Documentos de trabajo
Case Study: HIV/AIDS in the Context of the Colombian Health Care Reform
Fecha
2012-07-01Autor
Guerrero Carvajal, Ramiro
Castro, Héctor
Institución
Resumen
Starting in the early nineties, Colombia, the third most populous country in Latin
America, implemented a profound reform of its health system. A universal social health
insurance system was created. The new system collects funds centrally, and allows for
multiple competing plans that receive risk adjusted capitated payments and are
responsible for delivering a basic and legally mandated basket of services. This case
reviews how the HIV/AIDS epidemic has been managed in the context of this reform.
The inclusion of Antiretroviral (ARV) in the mandated basic basket proved a powerful
mechanism for ensuring access to care. Results are less clear, and to some extent
disappointing, for prevention activities.