El sector de las industrias extractivas

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Publisher : World Bank Publications
ISBN 13 : 1464806136
Total Pages : 186 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis El sector de las industrias extractivas by : Håvard Halland

Download or read book El sector de las industrias extractivas written by Håvard Halland and published by World Bank Publications. This book was released on 2016-03-15 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: El sector de las industrias extractivas (IE) ocupa un lugar considerable en las economías de muchos países en desarrollo. Los economistas y los profesionales de las finanzas públicas que trabajan en estos países suelen enfrentarse a problemas que exigen un entendimiento profundo del sector, su economía, su buen gobierno y los desafíos en materia de políticas, así como a las consecuencias de la abundancia de recursos naturales para la gestión fiscal y de las finanzas públicas. El objetivo del estudio de tres volúmenes denominado Essentials for Economists and Public Finance Professionals, publicado en la serie de estudios realizados por el Banco Mundial, es presentar un panorama general conciso de los temas relacionados con las IE que estos profesionales probablemente deban encarar. En el primer volumen, "The Extractive Industries Sector", se ofrece una reseña general de las cuestiones fundamentales para la economía de las IE; se analizan los componentes principales del buen gobierno, las políticas y los marcos institucionales del sector, y se identifican las obligaciones de financiamiento del sector público relacionadas con las IE. El análisis de la economía de las IE abarca la valuación de los activos subterráneos, la interpretación económica del mineral y la estructura de los mercados de la energía y los minerales. En este volumen se determinan las responsabilidades de las entidades gubernamentales correspondientes y se describen las características de los marcos jurídicos y normativos del sector de las IE. Se analizan brevemente las funciones clave y específicas del sector, además de las estructuras financieras que sustentan las salvaguardas ambientales y sociales; la inversión de los ingresos públicos provenientes del petróleo, el gas o los minerales, así como la diversificación económica basada en las industrias extractivas. Los autores esperan que este volumen resulte de utilidad a los economistas y los profesionales de las finanzas públicas que trabajan en países ricos en recursos (incluidos los encargados de la toma de decisiones en ministerios de finanzas, organizaciones internacionales y otras entidades relevantes) para la comprensión y el análisis del sector de las IE.

Gobernanza de las industrias extractivas : política, historia, ideas

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (122 download)

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Book Synopsis Gobernanza de las industrias extractivas : política, historia, ideas by : Anthony Bebbington

Download or read book Gobernanza de las industrias extractivas : política, historia, ideas written by Anthony Bebbington and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Las ideas para el proyecto de investigación sobre el cual se basa este trabajo se empezaron a gestar lentamente en 2012, como parte de discusiones más amplias al interior del Centro de Investigación sobre Estados Eficaces y Desarrollo Inclusivo (Effective States and Inclusive Development, ESID), un esfuerzo de colaboración internacional entre centros de investigación coordinado por el Instituto para el Desarrollo Global (Global Development Institute) en la Universidad de Mánchester. La pregunta unificadora del ESID fue la siguiente: ¿Qué tipo de dinámicas políticas pueden ayudar a garantizar el desarrollo inclusivo y cómo estas pueden promoverse? El proyecto de investigación indagaba sobre cómo podían entenderse en el largo plazo las interacciones entre acuerdos políticos, gobernanza de la industria extractiva y patrones de inclusión. Cada uno de los autores había trabajado el tema de las industrias extractivas durante varios años y era más que evidente que las dinámicas políticas constituían un elemento central de la manera en que se aplica la gobernanza en este sector. Sin embargo, el reto de encontrar un lenguaje formal para hablar sobre esta dimensión política y de hacerlo de manera tal que permita una comparación sistemática y una síntesis a través de diferentes contextos de país despertaba nuestro interés. Y así empezó la iniciativa que ha culminado en este libro.

