HEALTH POLICY GUIDELINES 2007 – 2020

1. Comprehensive health care for women and children, prioritizing promotion

and prevention actions
Comprehensive care for women's sexual and reproductive health will be carried out
in all the country's health services in a comprehensive manner, considering the
gender approach, the need to culturally adapt the services in the areas where
necessary and respecting their sexual and reproductive rights. reproductive rights, a
fundamental priority is the promotion of institutional birth in the country,
strengthening family planning interventions, comprehensive care for adolescents
and reducing maternal deaths.
The child must be seen from its conception in such a way that care for this stage of
life is carried out from the perinatal stage, intensifying disease prevention and
screening interventions as well as those that seek to offer adequate newborn care
and address the main causes of illness and death in this group.
Health promotion will be developed through a set of interventions and strategies in
such a way that all actors in the sector must commit to the promotion of healthy
habits and lifestyles, the improvement of healthy environments as well as joint
action. about all the determinants that affect health in our country.
2. Surveillance, prevention and control of communicable and non-communicable
diseases
Communicable and non-communicable diseases constitute a significant burden of
disease for our country, coupled with the demographic transition we are going
through, which is why the surveillance, prevention and control of communicable
diseases will continue and the implementation of surveillance of non-communicable
diseases will be strengthened. transmissible.
These will be intervened through national health strategies which will be managed
through multisectoral coordination in such a way that the action and interventions to
address them are in all their aspects.
Surveillance must be intensified, as well as the monitoring and evaluation of results
and impacts through periodic statistics or national surveys.
Non-communicable diseases also constitute a significant disease burden for the
country due to the high cost of treatment. Therefore, a set of interventions will be
developed that emphasize the approach from the first level of care with early
detection and timely treatment seeking to avoid late complications, in this
framework it is important to address Diabetes Mellitus, High blood pressure,
ischemic myocardial disease, cerebrovascular accidents and the most frequent
neoplasms.
3. Universal insurance
 All Peruvians will have access to health insurance, through access to a health plan
that guarantees a set of benefits for everyone, independent of the insurance system
they choose.
Universal health insurance will be progressive, starting with the population in
poverty and extreme poverty to continue with the other segments of the population.
It seeks to ensure that all citizens have their health risks insured and the percentage
of out-of-pocket spending as a proportion of the total is substantially reduced. health
spending that the country has, thus making the health system more equitable.
To achieve this, comprehensive health insurance as a public insurance and financing
organization must be strengthened in its aspects of affiliation, auditing and financial
transfers.
The types of regimes that will be developed are subsidized, semi-contributory and
contributory; for this, insurance will be regulated through standards that clearly
define their stages of development.
4. Decentralization of the health function at the level of the Regional and Local
Government
Decentralization in health is part of the modernization of the Peruvian State and will
be exercised in a shared manner between the three levels of government, national,
regional and local, which seeks the development of a decentralized and adequately
articulated health system, achieving the achievement of services. health with
effectiveness, quality and efficiency.
Decentralization in health is not an end but a means that allows the construction of
territorial health systems adequately articulated with the national level and improve
health outcomes and impacts. To this end, the transfer of functions, powers and
financial resources to the Regional Governments will be carried out through a
concerted and articulated process.
The decentralization of health to Local Governments will be developed
progressively and through pilot projects that will identify the strengths and
weaknesses as well as the institutional arrangements that must be made for the
exercise and powers by this level of government.
Subsequently and progressively, health decentralization will be extended at the local
level to all local governments.
A level of coordination of strategic health decisions in the country will also be
necessary, for which an intergovernmental coordination space will be established
between the National and Regional Government that allows the articulation and
orientation of major national policies, the allocation of resources as well as the
achievement of health outcomes and impacts.
A system will be developed to monitor and evaluate the changes that occur in the
country's health as a result of the decentralization process of this function.
5. Progressive improvement of access to quality health services
To guarantee health care for the population and equitable and supportive universal
access to health services, the effective articulation of the health system is necessary
based on meeting the demand and basic health needs of the population.
To this end, the different members of the health system, both public and private,
must establish functional networks of health services that allow an exchange of
benefits, offering them with the same quality standard and without discrimination of
the economic condition of the beneficiaries.
