HEALTHCARE IN BELIZE is provided through both public and private
healthcare systems. The Ministry of Health (MoH) is the government
agency responsible for overseeing the entire health sector and is also
the largest provider of public health services in
In contrast to the public health sector, the private health sector provides care to a smaller portion of the population. However, similar to the public sector, private health services are offered at a relatively low cost with a shared emphasis on quality of care and quality improvement.
* 1 Current History
* 1.1 Current Health Initiatives
* 2 Public Healthcare
* 2.1 Other Districts * 2.2 Rural Healthcare * 2.3 Mental Health
* 3 Private Healthcare
* 3.1 Private Hospitals and Clinics
* 4 Future Goals
* 5 Health status
* 5.1 National Concerns
* 6 References
The need for improved primary healthcare strategies was recognized
during the 1980s. A formalized assessment of the health sector was not
approved by the Government of
The results revealed a number of problems surrounding the health sector and identified key policy areas and priorities for improving the healthcare system. The issues identified in the diagnostic report laid the foundation for government initiated Health Sector Reform Project (HSRP), which was implemented in 2000. The primary objectives of the reform project included increasing access to care, improving quality of care, and ensuring the efficient and equitable delivery of care across both health sectors.
One of the major accomplishments of the reform project included the establishment of four health regions (northern, central, western, and southern health region) designated to provide health services to distinct geographical areas across Belize. All four health regions offer primary care and secondary care services. Only the Central Health Region, which serves the largest population in Belize, offers tertiary care services . In addition some progress was made in terms of the organization and management of the health system. The Ministry of Health (MoH) is responsible for overseeing the entire health sector and is also the largest provider of public health services.
Since the inception of the HSRP, there have been continued efforts focused on reformation of the health sector with the national goal of improving health status through accessible quality care. In line with these goals, the health agenda for the 2007–2011 National Health Plan included a list of essential public health functions that specified minimum performance levels that both the public and private health sector must adhere to in order to maintain and improve health outcomes.
During this time, there was also further expansion of primary care services and an increasing emphasis on mental health. For example, the MoH launched a strategic mental health plan in 2009 aimed at integrating mental health services into primary care. Specifically, the mental health plan aims to achieve greater mental health through increased delivery of community-based care and targeted efforts to improve prevention and management of mental disorders as well as improved psychosocial rehabilitation.
CURRENT HEALTH INITIATIVES
Current health initiatives include the widespread implementation of a
National Health Insurance (NHI) program and further development and
implementation of the
National Health Insurance: The goal of developing a national health
insurance program grew out of earlier health care reform efforts to
provide affordable and accessible quality care. A pilot project was
established in the south side of
A separate agency within the Social Security Board has been established to oversee the financing and purchasing duties for the NHI fund, while the MoH remains in charge of the regulatory and policy-making functions. An important component of the NHI program is the implementation of a pay for performance system (P4P), that provides financial incentives for meeting specified quality performance standards. Today, there are continued efforts to expand the NHI program throughout Belize.
The BHIS was originally deployed in urban areas in 2008 and was expanded to various hospitals and clinics across the four health regions by 2009. Following a comprehensive assessment of the BHIS, the MoH introduced a National HIS strategic plan (2009) to be carried out across a four-year period (2010–2014). Primary objectives of the plan include: expanding BHIS coverage to rural areas, strengthening the registration system, and improving data security and health information privacy.
While public healthcare in
In the 1990s,
Psychotropic medications are available in all district hospitals as
well as in the polyclinic located in
The government of Belize, with assistance from the
Today, the private sector provides some additional tertiary care and imaging services not available in the public system. Persons in need of these services can purchase out of pocket from the private sector or the MoH can purchase these services on their behalf. Private institutions also accept medical insurance plans. In addition, P4P contracts have been implemented in Belize, via the NHI program, in order to improve quality care.
PRIVATE HOSPITALS AND CLINICS
The country has three main private hospitals. La Loma Luz Hospital is
a private institution run by the Seventh Day Adventist mission. Belize
Medical Associates is a 25 bed private hospital that offers radiology
and neurological services. Universal Health Services is also another
private healthcare facility in
In addition, there are over 50 for-profit clinics and four nonprofit
clinics spread throughout Belize. Half of these private clinics are
Some key national health priorities include:
* Non-communicable diseases and lifestyle related problems * HIV/AIDS * Prevention and management of violence (domestic violence and child abuse) * Health promotion * Sexual and reproductive health * Maternal and Child health (Maternal and Infant mortality, EPI) * Epidemiology * Health Information Systems (BHIS, Vital registration, health accounts, WinSig) * Health sector reform * Environmental health * Disaster preparedness and management
There are a number of health conditions prevalent in Belize. The most
common conditions include: malaria , dengue fever , gastroenteritis ,
cholera , and
Historically, malaria has caused major problems in Belize. Although
Despite a number of challenges, the Belizean government has made
significant changes to the healthcare system. As a result of these
The last case of neonatal tetanus was reported from Stann Creek District in 1997 and the last case of non-neonatal tetanus was in a three-year-old from Orange Walk District in 1998. The last case of Congenital Rubella Syndrome was reported in 1997. The Measles-Mumps-Rubella (MMR) vaccine was introduced in 1996 and the pentavalent formulation (DPT/Hep/Hib) in 2002. In 2005, MMR coverage was 95%; BCG, DPT, OPV-3 and Hepatitis B coverage were 96%.
Some key areas of national concern include:
* High prevalence of communicable diseases such as malaria,
respiratory diseases and intestinal illnesses.
* High mortality rate from non-communicable diseases. Cardiovascular
diseases appear as a significant cause of death not only in the
elderly but also in the productive age population of 20–49.
* An increase in health problems related to human behavior and
lifestyle such as injury, road traffic accident, violence adolescent
pregnancy, abortions, STI’S
* ^ A B C D E Health Systems Profile
* t * e
* Cities * Climate * Conservation * Fauna * Flora * Geology * Islands * Mountains * Protected areas * Rivers
* Constituencies * Constitution * Districts * Elections * Foreign relations * Governor-General
* Human rights
* Law enforcement * Local government * Military * Monarchy * National Assembly * Political parties * Prime Minister * Chief Justice * Attorney General
* Bananas * Central bank * Dollar (currency) * Energy * Ports * Telecommunications * Tourism * Transport
* Demographics * Education * Health * Prostitution * Languages * People * Religion * Social structure
* Anthem * Coat of arms * Cuisine * Flag * Music * Newspapers * Public holidays * Sport * Symbols * Television
* Outline * Index