Informe Del Ministerio de Industria, Turismo Y Comercio

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Publisher :
ISBN 13 :
Total Pages : 786 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Informe Del Ministerio de Industria, Turismo Y Comercio by :

Download or read book Informe Del Ministerio de Industria, Turismo Y Comercio written by and published by . This book was released on 2004 with total page 786 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Security and Defence in Europe

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Publisher : Springer
ISBN 13 : 303012293X
Total Pages : 278 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Security and Defence in Europe by : J. Martín Ramírez

Download or read book Security and Defence in Europe written by J. Martín Ramírez and published by Springer. This book was released on 2019-05-24 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book argues that security and defense have never been true priorities in the European Union, and have constantly been marginalized by the elites since the Soviet Union collapsed and the Warsaw Pact disintegrated. Despite the official rhetoric, only a few tangible results can be presented concerning the operational readiness of European forces, and the EU’s inability to act was proven during the crises in the Balkans, NATO has experienced similar problems, as the majority of its members are EU countries. Both organizations have declared their resolve concerning the security and defense of their nations and territories, but, unfortunately, little has been done to lend these statements credence. In this context, the book analyzes several aspects of EU security and defense, including: the EU – NATO relationship, common defense policy and strategy, common capability building, common understanding of strategic changes, common operational planning and centrally synchronized exercises based on operational planning, etc. The member states have helped to make EU/NATO effective organizations, but unfortunately their individual interests and priorities constitute real challenges. This aspect should be discussed and addressed by political and military elites, scholars, analysts, students and the general public alike.

Extractive Sector and Civil Society

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Publisher : Inter-American Development Bank
ISBN 13 :
Total Pages : 248 pages
Book Rating : 4./5 ( download)

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Book Synopsis Extractive Sector and Civil Society by : Flavia Milano

Download or read book Extractive Sector and Civil Society written by Flavia Milano and published by Inter-American Development Bank. This book was released on 2018-10-16 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: 4% of Latin America and the Caribbean’s GDP comes from the extractive sector. This figure is equivalent to the amount generated by agriculture in the same region. An effective engagement between governments, companies, and civil society is required to propel sustainable development. With this regional diagnosis of countries rich in natural resources like Argentina, Chile, Colombia, Mexico, Peru, and the Dominican Republic, the IDB seeks to shed light on best practices among stakeholders of the extractive sectors. It focuses in actions of information, dialogues, consultations, collaborations, and partnerships that are driving development in the region. From the findings of the diagnosis, 3 roadmaps were drafted, to guide the stakeholders in strengthening their engagement.

Industrial Communication Technology Handbook, Second Edition

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Publisher : CRC Press
ISBN 13 : 113800149X
Total Pages : 1564 pages
Book Rating : 4.1/5 (38 download)

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Book Synopsis Industrial Communication Technology Handbook, Second Edition by : Richard Zurawski

Download or read book Industrial Communication Technology Handbook, Second Edition written by Richard Zurawski and published by CRC Press. This book was released on 2014-11-07 with total page 1564 pages. Available in PDF, EPUB and Kindle. Book excerpt: Featuring contributions from major technology vendors, industry consortia, and government and private research establishments, the Industrial Communication Technology Handbook, Second Edition provides comprehensive and authoritative coverage of wire- and wireless-based specialized communication networks used in plant and factory automation, automotive applications, avionics, building automation, energy and power systems, train applications, and more. New to the Second Edition: 46 brand-new chapters and 21 substantially revised chapters Inclusion of the latest, most significant developments in specialized communication technologies and systems Addition of new application domains for specialized networks The Industrial Communication Technology Handbook, Second Edition supplies readers with a thorough understanding of the application-specific requirements for communication services and their supporting technologies. It is useful to a broad spectrum of professionals involved in the conception, design, development, standardization, and use of specialized communication networks as well as academic institutions engaged in engineering education and vocational training.

forum for inter-american research Vol 6

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Author :
Publisher : BoD – Books on Demand
ISBN 13 : 3946507824
Total Pages : 414 pages
Book Rating : 4.9/5 (465 download)

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Book Synopsis forum for inter-american research Vol 6 by : Wilfried Raussert

Download or read book forum for inter-american research Vol 6 written by Wilfried Raussert and published by BoD – Books on Demand. This book was released on 2023-07-20 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt: Volume 6 of 6 of the complete premium print version of journal forum for inter-american research (fiar), which is the official electronic journal of the International Association of Inter-American Studies (IAS). fiar was established by the American Studies Program at Bielefeld University in 2008. We foster a dialogic and interdisciplinary approach to the study of the Americas. fiar is a peer-reviewed online journal. Articles in this journal undergo a double-blind review process and are published in English, French, Portuguese and Spanish.

