ࡱ> onJ( `/ 0DArialngsܖ0ttA  0"DWingdingsܖ0ttA  0@ .  @n?" dd@  @@`` @L   0AA@8  3ʚ;ʚ;g4IdIdA  0Pppp@ <4dddd@k 0tA  80___PPT10 pp/Gua de trabajo No. 2 Grupo No. 6Participantes.- "((Celia Lomuto, Argentina Ruth Caldern, Bolivia Migdalia Vzquez, Puerto Rico Edgar Lezama, Mxico Mara Antonia Florentn, Paraguay Claudia Suarez, SISCA. Fernando Amado, Guatemala P#3$RECTORIAElementos prioritarios en SMNI: Explicitar el Modelo de atencin, y que este bien definido los ejes temticos que desarrollar. Lecciones Aprendidas: Debe traducirse en leyes de estado que aseguren el financiamiento y sostenibilidad. Los programas focalizados promueven la segmentacion y fragmentacion de los sistemas de salud. Queda excluida la poblacion migrante. Prximos pasos: Disear planes de monitoreo y evaluacin que permitan evidenciar el progreso en cobertura y que permita hacer reajustes pertinentes y reorientar procesos.. ZZ L                            PROVISIN DE SERVICIOSElementos Prioritarios: Disponer de servicios de salud de todos los niveles de atencin, con normas de habilitacin que asegure capacidad resolutiva de acuerdo a complejidad. Disponer de: Recurso Humano competente (multidisciplinario, capacitado, bien distribuido de acuerdo a las necesidades de atencin y provisin de servicios. Infraestructura, equipamiento, insumos, normativa. >PROVISIN DE SERVICIOSLecciones aprendidas: el no disponer de RRHH, RRTT, RRFF, contribuye al deterioro de la calidad, cobertura y oportunidad de la atencin MNI. Prximos Pasos: Disponer de programas de formacin de RRHH acorde con las necesidades del pas, y de la red de servicios de salud.BtztPROVISIN DE SERVICIOS'Retomar el rol de las matronas/parteras profesionales. Institucionalizacin del recurso humano/ Fortalecer la carrera sanitaria, que garantice la permanencia y disminuya la migracin, y el ndice de rotacin. Fortalecer el rol de la enfermera especializada en cuidados obsttricos y neonatales.(Z( FINANCIAMIENTO Y ASEGURAMIENTO(iElementos Prioritarios: Que el financiamiento provenga de fondos nacionales (aporte de usuario segn nivel de ingreso, impuesto, otros), y que est respaldado por un marco jurdico que garantice la transparencia. Lecciones aprendidas:Fomentar la corresponsabilidad, en donde tanto la poblacin segn nivel de ingreso aporte y el Estado asuma su rol asegurador. 6j FINANCIAMIENTO Y ASEGURAMIENTO(Prximos pasos: Cada pas debe analizar sus posibles fuentes externas de financiamiento en base a posibilidad de pago y sostenibilidad. Disponer con mecanismos de vigilancia social que garantice transparencia. Que las agencias de cooperacin internacional apoyen a los pases a generar evidencias (investigacin) que permitan contar con un diagnstico actualizado que les aporten elementos para disear estrategias efectivas y sostenibles. Favorecer la cooperacin horizontal.:ZZU!  0` 3L:̪3fܗ` =XL=xt=x̙` 3fL3[[E)̙` ff` 3F433` f3ϫ̙` ff̙f` @K=3NLGwt` geff>?" dd@,?" dd@   " @ `"  n?" dd@   @@``PT    @ ` `6p>> <(  <Z  <# "2 <  BCDEF"d@ @`s"*    < c BCDEF"v @ @`" * <  BtCDEF"d@ tttt@`s"*  i` Z P <# "P < c B CDEF @))<  _ wv J c /JVJBeW<_JW R"R"F(.6 JJJQ^tkK-,&k < < TX@`"x\  P < " P  < BCDE<FF|urBAwK-Id<|u $@`"lP  < BCaDE@FJ$6B*r0a6T~~xZB<$$"$@`"u / [  < BzCDE,F6  (<y6"zL^Z6@`" 5P D  < BCBDE4F> rN<`*B~rr @`",d  < B*CHDE4F> $  $**0 H$$ @`"  d < c TBCDEF @88 1$s[6C6&fH~fM~ vpjd^ L@. $*<HW090HH<< HC<=<1HNZxNrt@`"Z  <# "^ < BmCDEdFn<BlU1mg~Or+ZH6$k_H B 6*48@`"F < BCDEXFb`$ <hZg gnm\=.0@`"F < BGC<DEXFb 5;A*G6G<;6/*$* 000$.0@`"&m,& < BCDEHFR0Hr `6`<fHlTx`r`f6&(@`"W < B;C<DE4F> ;))$/*565</6#0$;; @`"Kf < (BCDEhFr$*TM/TYB;$  /MSYe } $$68@`" < 6A  " `` A  _+Haga clic para cambiar el estilo de ttulo , ,= < 0`A  " ` A  kHaga clic para modificar el estilo de texto del patrn Segundo nivel Tercer nivel Cuarto nivel Quinto nivel7    l < 6mA  #" `` ` A  Z*  < 6$A  #" ``  A  \*  < 6  0 UM@(  @Z  @# " |2 @  BCDEF"d@ @`s"*    @ c BCDEF"v @ @`" * @  BtCDEF"d@ tttt@`s"*  m\| Z N @# "M @ c B CDEF @))<  _ wv J c /JVJBeW<_JW R"R"F(.6 JJJQ^tkK-,&k < < TX@`"x\  N @ " N  @ BCDE<FF|urBAwK-IP<|u $@`"lN  @ BCaDE@FJ$6B*r0a6T~~xZB<$$"$@`"u / [  @ BzCDE,F6  (<y6"zL^Z6@`" 5P D  @ BCBDE4F> rN<`*B~rr @`",d  @ B*CHDE4F> $  $**0 H$$ @`"  d @ c TBCDEF @88 1$s[6C6&fH~fM~ vpjd^ L@. $*<HW090HH<< HC<=<1HNZxNrt@`"Z  @# "^ @ BmCDEdFn<BlU1mg~Or+ZH6$k_H B 6*48@`"F @ BCDEXFb`$ <hZg gnm\=.0@`"F @ BGC<DEXFb 5;A*G6G<;6/*$* 000$.0@`"&m,& @ BCDEHFR0Hr `6`<fHlTx`r`f6&(@`"W @ B;C<DE4F> ;))$/*565</6#0$;; @`"Kf @ (BCDEhFr$*TM/TYB;$  /MSYe } $$68@`" @ <[  " `   _+Haga clic para cambiar el estilo de ttulo , , @ 0m  "p`     n:Haga clic para modificar el estilo de subttulo del patrn; ; @ 64B  #" `` `   Z*  @ 6  #" `` `   \*  @ 6  #" ``    \* T @ <v޽h @ ? 3F433___PPT10i. `+D=' 6 = @B +0 0  0(  x  c $ x @ `   x  c $x @p`     H  0޽h ? 3380___PPT10.a01`0  0 0 0(   x  c $G6 < ``  6  x  c $p6 < ` 6  H  0޽h ? 3380___PPT10.aЋ80  0 @0(  x  c $! < ``    x  c $t < `   H  0޽h ? 3380___PPT10.a0  0 P0(  x  c $6 < ``  6  x  c $6 < ` 6  H  0޽h ? 3380___PPT10.a0  0 `0(  x  c $ A < ``  A  x  c $A < ` A  H  0޽h ? 3380___PPT10.axV0  0 p0(  x  c $6 < ``  6  x  c $6 < ` 6  H  0޽h ? 3380___PPT10.d 0  0  0(   x  c $b6 < ``  6  x  c $|S6 < ` 6  H  0޽h ? 3380___PPT10.e@?0  0 $0(  $x $ c $96 < ``  6  x $ c $L@6 < ` 6  H $ 0޽h ? 3380___PPT10.er4R-UeWY[ ^E`}bR5d Oh+'0T hp    $,Guia de trabajo No. 2 GLOBALCOMMMountain Top acunamar7Microsoft Office PowerPoint@d@PI"b@1 tGSg  )'    """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___wwwff4'A x(xKʦ """)))UUUMMMBBB999|PP3f3333f333ff3fffff3f3f̙f3333f3333333333f3333333f3f33ff3f3f3f3333f3333333f3̙33333f333ff3ffffff3f33f3ff3f3f3ffff3fffffffff3fffffff3f̙ffff3ff333f3ff33fff33f3ff̙3f3f3333f333ff3fffff̙̙3̙f̙̙̙3f̙3f3f3333f333ff3fffff3f3f̙3ffffffffff!