FutureGenerations

Altobelli, Laura C  (2008) Case Study of CLAS in Peru: Opportunity and Empowerment for Health Equity.   Prepared for Case Studies of Programmes Addressing Social Determinants of Health and Equity organized by the Priority Public Health Conditions - Knowledge Network (PPHC-KN) of the WHO Commission on Social Determinants of Health, with support from the Alliance for Health Policy and Systems Research, WHO.  

Health sector reforms in Peru, despite nearly a decade of reform efforts, are best described as piecemeal. The reform project itself lacked a comprehensive vision, and the resulting policies often either conflicted with each other, or with the stated overall goals of health sector reform: “a reform with equity, efficiency and quality”. Major health indicators, moreover, show improvement in health status, but these improvements are not substantially different from improvements in non-reform, and even crisis periods of the health sector.

This case was prepared by Dr. Laura C. Altobelli, DS Consult, with the collaboration of Jorge Pancorvo, Universidad de Piura, as the basis for class discussion. It is not meant to either endorse or criticize the programs or decisions which it describes. The elaboration of this case has been sponsored by the World Bank, however the views and interpretations of this document are only those of its authors.

Copyright 2000 by IESE and the World Bank.

The writing of this document was solicited by the Division of State and Civil Society (DPP/SCS) of the Inter-American Development Bank (IDB), for presentation at the annual meeting of the Assembly of Governors of the Bank in Cartagena, Colombia in March, 1998.