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Quiero hacer un llamado al pas y a la comunidad internacional

para que formemos una gran alianza nacional alrededor del tema de
salud. Esta alianza debe ser capaz de propiciar un cambio seguro en
el campo de la salud que beneficie a toda la poblacin, sobre todo a
los ms pobres.

Mauricio Funes, 2009

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1
Cuentas Nacionales del MSPAS, 2010@)
2
OPS.OMS: Cobertura en los Pases del SICA, WDC, 2008.Preparado para la Agenda de Salud de
Centroamrica y Repblica Dominicana.

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)))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))
S
+OPS/OMS: Renovacin de la Atencin Primaria de Salud en las Amricas, Documento de
Posicin de OPS/OMS. Washington DC, agosto de 2005.
)

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+

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-
+ Al principio de la gestin se activ la Comisin Nacional de Prevencin de la Influenza Aviar
(CONAPREVIAR), cuya funcin en el pasado haba estado limitada a actividades de planificacin
para enfrentar una eventual epidemia de gripe aviar y que en el nuevo gobierno abord las diferencias
emergencias que se presentaron. Dicha Comisin ha sido transformada en Comisin Intersectorial de
Salud (CISALUD) la que ahora ya est abordando los determinantes sociales de la salud de manera
integral.+
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5
Datos del Sistema de Informacin del MSPAS, 2010

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 CONCEPTO MONTO 2011 MONTO 2012 MONTO 2013 MONTO 2014 MONTO 2015

PRESUPUESTO VOTADO + PLAN ANTICRISIS 2010 (1) 414,662,455 567,181,015 621,367,503 675,147,064 725,034,377
RECURSOS ADICIONALES PARA EL 2011

1. REMUNERACIONES
ESCALAFON (Recursos humanos Actuales)
17,419,252 18,638,599 19,943,301 21,339,333 22,833,086
ESCALAFON (Recursos humanos Nuevos)
2,503,614 909,241 905,330 740,227
PLAZAS NUEVO MODELO DE ATENCION 1er NIVEL EN 125
21,694,202 11,531,870 12,129,445 8,833,741
MUNICIPIOS (5)
PLAZAS NUEVAS HOSPITALES RECONSTRUIDOS (3)
9,371,657
PLAZAS NUEVAS OTROS HOSPITALES (4)
10,017,563 5,519,032 4,868,463 4,370,220
2.1.3 Recursos Humanos para SEM
1,978,960 1,978,960 1,978,960 1,978,960 1,978,960
2.2.2 Recursos Humanos SUIS
469,200 469,200 469,200 469,200 469,200
2.3.4 Recursos Humanos Red de Laboratorios
198,037 556,388 490,376 565,819 75,442
2.4.1 Fortalecimiento RRHH del MSPAS (UFI, UACI).
130,088 149,912 182,000 231,558 6,442

OTRAS PLAZAS NUEVAS 7,985,500

RECLASIFICACION DE PLAZAS 2,158,146

NIVELACION SALARIO INFERIOR AL MINIMO (6) 1,632,508

2. MEDICAMENTOS

FUNCIONAMIENTO REGULAR
24,035,037 1,484,167 1,506,430 1,529,026 1,551,961
NUEVO MODELO 3,021,222 2,863,939 2,114,117 1,212,765
3. INSUMOS MEDICO QUIRRGICOS

FUNCIONAMIENTO REGULAR
17,077,930 606,624 615,723 624,959 634,333
NUEVO MODELO
3,569,203 1,566,428 1,849,644 1,263,093
4. COMBUSTIBLES Y LUBRICANTES

FUNCIONAMIENTO REGULAR
2,180,913 88,924 90,258 91,612 92,986
NUEVO MODELO
175,038 337,449 330,457 241,644
 CONCEPTO MONTO 2011 MONTO 2012 MONTO 2013 MONTO 2014 MONTO 2015

5. ALIMENTOS PARA HUMANOS

1,134,868 84,366 85,631 86,916 88,219
6. SERVICIOS BASICOS

FUNCIONAMIENTO REGULAR
786,527 139,638 141,733 143,859 146,017
NUEVO MODELO
302,105 214,029 302,569 187,343
7. MANTENIMIENTO
2,782,208 67,029 68,035 69,055 70,091
8. SEGUROS DE BIENES INMUEBLES
1,150,000 17,250 17,509 17,771 18,038
9. OTROS
18,425,594 1,868,758 1,895,371 1,484,926 530,914
10. Apoyo al Primer Nivel de Atencin

Complemento Nutricional
1,502,123
11. EQUIPAMIENTO E INSUMOS RECURRENTE

Sistema de Emergencias Mdicas (SEM)

