Chile: Program for Universal Primary Healthcare Coverage and Resilience

active

Prospective

The development objective of the Chile - Program for Universal Primary Healthcare Coverage and Resilience Program is to contribute to the WB Mission of ending extreme poverty and boosting prosperity on a livable planet by increasing access to quality public healthcare services and improving health system efficiency and resilience. By supporting the UPHCP across the territory of Chile, the proposed PforR (the Program) will also contribute to equity in health outcomes, thereby benefiting the population more likely to be poor. Financing of PHC in Chile comes from two sources, namely from the national budget and from contributions made by municipalities. The financing of the central government for PHC at the municipality level presents almost 90 percent of the annual budget for PHC. Of the resources provided from the National Budget, 70 percent are allocated using the per-capita mechanism, while the remainder is assigned using so-called Reinforcement Program of Primary Healthcare (Programa de Reforzamiento de la Atención Primaria de Salud, PRAPS) to finance specific PHC activites and laws. The objectives of PRAPSs are to solve the most urgent problems of access, resolution capacity and healthcare coverage by introducing a fee-for-service component into PHC financing, but in practice they are very diverse. Some PRAPSs are aimed at financing PHC-based emergency care, while others incentivize the provision of high-priority services from the PHC HBP. Other PRAPSs may even finance infrastructure investments or improvements.

FY17 - Health

World Bank Group

Project

Government