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Training of Community Health Agents

Project Detail



Project Number


Approval Date

April 2, 1999

Project Status


Project Type

Technical Cooperation





Lending Instrument


Lending Instrument Code




Facility Type


Environmental Classification


Total Cost

USD 165,000.00

Country Counterpart Financing

USD 16,000.00

Original Amount Approved

USD 149,000.00

Financial Information
Operation Number Lending Type Reporting Currency Reporting Date Signed Date Fund Financial Instrument
ATN/SF-6432-BR Sovereign Guaranteed USD - United States Dollar Fund for Special Operations Nonreimbursable
Operation Number ATN/SF-6432-BR
  • Lending Type: Sovereign Guaranteed
  • Reporting Currency: USD - United States Dollar
  • Reporting Date:
  • Signed Date:
  • Fund: Fund for Special Operations
  • Financial Instrument: Nonreimbursable
Published 2024
BIDeconomics Panamá: panorama de oportunidades
Panamá es un referente de crecimiento para América Latina y el Caribe. Cerca de 6 por ciento ha sido el incremento promedio anual de su PIB entre 2000 y 2019. Incluso, pese a los desafíos postpandemia, el aumento promedio ha sido de 4 por ciento hasta 2023. Si bien este progreso ha acercado al país a los niveles de ingreso de economías más avanzadas, persisten retos significativos como los desequilibrios territoriales, el reducido espacio fiscal e insuficiencias en el gasto social, lo que ha conllevado a fuertes disparidades en el nivel de vida de la gente. En tal contexto, es esencial implementar una serie de medidas que reduzcan la desigualdad, faciliten la diversificación productiva y promuevan un manejo eficiente y sostenible de los recursos tanto financieros como naturales, especialmente el agua. Resulta clave apoyar a los sectores que han impulsado el crecimiento previo, a la vez que se eleva la calidad de vida de los panameños. Consolidarse como una economía de ingresos altos, de manera inclusiva y sostenible, es a la vez un reto inmenso y una oportunidad grandiosa. Este documento del Grupo BID, justamente, identifica oportunidades en tres pilares temáticos desarrollo humano, bases para la productividad y modernización institucional que pueden contribuir al cumplimiento definitivo de ese gran objetivo.
Published 2024
Programa Maior Cuidado: An Integrated Community-Based Intervention on Care for Older People
This report presents an overview of a novel community-based intervention for older people living in deprived neighbourhoods in the Brazilian city of Belo Horizonte: Programa Maior Cuidado (PMC). Since 2011 PMC has been jointly run by the municipal Departments of Health and Social Assistance to support dependent older people living in vulnerable families. These families receive up to 20 hours of support a week from professional family care support workers. Health centres and social assistance posts hold joint monthly case reviews and work closely with family care support workers to anticipate and respond to new problems. Between 2011 and December 2022, 3,062 families had received support or were continuing to do so. Drawing on a set of qualitative and quantitative evaluations, we show that PMC operates effectively and appears to generate a range of positive effects. These effects include enhanced health and wellbeing of older people, reducing the stress and burden of family carers and improving the efficiency of outpatient and inpatient health service use. PMC also provides a valuable livelihood opportunity for the caregivers it employs. A cost analysis estimates that the monthly per capita cost of PMC in April 2023 was 916.2 reais (US$173), which is substantially less than alternative interventions. These positive evaluations have led Belo Horizonte municipality to extend the scheme and the Federal Ministry of Health to support similar pilots in new cities. Future evaluations of these pilot schemes will add to the available evidence about PMC and its potential suitability for other parts of Brazil and similar countries.
Published 2024
Nicaragua: generando impacto para mejorar vidas: resultados recientes en proyectos de acceso a salud y energia de poblaciones vulnerables financiados por el grupo BID
Las zonas más apartadas y vulnerables de Nicaragua han sido particularmente afectadas por la falta de acceso a servicios de salud y al suministro de energía eléctrica. Ambos son desafíos en los que se ha venido trabajando, con apoyo del Grupo BID, para ofrecer mejores condiciones de vida a las personas. Este documento recoge, de manera breve, algunos de los datos más destacados al respecto, desde la mejor cobertura en materia de atención médica y una importante reducción en las muertes materno-infantiles, hasta el aumento en la cobertura eléctrica a partir de fuentes renovables de energía.
Published 2024
Territorial Framework for Inclusive, Sustainable, and Green Development of the Andean Amazon Region
The Amazon is one of the most complex and richest resources in the world. With its 5.5 million km2 of dense tropical forest and 7.9 million km2 of river basin, it is one of the most biodiverse and richest regions on the planet. In Bolivia, Colombia, Ecuador, Peru and Venezuela - the Andean Amazon Region (AAR) these 2.7 million km2 are also home to approximately 24.7 million people, including more than 200 known indigenous groups. Despite its advantages and the efforts invested, the AAR, its territory and population, continue to be exposed to a number of social, economic and conservation challenges. These challenges have not allowed a responsible use of this rich and diverse natural asset, contributing to a rapid process of deforestation, high levels of poverty and exclusion, and low levels of productivity. The question arising from these challenges is: How to promote an inclusive and sustainable development model that at the same time protects the environment and the natural capital of the AAR?. In order to respond to this question, this study conducts a development gap analysis for the AAR. The methodology uses a combination of quantitative and qualitative techniques to identify and measure development gaps in the territory, both at the sectoral and multisectoral levels, and proposes an intervention model based on networks and nodes. The analysis is based on the premise that development models in this region should focus efforts on three major areas that will make it possible to address the internal and external challenges of each country in a focused and efficient manner, leading to the closing of development gaps: 1. Taking responsible advantage of existing wealth, including the millenary knowledge of its population and territories; 2. Protecting the environment and natural resources; 3. Promoting an inclusive and green productive model. The results show that 85.6% of the population and 94% of the territory of the study experience at least one development gap. Regarding the area affected, gaps in access to drinking water, access to primary and secondary education in rural areas, and investment in green and inclusive activities are the most severe, involving 45.9%, 45.2% and 52.1% of the area, respectively. Whereas gaps related to investment in climate resilience, access to power substations, and investment in green and inclusive activities affect the largest number of people: 54%, 41.9% and 35.7% of the population, respectively.
Published 2023
Smart Spending for Health: Social Protection and Health Division Regional Policy Dialogue Report 2023
The "Smart Spending for Health" Regional Policy Dialogue, hosted by the IDB's Social Protection and Health Department in Washington D.C. from October 2-4, brought together more than 120 leaders to address the efficiency of health spending in Latin America and the Caribbean. In the face of fiscal constraints and increasing demands, the Dialogue highlighted the strategic allocation of health resources as a way to achieve health goals within existing budgets. With a focus on fostering collaboration between ministries of finance and health, the event navigated through optimizing spending on primary health care, health networks, hospitals and pharmaceuticals. This report summarizes the presentations and dialogues from the event, providing guidance for informed health policy development towards Universal Health Coverage.
Published 2024
Incorporating Men into Caregiving Tasks: Dismantling Barriers and Reframing Roles in Latin America and the Caribbean
Deeply entrenched cultural norms in the LAC society tend to dictate that women should bear the primary responsibility for domestic tasks and caregiving. This social perception results in an unequal distribution of chores, not only within households but also in the broader work environment. This policy brief offers a thorough review of robust academic studies on men's involvement in caregiving and examines specific cases where further research is warranted. It particularly focuses on assessing the effectiveness of various public policies that encourage men's engagement in caregiving at home and in their professional lives, emphasizing the pressing need for a critical approach to this issue through rigorous evaluations and detailed research.
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