473,800 473,800 473,800 473,800 473,800
Sistema nico de Informacin en Salud (SUIS).
1,358,225 1,358,225 1,358,225 1,358,225 1,358,225
Red de Laboratorios
309,800 309,800 309,800 309,800 309,800
11. FORMACIN DE RECURSOS HUMANOS

1.4 Capacitaciones, Polticas y Normas RISS-APSS

996,730 1,148,612 1,394,472 1,774,179 49,362
2.2.4 Capacitacin a usuarios del SUIS
182,124 209,876 254,800 324,181 9,019
TOTAL PRESUPUESTO DE FUNCIONAMIENTO 567,181,015 621,367,503 675,147,064 725,034,377 756,470,502

Porcentaje de Variacin 37% 10% 9% 7% 4%

% Presupuesto Funcionamiento Vs. PIB 2.4% 2.5% 2.5% 2.5% 2.5%
 CONCEPTO MONTO 2011 MONTO 2012 MONTO 2013 MONTO 2014 MONTO 2015

RECURSOS DE INVERSIN
11. CONSTRUCCIN Y EQUIPAMIENTO
1.2 Adecuacin Infraestructura Fsica para APS
29,925,466 23,475,670 26,465,526 17,026,286

Construccin de Infraestructura 18,736,400 13,157,200 15,229,200 9,427,600

Adquisicin de Vehculos 2,160,000 3,249,000 3,009,000 2,202,000

Adquisicin de Equipos 9,029,066 7,069,470 8,227,326 5,396,686 1,742,899

2.1.1 Equipamiento y obra fsica en las unidades de mxima
161,301 145,939 199,706 199,706 61,448
urgencia
2.1.4 Fortalecimiento del Sistema de Emergencias BM)
7,000,000 7,000,000 7,000,000 7,000,000
2.2.1 Equipos de informtica, servidores y telefona IP
334,504 302,646 414,148 414,148 127,430
2.3.3 Construccin edificio del nuevo Laboratorio Central.
1,281,000 1,159,000 1,586,000 1,586,000 488,000
2.3.1 Equipamiento e insumos no recurrentes Red de
357,566 323,512 442,701 442,701 136,216
Laboratorios
2.3.5 Fortalecimiento de la Red de Laboratorio
5,000,000 5,000,000 5,000,000 5,000,000
Instituto Nacional de Salud
2,000,000 2,000,000 2,000,000 2,000,000
Equipamiento Hospitales
9,000,000 9,000,000 9,000,000 9,000,000
Fortalecimiento de la Red deHospitales (BM)
1,000,000 1,000,000 1,000,000 1,000,000
Hospital Maternidad
31,788,130 15,081,471
Construccin y equipamiento de hospitales
23,336,213
Fortalecimiento del Sistema de Informacin de Redes
773,000
Rehabilitacin de Establecimientos de Salud del Primer Nivel de
16,320,537
Atencin.
SUBTOTAL RECURSOS DE INVERSIN
113,277,717 64,488,238 53,108,080 43,668,840 17,555,993
Porcentaje de Variacin 23% -43% -18% -18% -60%

TOTAL PRESUPUESTO FUNCIONAMIENTO + INVERSION

680,458,733 685,855,742 728,255,144 768,703,218 774,026,495
Porcentaje de Variacin 34% 1% 6% 6% 1%

% Presupuesto Funcionamiento + Inversin Vs. PIB

2.9% 2.8% 2.7% 2.7% 2.6%
 CONCEPTO MONTO 2011 MONTO 2012 MONTO 2013 MONTO 2014 MONTO 2015

Fortalecimiento MSPAS y Administracin de Proyectos

Fortalecimiento capacidad de rectora y regulacin del MSPAS

3,500,000 3,500,000 3,500,000 3,500,000
(BM)
Fondo de contingencia para Emergencias (BM)
1,500,000 1,500,000 1,500,000 1,500,000
Gestin Adminsitrativa del Proyecto BM
1,250,000 1,250,000 1,250,000 1,250,000
Gestin Adminsitrativa del Proyecto BID
425,947 470,053 582,400 744,665 16,935
SUBTOTAL FORTALECIMIENTO MSPAS
425,947 6,720,053 6,832,400 6,994,665 6,266,935
TOTAL PRESUPUESTO ANUAL
680,884,680 692,575,795 735,087,544 775,697,883 780,293,430
! PRIMERA ETAPA DE LA REFORMA (Julio de 2010) 74 municipios:
53 municipios de comunidades solidarias rurales.
9 municipios con alta prevalencia en Desnutricin Crnica.
(intervencin parcial)
2 municipios de comunidades solidarias urbanas (Intervencin
parcial)
! SEGUNDA ETAPA (Enero de 2011) 62 municipios:
47 municipios de comunidades solidarias rurales.
15 municipios de comunidades solidarias urbanas (incluye San
Martin intervenido parcialmente en 2010).
! TERCERA ETAPA (Enero de 2012) 45 municipios:
45 municipios de alta prevalencia en desnutricin, uno de ellos
clasificado como Comunidad Solidaria Urbana. (incluye la
complementacin de los 10 municipios con intervencin parcial del
ao 2010.

