دانلود کتاب Multi-Dimensional Review of Paraguay: Vol. 3: from Analysis to Action

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Foreword Acknowledgements Abbreviations and acronyms Executive summary Reforming the Paraguayan health system Pension reform as a pillar for the overhaul of the social protection system Reforming the education system to foster inclusion and employability Chapter 1. Priorities for inclusive development in Paraguay: Summary of multidimensional analysis A reader’s guide to the Multi-dimensional Review of Paraguay: priority areas and action plans Paraguay’s development ambition and the main obstacles it faces Paraguay must leverage its macroeconomic stability to diversify its economy Reducing informal employment and improving the coverage and quality of social services are essential to improve the well-being of Paraguayans Towards better management of natural resources Strengthening democracy and moving towards more effective and transparent public management More resources need to be channelled towards development Towards a more inclusive and sustainable development path Creating the conditions for a structural transformation of the economy Promoting social development Raising the capacity of the state to steer the economy and development Implications for the National Development Plan Public policy orientations for reform in health, social security and education Overcoming fragmentation and accelerating reform can improve the health of Paraguayan citizens Achieving social protection for all Paraguayans requires larger investments and a systemic approach. Reforms in the education and skills system are necessary to foster inclusiveness and access to better jobs Notes References Chapter 2. Reforming the Paraguayan health system Policy orientations in the health sector in Paraguay Delivering quality health services is a global imperative for universal health coverage Paraguay needs to agree on a vision for its future health system as it works towards a structural reform (recommendation 1) The health funding strategy must be sustainable and must secure sufficient resources (recommendation 2) Drawing up a funding strategy Discussion and action plan: Sustainable funding Strengthening governance is necessary to steer the health system towards universal coverage (recommendation 3) Defining a package of health benefits (recommendation 3.3) Learning from international experience and adopting best practices could ensure better results in the implementation of a benefit package Discussion and action plan: Defining a package of health benefits To improve how the resources are used, the health system needs to become more efficient (recommendation 4) Reducing fragmentation through more and better inter-agency agreements (recommendation 4.1) Creating the right incentives through more strategic payment systems (recommendation 4.2) Discussion and action plan: Integration in service delivery and mechanisms for paying suppliers Ensuring that medicines are available, affordable and of good quality (recommendation 4.3) More efficient public procurement of medicines and medical supplies Discussion and action plan: Public procurement of medicines and medical supplies Notes References Chapter 3. Pension system reform as a pillar of the overhaul of social protection in Paraguay Social protection as a key element of inclusive development in Paraguay Diagnosis and priority actions for social protection Coverage is improving, but still insufficient The challenge of increasing and improving funding for social protection Governance and management: the great challenge of integrating a highly fragmented system Creation of a social protection system is underway An action plan for pension reform in Paraguay A strategy to expand coverage of the pension system (ER1) Improve incentives for registration (recommendation 1) Improve incentives for social security contributions (recommendation 2) Expand social pension coverage to its target population (recommendation 3) Making parametric adjustments for a fairer, more sustainable pension system (ER2) Strengthen the link between benefits and contributions through parametric reforms (recommendation 4) Improve equity in the pension system by aligning parameters (recommendation 5) Working towards integration of the pension system (ER3) Integrate the contributory and non-contributory pensions into one multi-pillar pension system (recommendation 6) Strengthening governance of the pension system (ER4) Establish a mechanism for seeking consensus among pension system stakeholders (recommendation 7) Establish regulations and a regulatory body for the pension system (recommendation 8) Improve the internal governance of pension providers (recommendation 9) Action plan summary table Notes References Chapter 4. Priority areas for action in education and skills formation Policies to help create a better education system for all Main challenges in the field of education Priorities of the Ministry of Education and Science A pact for education Expanding coverage and promoting school completion, particularly in pre-primary and secondary education and among the most vulnerable groups Generating better statistical data about education Expanding access to early childhood education Supporting access in remote areas and for disadvantaged groups Encouraging students to stay in school and complete education cycles Improving learning and the overall quality of the education system Improving employability and access to better-quality jobs Modernising curricula based on a national qualifications framework Strengthening the technical and vocational education and training system Improving the match between supply and demand for skills Notes References Chapter 5. A scorecard for monitoring implementation of the policy recommendations The scorecard offers indicators for achievement of the Sustainable Development Goals for 2030 Reforming to foster healthier lives in Paraguay Moving towards social protection for all in Paraguay Towards an education and skills system that fosters inclusiveness and employability in Paraguay References Blank Page