Paraguay - Health service delivery in Paraguay : a review of quality of care and policies on human resources and user fees
Gonzales de Asis, Maria
International comparisons show that Paraguay's health outcomes are worse than average in the case of maternal mortality and slightly better than average in infant mortality but show slow progress over time. It is also apparent that there are large within-country differences, across geographical regions or socioeconomic groups, with rural areas and poor households doing significantly worse than the rest. This could be related to supply-side or demand-side factors, or a combination. The current debate on health care in Paraguay focuses specifically on three issues that could explain the slow progress in outcomes: (1) demand and supply-side bottlenecks in public health care that prevent the system from improving; (2) user costs; and (3) quality of care in public facilities. This report provides an overview of health care in Paraguay, and analyzes the three abovementioned factors.
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