The role of JUNTOS in attaining universal health coverage in Peru

The role of JUNTOS in attaining universal health coverage in Peru

The role of JUNTOS in attaining
universal health
coverage in Peru
27.08.2013
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CONTENT
•
Background
•
JUNTOS: the Conditional Cash Transfer Program in Peru
•
The impacts of JUNTOS relative to universal health
coverage
•
Challenges
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BACKGROUND
•
JUNTOS was created in 2005 within the Peruvian Prime Minister
Office.
•
In 2011 a Ministry of Social Inclusion and Development (MIDIS)
was created in Peru, and JUNTOS was transferred to it in 2012.
•
MIDIS Social Strategy called “Inclusion for Growth” was recently
launched and it follows a life cycle approach which encompasses 5
key social objectives:
•
•
(i) infant nutrition; (ii) early childhood development; (iii) children
and adolescents development; (iii) economic inclusion; and (iv)
protection of the elderly.
Juntos has a contribution to the first and third aforementioned social
objectives.
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JUNTOS: the Conditional Cash Transfer Program in
Peru
•
JUNTOS benefits families living in poverty conditions in rural areas
in Peru (targeted program).
•
Its objectives include:
•
•
poverty alleviation in the short term.
•
enhancing future opportunities for children and young people,
by improving access to basic health, nutrition and education.
It provides a bimonthly transfer of S/.200 (approximately 70 US
dollars) to households that have been previously affiliated.
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JUNTOS conditionalities
Pregnant women
Children and
young people
• Regular health controls
• Up to 36 months of age:
growth and development
controls attendance
• From 3 to 5 years old:
kindergarden attendance.
• From 6 to 19 years old:
primary and secondary school
attendance.
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JUNTOS service delivery
1. Household affiliation, which in turn depends on the
information about poor households developed by the
MIDIS´s Targeting System.
3 main
processes
2. Verification of conditionality fulfillment which is done in
coordination with health and education institutions.
3. Payment
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IMPACTS IN ACCES TO HEALTH SERVICES
•
According to MIDIS public data, since 2009 up today more than
95% of households have accomplished conditionalities in health
and nutrition.
•
According to a recent World Bank study:
•
The probability that children affiliated to JUNTOS would have
received health controls 3 months before the survey and would
have received health care in case of illness, was 69% and 55%
in each case1/.
•
The probability that women affiliated to the program have had
access to professional assistance during delivery was 91%1/.
1/ Perova, Elizaveta and Vakis, Renos, Más tiempo en el Programa, Mejores resultados: Duración e Impactos del Programa JUNTOS
en el Perú, World Bank: 2011.
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IMPACTS IN NUTRITIONAL OUTCOMES
Evolution of Malnutrition on Peru 2/
2/ Sanchez, Alan y Jaramillo, Miguel, El impacto del Programa Juntos sobre la nutrición temprana, Grade, Lima: 2013.
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CHALLENGES
•
Undercoverage of health services in areas where Juntos operates.
•
The verification process, which is extremely important in order
ensure that cash transfers are given to households that comply with
conditionalities, must be improved.
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Thank you
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