Assessment of two decades of reforms find, read and cite all the research you need on. Van lieshout mcmaster university although individuals born at extremely low birth weight elbw. Verification in resultsbased financing rbf mechanisms is one of the key differentiators between it and related health financing structures such as social health insurance. The project objective is to contribute to the reduction of the infant, child, and maternal mortality rates, and to introduce changes in the incentive framework of health care providers through the implementation of the maternal. Argentina increasing utilization of health care services among the uninsured population. Argentinas plan nacer center for global development.
Argentinas plan nacer provides insurance for maternal. Argentina builds on plan nacer to evolve into plan sumar. With plan nacer, argentina became the first low or middleincome country to use incentives to simultaneously expand health coverage and improve birth outcomes. She delivered her older daughter natalia, similarly in her local public health care clinic. Among other policies, argentina used a resultsbased financing rbf approach called plan nacer to accomplish this. The provinces use these resources to pay health facilities to. Pdf on jan 2, 2016, fabio bertranou and others published performance of social protection in argentina. Argentinas plan nacer provides insurance for maternal and child health care to uninsured families. Rewarding provider performance to enable a healthy start. Mental health of extremely low birth weight survivors. In response, the government of argentina implemented the innovative maternalchild health insurance program, known as, plan nacer which helped to introduce innovative changes in argentina s health system. Through a structured system of incentive payments, argentinas national government tangos with provincial authorities to take on a spiraling newborn health.
Health insurance for the poor in argentina health indicators to monitor results under the national monitoring system. The 2001 crisis brought about an increase in unemployment and this situation imposed a heavy burden on the public provincial systems. Good practices developed replicated the plan nacer program has demonstrated that reducing inequities in access and use of healthcare, enhancing ac. Section 2 provides an overview of the argentine health care system, including a description of public health, primary care, and supplyside efforts, to put in context the implementation of plan nacer.
People living longer, children celebrating more birthdays and fewer families falling into poverty due to illness, are just a few of the outstanding results f. Health benefits provided by the public setting to the provinces are not homogeneous but depend on each jurisdiction. The analysis uses data from the universe of birth records in seven argentine provinces for 2004 to 2008 and exploits the geographic phasing in of plan nacer over time. Nea provincias del noreste argentino chaco, corrientes, formosa y. Pdf 2mb references cited by argentinas plan nacer provides insurance for maternal and child health care to uninsured families. Increase access to basic health services for uninsured mothers during. From 2005 to 20, plan nacer and programa sumar collected highquality information on birth and visit dates, age in days, gender, weight in kg, and height in cm for 1. The program allocates funding to provinces based on enrollment of beneficiaries and adds performance incentives based on indicators of the use and quality of maternal and child health care services and health outcomes. Argentina increasing utilization of health care services. Therefore, in 2005, the plan nacer started as a public health insurance program, intended for the population not covered by social security. The size of the dataset allows us to investigate the impact of plan nacer on relatively rare events such as low birth.
Through plan nacer provinces are incentivized to enroll uninsured pregnant women and children. Rewarding provider performance to enable a healthy start to life. This case study examines a silent revolution in health care in argentina. This paper analyzes the impact of plan nacer on birth outcomes. Plan nacer prepared by anthony measham and cleared by rafael cortez 1 country snapshot argentina project name. Support the implementation of argentinas public national maternal and child health insurance program plan nacer to. The program allocates funding to provinces based on enrollment of beneficiaries and adds performance incentives based on indicators of the use and quality. This describes the main features of the rbf program supported by the world bank in argentina. Provincial maternalchild health investment project project id. Thanks to the evaluation and wide dissemination of its results, argentina s experience is inspiring other countries to pay for results rather than inputs. Verifying that providers have achieved reported performance in rbf mechanisms is considered a crucial part of program. Birth certificates provide accurate data on prenatal care, birth outcomes, and inhospital neonatal mortality. In 2004 the national government implemented plan nacer to improve access and quality of prioritized.
The case traces the implementation of plan nacerargentinas health coverage program for uninsured pregnant women and children under the age of sixtracking its evolution into the much more comprehensive programa sumar. Plan nacer this describes the main features of the rbf program supported by the world bank in argentina. Thanks to the evaluation and wide dissemination of its results, argentinas experience is inspiring other. Impact of universal health coverage on child growth and. Recalling difficult times in the aftermath of argentinas economic crisis, she expresses gratitude for the support and care available through plan nacer. National telecommunications plan argentina conectada argentina connected the national telecommunications plan argentina conectada argentina connected, created since decree no. The countrys first national resultsbased financing program, plan nacer, was launched in 2004. In response, the government of argentina implemented the innovative maternalchild health insurance program, known as, plan nacer which helped to introduce innovative changes in argentinas health system. The program was piloted in nine of the poorest provinces in the country and subsequently expanded nationwide. The next phase of ibrd lending will support all of these processes. Universal healthcare on the rise in latin america youtube. Recalling difficult times in the aftermath of argentina s economic crisis, she expresses gratitude for the support and care available through plan nacer. Verification of performance in resultsbased financing.1378 852 1506 1183 492 196 1138 612 773 303 374 1137 952 1331 785 597 1206 865 803 172 1467 932 1038 772 561 327 892 712 24 415 1395 1408 1362 1450