Multi-dimensional Review of Paraguay

Volume 2. In-depth Analysis and Recommendations

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Having achieved robust economic growth and remarkable macroeconomic stability over the past 15 years, Paraguay has set a course to become not only more prosperous, but also more inclusive by 2030. To deliver on its development ambition, the country will have to overcome a number of crosscutting constraints that limit progress towards widely shared improvements in citizen well-being, as identified in Volume 1 of the review. Putting Paraguay on a more inclusive development path requires co-ordinated actions to increase the capacity of the state to redistribute, to improve the delivery of public services, and to break the persistence of poverty and inequality across generations. This report discusses policy actions and priorities in three critical areas to make Paraguay’s development more inclusive. It presents in-depth analysis and recommendations to improve the effectiveness of social protection, the delivery of health services, and the formation of skills for all Paraguayans.

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Reforming to foster healthier lives in Paraguay

OECD Development Centre

Paraguay has set ambitious targets to improve the health of its citizens. The country faces a double burden. The weight of non-communicable diseases is growing, fuelled by longer lives but also less healthy lifestyles. At the same time, unresolved issues remain in communicable diseases, maternal, neonatal and nutritional diseases. The health system in Paraguay suffers from fragmentation and the weaknesses of its stewardship institutions. To measure up to the challenge, the country has undertaken a series of reforms, starting with a landmark law passed in 1996. The reforms have succeeded in setting the stage for a new approach to healthcare based on primary care. However, they have not altered significantly the foundations of the health system and its fragmentation into multiple subsystems. This chapter describes the health challenges that Paraguay faces and focuses on challenges in financing healthcare and in achieving universal health coverage.

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