On the other hand, they must be organized through a portfolio of services
accredited by establishment, respecting the autonomy and resources of the
institutions that comprise it.
The health sector will provide comprehensive care services with criteria of equity,
gender, interculturality, quality and sustainability, in order to make them accessible
to the general population, with special emphasis on poor or extremely poor
populations and those population groups that They are more vulnerable due to their
ethnic origin, hereditary and acquired conditions, and in emergency situations.
The expansion of service coverage will guarantee the delivery of a set of universal
benefits, combining different action strategies of the sector's institutions.
A set of instruments will be designed and put into operation such as the catalog of
medical and dental procedures, the relative units of value, the tariff for exchanging
services between health benefits.
Likewise, for quality improvement, the continuous quality improvement system will
be implemented, giving emphasis to clinical audit and the implementation of the
accreditation system for hospitals and health services, defining incentives that allow
the system to work.
6. Development of human resources
The fundamental instrument to achieve responsible change in the health system is
human capital.
The Management of Human Resources Development must respond to the needs of
the health system, in this sense adequate training of Human Resources must be
guaranteed that allows the knowledge and skills of medical science, complemented
with skills that allow facing the heterogeneity of reality. sanitary.
It is necessary to guarantee adequate motivation of health personnel through an
incentive policy, especially for health workers who work in unfavorable
environments.
The aim is to strengthen the supply of human resources in health, at the first level of
care.
7. Quality medicines for everyone
 Achieving universal access to quality medicines requires an effective regulatory
function of the state, as well as economy of scale mechanisms that allow affordable
prices for the different economies of the population.
On the other hand, the rational use of medicines must be sought by ensuring the
existence of a modern and effective national demand for medicines that responds to
the needs of the population.
8. Results-Based Financing
Financing conceived as social investment must be aimed at health promotion,
prevention, recovery and rehabilitation. That is, it must also be aimed at favorably
influencing the determinants of health.
The management of financial resources must be oriented towards achieving results
within the framework of institutional objectives, that is, their optimization with
criteria of efficiency, effectiveness and effectiveness.
Financing must be linked to results, which is why results-based budgeting will be
progressively implemented in public services to allow the assigned resources to be
used efficiently aimed at achieving concrete results and impacts.
Management agreements will be developed in the same way as a policy instrument
that allows the achievement of results, for this a set of incentives linked to the
achievement of results will be proposed.
Financing will be progressive and increasing based on the results obtained.
9. Development of the stewardship of the health system
The stewardship of the health system must be developed as a priority within the
framework of the decentralization process.
It is important that the functions of leadership, regulation, harmonization of
provision, oversight of insurance, financing and development of essential public
health functions are carried out by the MINSA in a clear manner throughout the
health sector.
For this reason, the organizational adaptation of the Ministry of Health will be
carried out, making the necessary changes in its legal framework.
In the same way, the MINSA will be provided with a set of instruments as the
governing entity so that it can articulate the actions of the sub-sectors, Regional and
Local Governments so that they develop joint actions to achieve the objectives of
the Health System.
Evaluations related to the stewardship function of the National Health Authority and
the development of the Essential Public Health Functions will be established
periodically, as well as the evaluation of the performance of the health system that
allows making the necessary adjustments in the health system.
 The Health Information System is a management instrument that allows decision-
making in the rectory, for this the information systems of the subsectors will be
articulated through the Health Data Standard identification.
10. Citizen Participation in Health
Citizen participation is the most important pillar for achieving the democratization
of health, which is why the promotion and consolidation of citizen participation will
be carried out in the definition of health policies, their implementation as well as
their surveillance and control. .
The shared administration of health services will be strengthened through linking
this model of administration of first-level establishments with Local Governments in
the process of decentralization in health, adapting the regulatory framework and
instruments necessary for this.
Other forms of citizen participation will also be promoted, such as patient
associations and committees to monitor the quality of care provided in health
facilities.
11. Improvement of other determinants of Health
The most profitable thing for the country is to avoid damage and disease, therefore
prevention actions must be prioritized with strategies that generate results in the
short term, with great impact and at low cost.
In the same way, actions must be developed to promote healthy living, care for the
environment and the sociocultural environment. These actions must be characterized
by influencing the determinants of health in a sustainable manner.