title: [The health system of Honduras].
abstract: This paper describes the health system of Honduras, including its challenges, structure coverage, sources of financing, resources and stewardship activities. This system counts with a public and a private sector. The public sector includes the Ministry of Health (MH) and the Honduran Social Security Institute (HSSI). The private sector is dominated by a set of providers offering services payed mostly out-of-pocket. The National Health Plan 2010-2014 includes a set of reforms oriented towards the creation of an integrated and plural system headed by the MH in its stewardship role. It also anticipates the creation of a public health insurance for the poor population and the transformation of the HSSI into a public insurance agency which contracts services for its affiliates with public and private providers under a family medicine model.
authors.affiliation: Consultores en Desarrollo, Sociedad y Administración. San José, Costa Rica. juanluisbm@conedsa.com
authors.forename: Juan Luis
authors.initials: JL
authors.lastname: Bermúdez-Madriz
authors.forename: María del Rocío
authors.initials: Mdel R
authors.lastname: Sáenz
authors.forename: Jorine
authors.initials: J
authors.lastname: Muiser
authors.forename: Mónica
authors.initials: M
authors.lastname: Acosta
mesh_terms: D003256:Community Participation / Q000706:statistics & numerical data; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D003710:Demography; D005381:Financing, Organized / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D006078:Government Programs / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D005102:Health Expenditures / Q000706:statistics & numerical data; D006295:Health Resources / Q000458:organization & administration / Q000706:statistics & numerical data / Q000600:supply & distribution; D006296:Health Services / Q000191:economics / Q000706:statistics & numerical data; D006298:Health Services Administration / Q000191:economics / Q000706:statistics & numerical data; D006305:Health Status Indicators; D006721:Honduras; D006801:Humans; D007342:Insurance Benefits / Q000191:economics / Q000706:statistics & numerical data; D019458:Insurance Coverage / Q000191:economics / Q000706:statistics & numerical data; D007348:Insurance, Health / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D009936:Organizational Innovation; D017149:Private Sector / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012943:Social Security / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D014798:Vital Statistics