1
Ministerio de Salud Pblica y Asistencia Social
! CUARTA ETAPA (Enero de 2013), 49 municipios:
19 Municipios de Alta Prevalencia en Desnutricin
21 de Pobreza extrema moderada.
9 Comunidades Solidarias Urbana

! QUINTA ETAPA (Enero de 2014), 43 municipios restantes.

2 Municipios de Alta Prevalencia en Desnutricin
38 de Pobreza extrema moderada.
3 Comunidades Solidarias Urbana

Total: 262 Municipios incorporados.

2
Ministerio de Salud Pblica y Asistencia Social
 Tercer Hospital de especialidades (Regionales y
Nivel Nacionales).

Hospital General (Departamental).

Segundo
Nivel Hospital General.(Municipal)

Unidad Comunitaria de Salud Familiar con

especialidades.
Unidad Comunitaria de Salud Familiar.
Primer
Nivel
Promotor/Casa de Salud.

Ministerio de Salud Pblica y Asistencia Social

 Equipo Comunitario de Salud Familiar
(Ecos Familiares)
rea rural.

Ecos familiares:
1 Medico, 1 Enfermera, 1
Auxiliar de Enfermera, 3
Promotores y 1 polivalente

1 Promotor de
Salud x 200
familias.
200 200
familias familias 1 Ecos familiares
x 600 familias.
UCSF (Promedio =
3,000 personas)
200
familias

UCSF: Unidad Comunitaria de Salud Familiar

Ministerio de Salud Pblica y Asistencia Social

 6

Ministerio
Ministerio d
deeS
Salud
alud P
Pblica
b l i ca y A
Asistencia
siste
tencia S
Social
ocial
Especialidades:
- 1 Pediatra.
- 1 Gneco obstetra.
- 1 Internista. rea rural
- 3 Odontlogos.
-1 Fisioterapista.
-2 Laboratoristas.
-1 Educador para
la salud.
-1 Auxiliar
6000 familias
estadstico.
Cada 2 Ecos (en promedio
especializados
- 1 Psiclogo.
30.000
- 1 Nutricionista. personas)
Los ECOS especializados tendrn ampliacin de horario con FOSALUD.

Ministerio de Salud Pblica y Asistencia Social

Especialidades:
- 1 Pediatra.
- 1 Gneco obstetra.
- 1 Internista.
- 3 Odontlogos.
-1 Fisioterapista.
rea urbana
-2 Laboratoristas.
-1 Educador para
la salud. 8,400 familias
-1 Auxiliar
estadstico.
Cada 2 Ecos (en promedio
especializados 42,000 personas)
- 1 Psiclogo.
- 1 Nutricionista.

Los ECOS especializados tendrn ampliacin de horario con FOSALUD.

Ministerio de Salud Pblica y Asistencia Social

 Sistema de salud hasta Junio de 2010

U/S La
Palma

Extensin de cobertura:
Personal: 2 mdicos, 3
enfermeras y 9 promotores.
Ministerio de Salud
Establecimientos de salud: 1
Personal de salud: 2 mdicos 1 enfermera 4
Auxiliares de enfermera, 5 promotores.
Especialistas: 0
cargo: por demanda
Pblica
PoblacinyaAsistencia Social
 La reforma de salud VA!!!!!!

2 ECSF

Establecimientos de salud: 4
Personal: 5 mdicos, 5 enfermeras, 5 auxiliares de enfermera, 15 promotores,
1 gneco obstetra, 1 internista y 1 pediatra. 1 psiclogo, 1 nutricionista, 1 fisioterapista.
12,964 personas,
Poblacin a cargo:Ministerio de Salud2,593 familias
Pblica y Asistencia Social
 Micro red de Ilobasco, Cabaas.
Hospital
Ilobasco Ecos
Unidades de Salud Ecos Especializado
familiares

ANTES Poblacin: Por demanda

Ministerio DESPUES
de Salud Pblica y AsistenciaPoblacin:
Social 81,861
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