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Future Generations Peru Concludes a Four-Year Child Survival Project in Cusco

Posted on Fri, 12/18/2009 – 23:35

Lima, Peru:  A four-year child survival project of Future Generations Peru, funded by the Child Survival and Health Grants Program of the United States Agency for International Development, achieved significant improvements in 21 key maternal and child health indictors. The number of maternal deaths declined by 75% in the project area, and chronic child malnutrition declined by 9%.

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Peru's Interoceanic Highway

Authors: 
Fleming, Robert L. Jr.
Date: 
March, 2010

Roads are vital for overall development and the access afforded by these can be both extremely beneficial as well as hugely damaging. The road network in Peru includes the Inter-Oceanic Highway South [Carratera Interoceania Sur], a route linking the Pacific Ocean in Peru with a highway in Brazil that continues east to the Atlantic. This artery, already completed in Brazil but not totally finished in Peru, brings substantial social and environmental change to many areas.

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Health Care for the Unreached in The Andes Highlands

Cusco Child

The Cusco Region has among the highest rates of maternal-child mortality and chronic child malnutrition in Peru. Although the government has established primary health care facilities in these highlands, the indigenous communities do not use them due to distance and poverty combined with language and cultural barriers.

Future Generations makes 28 primary health care facilities more effective by transforming them through community participation and stronger linkages with local government.

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Cusco Farmer and Child

Cusco Farmer and Child

High in the Andes Mountains overlooking Cusco, a farmer carries his child in a traditional k'eperina cloth sack on his back.

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Participatory Planning and Budgeting to Meet Local Priorities

Health care in the community of Las Moras in Huánuco, Peru consisted of a poorly equipped one-room health post staffed by an auxiliary nurse and visited by few patients.

Then in 1994, with advice from Future Generations staff, the Peruvian Ministry of Health gave more control over the management of this clinic to the community.

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Evaluation and Report on strengthening a national system of community co-managed primary health

Authors: 
Taylor, Carl
Publisher: 
Peruvian Ministry of Health
Date: 
September, 1996

Intial evaluation by Dr. Carl Taylor of Peru's Shared Administration Program, CLAS.

(In Spanish)

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Memorandum on Findings and Recommendations for Peru's National System of Community Co-Managed Primary Health

Authors: 
Mahler, Halfdan
Authors: 
Taylor, Carl
Authors: 
Taylor-Ide, Daniel
Authors: 
Apang, Omak
Publisher: 
World Health Organization
Date: 
September, 2001

Report to the World Health Organization on the state of Peru's Shared Administration Program, CLAS.

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The Politics of Health Sector Reform in Peru

Authors: 
Ewig, Christina
Publisher: 
Woodrow Wilson Center Workshops on the Politics of Education and Health Reforms
Date: 
April, 2002

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.

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Shared Administration Program and Local Health Administration Associations (Clas) in Peru

Authors: 
Altobelli, Laura C.
Authors: 
Pancorvo, Jorge
Publisher: 
World Bank
Date: 
May, 2000

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.

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Health Reform, Community Participation, and Social Inclusion: The Shared Administration Program

Authors: 
Altobelli, Laura C.
Publisher: 
UNICEF Peru
Date: 
August, 1998

Executive Summary

The experience of the Shared Administration Program (PAC – ‘Programa de Administración Compartida’), created in 1994, has been the most important expression of the health sector reform to this date, since it fosters the three major premises of the reform: quality, efficiency, and equity in health services. The PAC program is distinguished by the aspect of co-management of health services by the community through a committee of elected community members called CLAS (‘Comité Local de Administración de Salud’).

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