This is the OECD’s first Health System Review of Peru. It seeks to support Peru’s
policy goal to attain universal health coverage by 2021, and build a high-performing
health system with continuously improving accessibility, quality, efficiency and sustainability.
Peru’s health care system is confronting a complex set of challenges. The population
faces persistent rates of infectious diseases, alongside an increasingly heavy burden
of non-communicable disease. Governance must simultaneously grapple with how to assure
basic access – universal health coverage has still not been achieved, for instance
– while prioritising efficiency and value for money, and improving care quality. This
Health System Review of Peru makes a number of recommendations to strengthen performance
of the health system, with a particular focus on the government-subidised health system
– the Sistema Integral de Salud. Using examples of best practice drawn from OECD and
Latin American health systems, the Review addresses how Peru can promote access to
high quality care and achieve universal health coverage; take a more strategic approach
to funding, budgeting, and purchasing; and become a data-driven health system that
puts people at the centre.