___www"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"""D"C"D"C"D"C"D"C"D"""D"""C""D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"J"D"D"D"JCD"JCD"JCD"JCD"JCD"D"D"D"D"D""D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"D"C"D"""D"C"D"DCD"D"D"DCD"D"D"DCD"D"D"""D"C"DJCJCJDJCJCJCJDJCJCJCJDJCJCJCJDJCJCJCJDJCJCJCJDJCJCJCJDJCJCJCJDJCJCJCJDJCJCJCJ"D"D"D"D"D"D"DCJDJCJDJCJDJCJDJCJDJ"DDJCJDD"D"D"D"D""DCJ"DCD"DCJ"DCD"DCJ"DCD"DCJ"DCD"DCJ"DCD"DCJ"DCD"DCJ"DCD"DCJ"DCD"""D"""D"""D"""D"""D"DCJCJCJ"DCJCJCJCDCJCJCJCDCD""CJ"""D""JDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJ"D"D"D"D"D"D"D"D"D"mDmJmDmJmDD"DDmJmDmJmDmJmDmJmDm"D"D"D"D"DDJCJDJCJDJCJDJCJDJCJDJCJDJCJDJCJDJCJDJCJDJCJDJCJDJCJDJCJDJCJ"D"C"D"C"D"C"D"CDmDJDmDmDmDJDD"CDmDJDmDmDmDJDmDmDmDJ"D"C"D"mJmJmJmDmJmJmJmDmJmJmJmDmJmJmJmDmJmJmJmDmJmJmJmDmJmJmJmDmJm"D"D"J"D"D"D"nmn"nJmJnmnJnJm"J"D"nJmJnmnJnJmJnmnJnJmJJ"D"DDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJDJ""DJDJDJDJDJDJDJDJDC"""D"""C""JmJmJC"mJmJmJmJm"D"""C"mJmJmJmJmJmJmJmJmJD"""CJmJmJmJmJmJmJD"mJmJmJmJmJm"mJmJmJmJmJm"D"mJmJmJmJmJmJmJmJD"D"D"D"D"nmsmnJsmDmsmnJsmn"D"DsmnJsmnmsmnJsmnms"D"D"mDmJmDJJD"mJmDJJmDmJm"JJmDmJmDJ"D"C"D"JJmDmJmDJJm"m"D"""D"C"DJmmDJnmnJm"DJnmnJm"DnJmmnJnmnJmmnJC"D"JnJnJD"D"nJnJnJnJn"nJnJnJnJn"D"D"D"JnJnJnJD"D"D"D"Dsms"smsms"D"smsmsmsms"D"smsmsmD"D"mJmD""D"mJm"mJm"""mDmJmDm"D"""D"mJm"m"D"""D"mnJnmD"""JnmnJn"D"nJD"D"JnJnJD"D"Jn"Dsms"DmD"________________________________________e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e__e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e___ee_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_ee__ee_e__e_e_e_e_e_e_e_e_e_e_e_e_e_e_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_ee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee__e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e____e____e____e____e____e____e____e____e____e____e____e____e___e____e____e____e____e____e____e___eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_ee_e_ee_e_ee_e__e_e_ee_ee_ee_ee_ee_ee__eee__ee__eeee_e_ee_ee_e_ee_e_ee_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e__e__e__e__e__e________ee____e__e____ee___e_e_e_e__e____e__e__e__e__e__e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e__ee_e__ee_e__e_e_ee_e_e_e_eee_e_ee_e_e_e_eee______ee_e___e__ee_e__ee_e__eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e_e_e_e_e_e_e_e__e_e___e_e__eee_e_ee__e_e___e___e_e_e___e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_ee_eeee_eeee_eee_eeeeee_eee_eeeee_eee_ee_eee_ee_eeeeeeee_eeeeee_eeee_eee_e_e_e_e_e_e_e_e_e_e_e_e___e_e_e_e_e__e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e__e_e_e_e_e_e_e_e_e_e_e_e_e_eee_e_e_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e__e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_ee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee_eeeeee__e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_ee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_ee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_eee_?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]_`abcdeghijklmpRoot EntrydO)Current UserfSummaryInformation(3 UPowerPoint Document(eDocumentSummaryInformation8^