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Health Care Decentralization in Paraguay
HEALTH CARE DECENTRALIZATION IN PARAGUAY: EVALUATION OF IMPACT ON COST, EFFICIENCY, BASIC QUALITY, AND EQUITY Baseline Report MEASURE Evaluation Technical Report Series, No. 4 Gustavo Angeles John F. Stewart Rubén Gaete Dominic Mancini Antonio Trujillo Christina I. Fowler The technical report series is made possible by support from USAID under the terms of Cooperative Agreement HRN-A-00-97-00018-00. The opinions expressed are those of the authors and do not necessarily reflect the views of USAID. December 1999 Printed on recycled paper Other Titles in the Technical Report Series No. 1. Uganda Delivery of Improved Services for Health (DISH) Evaluation Surveys 1997. Path- finder International and MEASURE Evaluation. March 1999. No. 2. Zambia Sexual Behaviour Survey 1998 with Selected Findings from the Quality of STD Services Assessment. Central Statistics Office (Republic of Zambia) and MEASURE Evaluation. April 1999. No. 3. Does Contraceptive Discontinuation Matter? Quality of Care and Fertility Consequences. Ann K. Blanc, Siân Curtis, Trevor Croft. November 1999. Recommended Citation: Gustavo Angeles, John F. Stewart, Rubén Gaete, Dominic Mancini, Antonio Trujillo, Christina I. Fowler. Health Care Decentralization in Paraguay: Evaluation of Impact on Cost, Efficiency, Basic Quality, and Equity. Baseline Report. MEASURE Evaluation Technical Report Series No. 4. Carolina Population Center, University of North Carolina at Chapel Hill. December 1999. Acknowledgements We would like to acknowledge the cooperation and generous support of numerous individuals and organiza- tions that made the first phase of this study possible. We express our gratitude to the staff of 143 health facilities who cooperated with the research team to collect facility and staff data. -
Nancy Benitez, Mhs (Ascp)
NANCY BENITEZ, BS, MHS (ASCP) SBB OneBlood, Inc 14721 SW 21 STREET. DAVIE-FL 33325 Phone: 954. 618. 9561 E-mail: [email protected] Employment: Reference Laboratories Director, OneBlood, Inc., Cypress Creek, Florida January 2012 to present. Reference Laboratory Director, Community Blood Centers of South Florida (CBCSF) Inc., Ft Lauderdale, Florida September 1998 to December 2011. Reference Laboratory and Distribution Technical Director, American Red Cross, Miami, Florida April 1996 to August 1998 Reference Laboratory Supervisor, American Red Cross, Miami, Florida March 1992 to July 1996 Supervisor Blood Bank Technologist, Brigham and Women’s Hospital, Boston-MA January 1990 to February 1992 Administrative and Technical Coordinator, Centro Medico de Caracas- Venezuela February 1988 to December1990 Education: Master Sciences. Subspecialty: Health Care Administration, Nova University, Ft Lauderdale, Florida July 1994 to August 1997 Specialist Blood Bank, ASCP (SBB), New England Deaconess Hospital, Boston-MA August 1987 to September1988 Series Lectures School of Blood Banks, Barnes Hospital and American Red Cross, St Louis Missouri. January 1986 to July1987 Bachelor of Science and Education, Catholic Andres Bello University, Caracas- Venezuela - August 1979 to July 1985 Nursing Degree, Municipal Blood Bank and National School of Nursing, Caracas- Venezuela May 1977 to July 1979 Publications: Improving the Safety and Quality of Blood supply in developing countries bulletin # 3. Pan American Health World Organization, 2002 Frequency of Hepatitis B virus among Venezuelan Dentists. Dental Journal 1985; 22-28 Benitez N. Select the proper automation platform for your lab. Transfusion Series. The Grifols Collection 2016. Gammon RR, Alvarez H, Benitez. Rare donor needed- Transfusion 2018. 58:1890-1893. -
First Record of Liolaemus Azarai and Hemidactylus Mabouia for Ñeembucú Department, Paraguay