OECD Public Governance Reviews: Honduras Inclusive and Effective Governance for Better Outcomes

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Publisher : OECD Publishing
ISBN 13 : 9264979220
Total Pages : 150 pages
Book Rating : 4.2/5 (649 download)

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Book Synopsis OECD Public Governance Reviews: Honduras Inclusive and Effective Governance for Better Outcomes by : OECD

Download or read book OECD Public Governance Reviews: Honduras Inclusive and Effective Governance for Better Outcomes written by OECD and published by OECD Publishing. This book was released on 2023-01-30 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: The OECD Public Governance Review of Honduras offers recommendations to strengthen the effectiveness, coherence and openness of the country’s public sector, and in particular its centre of government. It first provides an overview of Honduras’s public sector and assesses its performance across interrelated dimensions.

China Engages Latin America

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Author :
Publisher : Springer Nature
ISBN 13 : 3030960498
Total Pages : 295 pages
Book Rating : 4.0/5 (39 download)

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Book Synopsis China Engages Latin America by : R. Evan Ellis

Download or read book China Engages Latin America written by R. Evan Ellis and published by Springer Nature. This book was released on 2022-03-14 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores China’s engagement with Latin America and the Caribbean as a case study of its broader effort to use commercial tools and instruments of state to create a global economic order that functions to its benefit, while neutralizing challenges from institutions, states, and others that would oppose it. Unlike the common representation of the Cold War as a political-military struggle, this work uniquely examines China’s current efforts as primarily seeking to dominate global value chains, with supporting political, technological, and military components. In this regard, it both leverages and goes beyond works based on dependency theory, which has played a key role in the academic and popular discourse in the region. The book examines evidence for China’s economically-focused strategy within Latin America and the Caribbean, including the interrelationships and coordination between China’s activities in different sectors, and between commercial, political, and other dimensions in the region. It further looks at the supporting role played by a diverse range of Chinese initiatives, from China’s Belt and Road initiative, to people-to-people diplomacy, soft power, security engagement, and the PRC struggle with Taiwan for diplomatic recognition in the region, among others. The book highlights the implications for Latin America and the Caribbean, and for the U.S. whose prosperity and security is intimately tied to the region.

Inter-American Yearbook on Human Rights / Anuario Interamericano de Derechos Humanos, Volume 32 (2016)

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Author :
Publisher : BRILL
ISBN 13 : 900453055X
Total Pages : 1013 pages
Book Rating : 4.0/5 (45 download)

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Book Synopsis Inter-American Yearbook on Human Rights / Anuario Interamericano de Derechos Humanos, Volume 32 (2016) by : Inter-American Commission on Human Rights

Download or read book Inter-American Yearbook on Human Rights / Anuario Interamericano de Derechos Humanos, Volume 32 (2016) written by Inter-American Commission on Human Rights and published by BRILL. This book was released on 2022-11-07 with total page 1013 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Besteuerung der industriellen Gewinnung von Bodenschätzen

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Publisher : Springer
ISBN 13 :
Total Pages : 540 pages
Book Rating : 4.3/5 (512 download)

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Book Synopsis Besteuerung der industriellen Gewinnung von Bodenschätzen by : International Fiscal Association

Download or read book Besteuerung der industriellen Gewinnung von Bodenschätzen written by International Fiscal Association and published by Springer. This book was released on 1978 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: Of national reports delivered at the 32nd congress of the International Fiscal Association which was held in Sydney, 1978. The report by the general reporter is published in full in four languages.

