This document discusses health reform in El Salvador from the perspective of the Vice Minister of Health. It outlines the country's approach which focuses on health promotion, comprehensive primary health care, and strengthening community organization. The reform prioritizes equity and tackles social determinants of health. It also describes 8 priority axes for the national health system including comprehensive services, intersectoral work, emergency response, and developing a unique health information system.

1. HiAP:
Health Promotion
and Health Reform
Eduardo Espinoza
Viceminister of Health
El Salvador, Central America
A Country Perspective

2. HEALTH REFORM: AN INTEGRAL RESPONSE TO 70
YEARS OF ABANDONMENT AND PRIVATIZATION
Health as a public good and as a guaranteed human right by
the state.
Reorients National Health System towards health promotion
and Comprehensive Primary Health Care
Strengthens community organization, social participation and
intersectoral work
Promotes the constant search for EQUITY
Identifies and tackles social determination of health
2

3. 3

4. 8 Priority axis
(Social participation is a cross-cutting axis)
Comprehensi
ve health
services
network
National
Health
Forum
National
Health
Institute
Intersectoral
work
Drugs
Medical
Emergency
System
Human
Resources
Development
Unique
Health
Information
System
4

5. Defending the right to water
of mining pollution

6. CISALUD has collectively identified and
prioritized the issues to be addressed within the
Commission
Water
Food Security
Drugs
Environment
Working conditions
Childhood and youth
Lifestyles
Chronic diseases
Communicable
diseases
Disasters
Intersectoriality
6

7. It is approached through
emblematic cases/problems
Environment
Poisoning of
children due to
batteries from
Record factories
THREAT to water
and health from
mining exploitation
of the Cerro Blanco
(Guatemala) and
Santa Marta (El
Salvador)
CHRONIC KIDNEY
DISEASE
And its relationship
with
AGROCHEMICALS
(pesticides)

8. Mining progress? No, thanks

9. Main Achievements of CISALUD
Institutional Leadership and creation of interinstitutional
alliances.
Identification and response to Social Determination of
Health
Commitment of agencies with agreed upon policies and
plans
Effective space for addressing epidemics, disasters and
other emergencies.
Strengthening of the National Civil Protection System
It has provided a space and given voice to the population

10. The Real Threat:
The present
development
model
Are we brave enough, do we have the courage
to meet the challenges
and change before it is too late?