,000 MONTO 2013 3,500,000 MONTO 2012 775,697,883 6,994,665 744,665 1,250,000 1,500,000 3,500,000 MONTO 2014 780,293,430 6,266,935 16,935 1,250,000 1,500,000 3,500,000 MONTO 2015 ! ! ! Ministerio de Salud Pública y Asistencia Social PRIMERA ETAPA DE LA REFORMA (Julio de 2010) 74 municipios: 53 municipios de comunidades solidarias rurales. 9 municipios con alta prevalencia en Desnutrición Crónica. (intervención parcial) 2 municipios de comunidades solidarias urbanas (Intervención parcial) SEGUNDA ETAPA (Enero de 2011) 62 municipios: 47 municipios de comunidades solidarias rurales. 15 municipios de comunidades solidarias urbanas (incluye San Martin intervenido parcialmente en 2010). TERCERA ETAPA (Enero de 2012) 45 municipios: 45 municipios de alta prevalencia en desnutrición, uno de ellos clasificado como Comunidad Solidaria Urbana. (incluye la complementación de los 10 municipios con intervención parcial del año 2010. 1 ! ! Ministerio de Salud Pública y Asistencia Social Total: 262 Municipios incorporados. QUINTA ETAPA (Enero de 2014), 43 municipios restantes. 2 Municipios de Alta Prevalencia en Desnutrición 38 de Pobreza extrema moderada. 3 Comunidades Solidarias Urbana CUARTA ETAPA (Enero de 2013), 49 municipios: 19 Municipios de Alta Prevalencia en Desnutrición 21 de Pobreza extrema moderada. 9 Comunidades Solidarias Urbana 2 Primer Nivel Segundo Nivel Tercer Nivel Ministerio de Salud Pública y Asistencia Social Promotor/Casa de Salud. Unidad Comunitaria de Salud Familiar. Unidad Comunitaria de Salud Familiar con especialidades. Hospital General.(Municipal) Hospital General (Departamental). Hospital de especialidades (Regionales y Nacionales). 200 familias UCSF 200 familias 1 Ecos familiares x 600 familias. (Promedio = 3,000 personas) 1 Promotor de Salud x 200 familias. Ministerio de Salud Pública y Asistencia Social UCSF: Unidad Comunitaria de Salud Familiar 200 familias Ecos familiares: 1 Medico, 1 Enfermera, 1 Auxiliar de Enfermería, 3 Promotores y 1 polivalente Equipo Comunitario de Salud Familiar (Ecos Familiares) Área rural. Ministerio M inisterio d de eS Salud alud P Pública ú b l i ca y A Asistencia siste tencia S Social ocial 6 (en promedio 30.000 personas) 6000 familias Área rural Ministerio de Salud Pública y Asistencia Social Los ECOS especializados tendrán ampliación de horario con FOSALUD. Cada 2 Ecos especializados - 1 Psicólogo. - 1 Nutricionista. - 1 Pediatra. - 1 Gíneco obstetra. - 1 Internista. - 3 Odontólogos. - 1 Fisioterapista. - 2 Laboratoristas. - 1 Educador para la salud. - 1 Auxiliar estadístico. Especialidades: (en promedio 42,000 personas) 8,400 familias Área urbana Ministerio de Salud Pública y Asistencia Social Los ECOS especializados tendrán ampliación de horario con FOSALUD. Cada 2 Ecos especializados - 1 Psicólogo. - 1 Nutricionista. - 1 Pediatra. - 1 Gíneco obstetra. - 1 Internista. - 3 Odontólogos. - 1 Fisioterapista. - 2 Laboratoristas. - 1 Educador para la salud. - 1 Auxiliar estadístico. Especialidades: Ministerio de Salud Extensión de cobertura: Personal: 2 médicos, 3 enfermeras y 9 promotores. Establecimientos de salud: 1 Personal de salud: 2 médicos 1 enfermera 4 Auxiliares de enfermería, 5 promotores. Especialistas: 0 PoblaciónyaAsistencia cargo: por demanda Pública Social U/S La Palma Sistema de salud hasta Junio de 2010 Establecimientos de salud: 4 Personal: 5 médicos, 5 enfermeras, 5 auxiliares de enfermería, 15 promotores, 1 gíneco obstetra, 1 internista y 1 pediatra. 1 psicólogo, 1 nutricionista, 1 fisioterapista. Población a cargo:Ministerio 12,964 personas, 2,593 familias de Salud Pública y Asistencia Social 2 ECSF La reforma de salud VA!!!!!! ANTES Ecos familiares Ecos Especializado DESPUES Población: Por demanda Ministerio de Salud Pública y AsistenciaPoblación: Social 81,861 Unidades de Salud Hospital Ilobasco Micro red de Ilobasco, Cabañas. !"#$%&'(')'*+#(*&#,-*.#/*012*#3454#67"#89:; !3#$%&'(')'*+#(*&#,-*.#/*012*#)<=<#3455#6>?#89:#@#57#89A; >7#$%&'(')'*+#01#B2C<#D=1-<21&('<#1&#E1+&%C='('F&#8=F&'(< >G#$%&'(')'*+#65G#01#B2C<#)=1-<21&('<#1&#01+&%C='('F&H#35#01#D*I=1J<#KLC=1$<#/*01=<0<#M#G#01#89A; >"#$%&(')'*+#:1+C<&C1+