Transparent Governance in an Age of Abundance

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Publisher : Inter-American Development Bank
ISBN 13 : 159782187X
Total Pages : 454 pages
Book Rating : 4.5/5 (978 download)

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Book Synopsis Transparent Governance in an Age of Abundance by : Juan Cruz Vieyra

Download or read book Transparent Governance in an Age of Abundance written by Juan Cruz Vieyra and published by Inter-American Development Bank. This book was released on 2014-10-31 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the last decade, the Latin American and Caribbean region has experienced unprecedented natural resources abundance. This book highlights how transparency can help realize the benefits and reduce negative externalities associated with the extractive industries in the region. A central message is that high-quality and well-managed information is critical to ensure the transparent and effective governance of the sector. The insights from experiences in the region can help policymakers design and implement effective regulatory reforms and adopt international standards that contribute to this goal. This is particularly important at a time when the recent boom experienced by extractives in the region may be coming to an end.

The Politics of Public Accountability

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Publisher : Springer Nature
ISBN 13 : 3030289958
Total Pages : 227 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis The Politics of Public Accountability by : Guillaume Fontaine

Download or read book The Politics of Public Accountability written by Guillaume Fontaine and published by Springer Nature. This book was released on 2019-11-13 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book seeks to consistently explain the role of ideas and institutions in policy outcomes, and addresses the problem of how resource nationalism causes a deficit of public accountability in oil producing countries from Latin America and the Caribbean. The authors present a causal mechanism linking ideas and policy outcomes through institutional arrangements, focusing on policy design to describe the role of instruments selection and combination in improving or reducing public accountability through agenda setting, policy formulation, cross-sectorial coordination and political interplays.

Proposed Legislation to Authorize a Political Status Referendum in Puerto Rico

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Publisher :
ISBN 13 :
Total Pages : 1200 pages
Book Rating : 4.0/5 (9 download)

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Book Synopsis Proposed Legislation to Authorize a Political Status Referendum in Puerto Rico by : United States. Congress. House. Committee on Interior and Insular Affairs. Subcommittee on Insular and International Affairs

Download or read book Proposed Legislation to Authorize a Political Status Referendum in Puerto Rico written by United States. Congress. House. Committee on Interior and Insular Affairs. Subcommittee on Insular and International Affairs and published by . This book was released on 1991 with total page 1200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Proposed Legislation to Authorize a Political Status Referendum in Puerto Rico: Hearing held in San Juan, PR, March 9, 1990

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Publisher :
ISBN 13 :
Total Pages : 1204 pages
Book Rating : 4.:/5 (4 download)

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Book Synopsis Proposed Legislation to Authorize a Political Status Referendum in Puerto Rico: Hearing held in San Juan, PR, March 9, 1990 by : United States. Congress. House. Committee on Interior and Insular Affairs. Subcommittee on Insular and International Affairs

Download or read book Proposed Legislation to Authorize a Political Status Referendum in Puerto Rico: Hearing held in San Juan, PR, March 9, 1990 written by United States. Congress. House. Committee on Interior and Insular Affairs. Subcommittee on Insular and International Affairs and published by . This book was released on 1991 with total page 1204 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Billones en juego

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Publisher : Blackstone Publishing
ISBN 13 : 1641466111
Total Pages : 237 pages
Book Rating : 4.6/5 (414 download)

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Book Synopsis Billones en juego by : NJ Ayuk

