Millennium Development Goals: Per

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Millennium Development GoalsPerú

• Ministra de Salud
• Pilar Mazzetti Soler
• Abuja, December 2004

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Perú Our country, Everybody is welcome!
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Huge differences inside our country !
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Millennium Development Goals Perú

• Population 27 million inhabitants.
• Surface Area One million two.hundred thousand
  square kilometers.
  
• Coast, andean and amazonic regions.
• Indian population 60 .
• Inflation controlled.
• Terrorism
• Economy growing rapidly.

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Millennium Development Goals Perú
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Millennium Development Goals Perú

• MATERNAL MORTALITY
• Under registration.
• Adolescent pregnancy 20 .
• Main causes Hemorragies and infection.
• Shortage of trained health personnel, lack of
  motivation or badly placed.

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Millennium Development Goals Perú

• MATERNAL MORTALITY
• Clear relationship between socioeconomic level
  and mortality.
  
• Clear relationship between birhspacing and
  mortality.
  
• Highest in rural areas, the andes and the
  amazon.
  

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Millennium Development Goals Perú

• MAIN PROBLEMS
• Weak leadership, need to involve civil society
  organizations.
  
• Constant change of leadership.
• Change or lack of budget.
• Decentralization process and fragmentation of
  responsibilities.
  
• No health personnel policy encouraging work in
  difficult places.
  

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Millennium Development Goals Perú

• MAIN PROBLEMS
• Absence or no registration of statistics,
  unification process in course.
  
• Health personnel not involved in the goals,
  efforts for diffusion.
  
• Persistence of hidden centralization.
• Inequity all over the country.
• Uncoordinated social programs.

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Millennium Development Goals Perú

• MAIN PROBLEMS
• Social programs with no focus and fragmented,
  beginning to gather together around the idea of
  an integrated social development.
  
• Absence of cost-effectiveness analysis, beginning
  to build it.
  
• Lack of continuity in health interventions, need
  for empowerment of regions and integration of
  civil society.
  
• Absence of evaluation by results, development of
  management agreements.

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Millennium Development Goals Perú

• THIS HAS LEAD US TO
• Slow change in indicators, goals seen too far
  away, need for constant encouragement.
  
• Weak voice demanding continuity and orginization,
  need to build a social and political
  leadership.
  
• No clear and well known policy for reaching the
  MDGs, need to include them as a state policy.

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