Novedad zoogeográfica Cuad. herpetol. 31 (1): 65-67 (2017) First record of Liolaemus azarai and Hemidactylus mabouia for Ñeembucú Department, Paraguay Víctor Hugo Zaracho1, María Esther Tedesco1, Martha Motte2, Alberto Yanosky3 1 Laboratorio de Herpetología. Facultad de Ciencias Exactas y Naturales y Agrimensura. Universidad Nacional del Nordeste. Av. Libertad 5470 (3400) Corrientes, Argentina. 2 Museo Nacional de Historia Natural del Paraguay. Km 10 ½ Ruta Mariscal Estigarribia. San Lorenzo, De- partamento Central, Paraguay. 3 Asociación Guyra Paraguay, Paraguay. Liolaemus azarai Ávila, 2003 Vulnerable (Motte et al., 2009). The new locality extends its distribution ca. 110 Km to the west of Locality- Paraguay, Ñeembucú Department, the two localities where it was previously recorded Laureles District, San Sebastián (27°11’33’’S; in Paraguay: Isla Yacyretá (Itapúa Department) and 57°48’11’’W. WGS84. 70 m above sea level.). Date: Yabebyry (Misiones Department). 23/01/2016. Col: M. E. Tedesco, V. H. Zaracho and Hemidactylus mabouia has been previously reported M. Motte. Voucher: MNHNP 12086 (juvenile, snout- in urban areas of Alto Paraná, Central, Concepción, vent length: 32.14 mm). San Pedro, and Itapúa Departments (Cacciali et al., 2016) (Fig. 1). It is an invasive species from Africa Hemidactylus mabouia (Moreau de Jonnès, 1818) that currently occurs in México, Cuba and other is- Locality-Paraguay, Ñeembucú Department, Cerrito lands, Venezuela, Guyana, Ecuador, Peru, Colombia, (27°20’38’’S; 57°38’24’’W. WGS84. 65 m above sea Brazil, Argentina, Uruguay and Paraguay (Cacciali level ). Date: 22/01/2016. Col: M. E. Tedesco, V. H. Zaracho and M. Motte. Voucher: MNHNP 12087 (adult, snout-vent length: 55.53 mm). -
Floods 6 November 2009
DREF operation n° MDRPY008 Glide No. FL-2009-000226-PRY Paraguay: Floods 6 November 2009 The International Federation’s Disaster Relief Emergency Fund (DREF) is a source of un-earmarked money created by the Federation in 1985 to ensure that immediate financial support is available for Red Cross and Red Crescent response to emergencies. The DREF is a vital part of the International Federation’s disaster response system and increases the ability of national societies to respond to disasters. CHF 256,996 (USD 250,515 or EUR 170,100) has been allocated from the Federation’s Disaster Relief Emergency Fund (DREF) to support the Paraguayan Red Cross (PRC) in delivering immediate assistance to some 10,680 beneficiaries. Unearmarked funds to repay DREF are encouraged. Summary: As of 22 September, continuous rainfall has caused flooding of the Paraná River affecting communities in the central region, particularly communities in the departments of Misiones - Ayolas and Itapúa - Encarnación, Ñeembucú and Alto Paraná. On 23 of October, continuous rain caused the water level to rise well above the height of the river banks. Besides heavy rain falls the over flow of Yacyreta and Itaipú dam had a major effect to the floods. Another cause of the flooding is the retention of water in the floodplains which has also contributed to make the situation even worse. The emergency is due to the floods A flooded community in the department of Alto affecting the departments of Misiones, Paraná. Source: Paraguayan Red Cross/ J. Lopez. Ñeembucú, and Alto Parana. As of today in these three departments approximately 2,136 families are affected by lack of basic resources. -
Primer Fósil Mesozoico Fidedigno De Paraguay