Download or read book Billones en juego written by NJ Ayuk and published by Blackstone Publishing. This book was released on 2021-02-16 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Estoy de acuerdo con los puntos planteados y con la visión de Ayuk sobre el papel fundamental que desempeñará la OPEP para ayudar a las productores de petróleo africanos a lograr una voz muy merecida en la industria petrolera” —Secretario General de la OPEP, H.E. Mohammad Sanusi Barkindo Dos décadas de negociación de transacciones de petróleo y gas han dado a NJ Ayuk un entendimiento del panorama energético en el continente que muy pocos pueden igualar. Educado en Estados Unidos, el abogado Africano en materia energética brinda dosis generosas de ese conocimiento en su segundo libro Billones en Juego: El Futuro de la Energía Africana y de Cómo Hacer Negocios. Sirviendo como guía para que el continente haga un mejor uso de sus vastos recursos energéticos a efecto de mejorar las vidas de las personas, Ayuk aborda como los países Africanos pueden utilizar sus industrias energéticas como trampolines para diversificar y crecer sus economías. Asimismo, Ayuk muestra como los gobiernos africanos y las compañías locales pueden negociar mejores tratos con compañías energéticas internacionales, y como los países del continente pueden utilizar campos marginales de petróleo y gas para desarrollar sus industrias energéticas domésticas, las cuales, una vez fortalecidas, podrán competir globalmente. Planteamientos y respuestas: Porque los incipientes recursos de gas natural de África pueden ayudar al continente a emerger como un jugador global clave en la industria Que cambios pueden hacer los países Africanos a efecto de convertirse en destinos atractivos de inversión El rol que el acceso a electricidad confiable, sustentable y asequible puede tener en la aceleración del crecimiento económico Como y porque las compañías energéticas Americanas deberían de dejar de limitar sus inversiones en África Y porque la industria energética en el continente requiere más mujeres. El tema subyacente del libro es que, en demasiadas ocasiones, los recursos naturales crean riqueza para inversionistas extranjeros y un selecto grupo de elites Africanas, mientras que el resto de la gente (y, en consecuencia, las economías Africanas) no obtienen ningún beneficio. Si bien es fácil percibir que existe una falta de participación local en proyectos en África, así como un constante reto para obtener las inversiones necesarias, es importante entender nuestro rol en esto. Debemos comprender la importancia de crear ambientes propicios con términos fiscales atractivos para inversionistas locales y extranjeros, el rol de políticas de contenido local más solidas a efecto de asegurar participación local en el sector, y el peso que el gobierno y la inestabilidad política tienen en el desarrollo de los proyectos. “Depende de los Africanos arreglar África,” escribe Ayuk. Este enunciado puede considerarse como un tema vivo en el libro, ya que promueve que compañías locales y gobiernos celebren convenios de colaboración en lugar de compromisos pasivos con compañías energéticas internacionales y los grandes jugadores del sector. “[Necesitamos] inversionistas que muestren interés en participar completamente con nosotros, entrando al mercado y construyendo negocios sustentables y rentables de largo plazo, creando empleos y desarrollo adicional.” Si estas listo para sumergirte a profundidad y acceder a un franco análisis y examen del panorama energético en África y como los Africanos pueden comenzar a arreglar África, adéntrate a las páginas de Billones en Juego. ENGLISH VERSION “I agree with the points made—and with Ayuk’s case for the critical role that OPEC will play in helping African oil products achieve a much-deserved voice in the petroleum industry.” —OPEC Secretary-General, H.E. Mohammad Sanusi Barkindo Two decades of negotiating African oil and gas deals have given NJ Ayuk a grasp of the continent's energy landscape that few can match. The American-educated, African energy lawyer serves up generous doses of that insight in his second book, Billions at Play: The Future of Africa Energy and Doing Deals. Serving as a road map for the continent to do a better job of using its vast energy resources to improve its peoples' lives, Ayuk addresses how African countries can use their energy industries as springboards for diversifying and growing their overall economies. In addition, Ayuk shows how African governments and local companies can negotiate better deals with international energy companies and how the continent's countries can use marginal oil and gas fields to develop domestic energy industries that, once strong, will compete globally. Questions posed and answered: Why Africa's fledgling natural gas resources can allow the continent to emerge as a key global player in the industry What changes African countries can make in order to become attractive investment destinations The role that access to reliable, sustainable, and affordable power can play in the acceleration of economic growth Why and how American energy companies should stop curtailing their investments in Africa And why the continent’s energy industry needs more women The book’s underlying theme is that too often, natural resources create wealth for foreign investors and a select group of African elites while everyday people (and in turn, African economies) fail to benefit. While it is easy to see that there is a lack of local participation in African projects and an ongoing challenge in securing necessary investment, we also need to understand our role in this. We have to understand the importance of creating enabling environments with attractive fiscal terms for local and foreign investors, the role of stronger local content policies in ensuring more local participation in the sector, and the weight government and political uncertainty carries in moving projects forward. “It’s up to Africans to fix Africa,” writes Ayuk. This statement can be considered a living theme throughout the book as he encourages that local companies and governments have to enter into collaborative agreements rather than passive engagements with IOCs and majors. “[We need] investors who show that they want to fully participate with us, by coming in and building long-term sustainable businesses that last and make a profit, create jobs and further development.” If you’re ready to dive headfirst into accessing a frank analysis and examination of the African energy landscape and how Africans can begin to fix Africa, jump into the pages of Billions at Play.

Hacia la cobertura universal en salud y la equidad en América Latina y el Caribe

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Author :
Publisher : World Bank Publications
ISBN 13 : 1464811784
Total Pages : 239 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Hacia la cobertura universal en salud y la equidad en América Latina y el Caribe by : Tania Dmytraczenko

Download or read book Hacia la cobertura universal en salud y la equidad en América Latina y el Caribe written by Tania Dmytraczenko and published by World Bank Publications. This book was released on 2017-11-20 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: En las ultimas tres decadas, muchos pafses en America Latina y el Caribe han reconocido el tema de la salud como un derecho humano. Desde inicios de la decada del 2000, 46 millones de personas adicionales, de los pafses estudiados, gozan de la protecci6n de programas de salud con explfcitos derechos a recibir atenci6n. Las reformas han venido acompafiadas por un incremento en el gasto publico del sector salud, financiado en gran pa rte por los ingresos fiscales generales que priorizan o estan dirigidos explfcitamente hacia las poblaciones sin capacidad de pago. Los compromisos polfticos se han traducido en general en presupuestos mas elevados yen leyes aprobadas que circunscriben los fondos destinados al sector salud. En la mayorfa de los pafses se ha priorizado la atenci6n primaria en salud por su costo efectividad y han adoptado metodos de adquisici6n que incentivan la eficiencia y la transparencia en los resultados y que les dan a los administradores del sector salud un mayor apalancamiento para dirigir a los proveedores hacia la . consecuci6n de las prioridades de salud publica. Sin embargo, a pesar de los avances. aun subsisten las disparidades en el financiamiento y calidad de los servicios de los subsistemas de salud. Cumplir con el compromiso de la cobertura universal de salud exigira esfuerzos concertados para mejorar la generaci6n de los ingresos fiscales de manera sostenible y de elevar la productividad y efectividad del gasto. En el re po rte Hacia la cobertura universal en salud v la equidad en America Latina v el Caribe: Evidencia de poises seleccionados. los autores sefialan que la evidencia tomada de un analisis de 54 encuestas de hogares corrobora que las inversiones en la ampliaci6n de la cobertura estan generando resultados. A pesar que los pobres aun presentan los peores fndices de salud en comparaci6n con los ricos, las disparidades se han reducido en gran medida, especialmente durante las primeras etapas de vida. Los pafses han alcanzado elevados niveles de cobertura y equidad en la utilizaci6n de los servicios de salud maternoinfantil. El panorama se torna mas lleno de matices y no tan positivo cuando se trata de la salud en adultos y de la prevalencia de condiciones y enfermedades cr6nicas. La cobertura de las intervenciones de enfermedades no transmisibles no es muy alta y la utilizaci6n de los servicios se inclina hacia aquellos que gozan de una mejor posici6n. La prevalencia de las enfermedades no transmisibles no ha mostrado el comportamiento esperado en vista de la cafda en las tasas de mortalidad: un mayor acceso a los servicios de diagn6stico por pa rte de los segmentos mas ricos podrfa encubrir cambios en la prevalencia real. Los gastos de salud provocados por situaciones catastr6ficas han ido en descenso en la mayorfa de los pafses. El panorama en torno a la equidad, sin embargo es mixto, apuntando hacia limitaciones en la medida. Si bien la tasa de empobrecimiento a causa de gastos de salud es baja, con tendencia decreciente en terminos generales, entre dos y cuatro millones de personas en los pafses estudiados aun caen por debajo de la lfnea de la pobreza despues de haber incurrido en gastos de salud. Los esfuerzos para darle un seguimiento sistematico a la calidad de la atenci6n en la region, apenas dan sus primeros pasos. Sin embargo, un repaso a la literatura revela graves deficiencias en la calidad de la atenci6n de salud, asi como sustanciales diferencias entre los diversos subsistemas. Elevar la calidad de la atenci6n y asegurar la sostenibilidad de las inversiones en salud siguen siendo una agenda inconclusa.