Andean Geology 39 (3): 541-547. September, 2012 Andean Geology doi: 10.5027/andgeoV39n3-a09 formerly Revista Geológica de Chile www.andeangeology.cl PALEONTOLOGICAL NOTE Descripción de una huella de terópodo de la Formación Misiones: primer fósil mesozoico fidedigno de Paraguay Silvina de Valais¹, Víctor Filippi², Sonia Molinas², Ricardo Souberlich² ¹ Consejo Nacional de Investigaciones Científicas y Técnicas-Instituto de Investigación en Paleobiología y Geología, Universidad Nacional de Río Negro, Isidro Lobo y Belgrano (8332),General Roca, Río Negro, Argentina. [email protected]; [email protected]. ² Laboratorio de Paleontología, Facultad de Ciencias Exactas y Naturales-Universidad Nacional de Asunción, Campus San Lorenzo, Paraguay. [email protected] RESUMEN. El registro fosilífero del Mesozoico de Paraguay es prácticamente nulo, siendo la única excepción hasta la fecha, la mención de dos rastrilladas de vertebrados -actualmente desaparecidas- en lajas de las explanadas de la Iglesia de la Catedral y de la Iglesia María Auxiliadora. Se considera que las mismas habrían procedido de la cantera San Cris- tóbal del Departamento de Misiones, al Suroeste de Asunción, perteneciente a la Formación Misiones (probablemente Cretácico Inferior). Recientemente, en una nueva laja de la explanada de la Iglesia María Auxiliadora, proveniente de la misma cantera que los especímenes desaparecidos, fue hallada una huella tridáctila de mediano tamaño, presentada y estudiada en el presente trabajo. La icnita exhibe características propias de las huellas de dinosaurios terópodos. La traza constituye la única prueba fidedigna no solo de la presencia de dinosaurios en Paraguay, sino también del primer fósil mesozoico del país. Palabras clave: Huella de vertebrado, Terópodo, Formación Misiones, Mesozoico, Paraguay. -
The Book of Gold, Women, and Politics in Paraguay, 1864-1870
Conciudadanas “ ”: The Book of Gold, Women, and Politics in Paraguay, 1864-1870 Michelle Yan Undergraduate Senior Thesis Columbia University in the City of New York Department of History April 15, 2020 Seminar Advisor: Professor Natasha Lightfoot Second Reader: Professor Caterina Pizzigoni Yan 2 Image 1: “To the distinguished Marshall López; the daughters of the homeland; July 24, 1867”1 The gilded inner cover of the Book of Gold that depicts the Greek goddess and muse of history, Clio, who records the offerings made by Paraguayan women in support of Paraguay’s defense against the Triple Alliance. 1 Libro de Oro (Book of Gold), Archivo Nacional de Asunción, (unpublished archival material, accessed electronically via Archivo Nacional de Asunción, December 11, 2019, PDF, cover. Yan 3 Table of Contents Acknowledgements ⋅⋅ 4 Introduction ⋅⋅ 6 Note to Readers ⋅⋅ 12 Chapter 1: “One War, Four Nations, Myriad Narratives.” ⋅⋅ 13 How the Story Has Been Told ⋅⋅ 20 Not A Men’s War: The Absence of Women in Historiography ⋅⋅ 26 Opportunity for Breakthrough ⋅⋅ 31 Chapter 2: “The Book of Gold: An Admission Ticket into Paraguayan Politics.” ⋅⋅ 37 Precedents: 1865-1866 ⋅⋅ 38 Chronology of the Book of Gold ⋅⋅ 42 Political Statement of the Book of Gold ⋅⋅ 44 Chapter 3: “The Category of ‘Women’: Many Subtleties Undiscussed.” ⋅⋅ 55 Class and Political Visibility ⋅⋅ 55 The Outlier: Eliza A. Lynch ⋅⋅ 60 Redefining Public Motherhood ⋅⋅ 64 Conclusion: “A Desire to Be Remembered: Writing Themselves Into History.” ⋅⋅ 70 Bibliography ⋅⋅ 73 Archival Primary Sources ⋅⋅ 73 Published Primary Sources ⋅⋅ 74 Published Secondary Sources ⋅⋅ 75 Appendix ⋅⋅ 79 Yan 4 Acknowledgements My relationship with the History Department began with a beautiful mistake. -
Climate Risk Profile
FACT SHEET CLIMATE RISK PROFILE PARAGUAY COUNTRY OVERVIEW Paraguay is one of two landlocked South American countries, located to the south of Brazil, east of Bolivia, and north of Argentina, and faces numerous development challenges, with the second lowest human development index in South America. Paraguay’s economy relies heavily on agriculture and livestock, with shifts in agricultural and ranching productivity directly linked to the country’s overall gross domestic product (GDP). Extreme weather events and global climatic variability, such as El Niño periods, already directly impact agricultural and livestock activities in Paraguay. Climate change threatens to introduce greater economic uncertainty, potentially exacerbating already high rates of inequality. Not MONTHLY PRECIPITATION IN PARAGUAY quite 30 years removed from the long-standing autocratic rule of Alfredo Strossener, increased economic uncertainty could also threaten the country’s political stability, which has been marked by relatively free and fair elections despite occasional political infighting and difficulties. The majority of Paraguay’s approximately 7 million residents live in the southeastern part of the country with one third of the population residing in the capital city of Asunción. Access to services and utilities, such as clean water, electricity, and telephone have improved for Paraguay’s rural poor in the past decade, yet about one third of rural Paraguayans live below the poverty line, and poverty in the country is predominantly concentrated in rural areas. (4,8) Livestock Heat stress induced reduction of meat and milk production Increase in water demand September 2018 This document was prepared under the Climate Integration Support Facility Basic Purchase Agreement AID-OAA-E-17-0008, Order Number AID-OAA-BC-17-00042, and is meant to provide a brief overview of climate risk issues. -
Multinational Agribusiness Systems Incorporated PARAGUAY
Multinational Agribusiness Systems Incorporated PARAGUAY MINIFUNDIA CROP INTENSIFICATION PROJECT DOMESTIC MARKETING REPORT USAID-CREDICOOP-MASI Work performed under contract LAC-0118-C-00-1026-00 July 22,. 1981 MASI Development Services 1015 - 18th St. N.W. Washington, D.C. 20036 Telephone (202) 872-8782 Cable: MASIGROUP WASHINGTON DC Telex: RCA 248607 Answerback MASI UR Project Director: Walter A. Price, Manager Rural Development Programs Report Prepared by: Dr. Henry Hopp Domestic Marketing Specialist TABLE OF CONTENTS Page I. Introduction 1 II. Tomatoes 4 A. Survey procedures 4 B. Marketing structure 5 C. Conclusions on the marketing situation 7 D. Problems and recommendations 21 III. Bananas 31 A. Survey procedure 31 B. Marketing structure 32 C. Conclusions on the marketing structure 33 D. Problems and recommendations 38 IV. Strawberries 46 A. Survey procedure 46 B. Marketing structure 47 C. Conclusion on the marketing situation 51 D. Problems and recommendations 56 V. Pineapple 64 A. Survey procedure 64 B. Marketing structure 65 C. Conclusions on -the marketing situation 65 D. Problems and recommendations 66 ANNEXES I. Background on tomato marketing II. Type-farm simulation for tomatoes III. Tomato export analysis by grades IV. Tomato price spreads, Asuncion-Buenos Aires, 1980 marketing season V. U.S. standards for grades of fresh tomatoes VI. Background on banana marketing VII. Type-farm simulation for bananas VIII.Type-farm simulation for strawberries IX. U.S. standards for grades of strawberries - fresh, frozen, manufacturing X. Background on pineapple marketing XI. U.S. standards for grades of pineapple XII. Selected articles on tomato marketing and strawberry processing XIII.Photos I. -
Paraguay: Floods GLIDE N° FL-2009-000226-PRY 28 May 2010
DREF operation n°MDRPY008 Paraguay: Floods GLIDE n° FL-2009-000226-PRY 28 May 2010 The International Federation’s Disaster Relief Emergency Fund (DREF) is a source of un-earmarked money created by the Federation in 1985 to ensure that immediate financial support is available for Red Cross Red Crescent response to emergencies. The DREF is a vital part of the International Federation’s disaster response system and increases the ability of National Societies to respond to disasters. Summary: 256,996 Swiss francs (250,515 US dollars or 170,100 euro) were allocated from the Federation’s Disaster Relief Emergency Fund (DREF) on 6 November 2009 to support the Paraguayan Red Cross (PRC) in delivering assistance to 10,680 beneficiaries in 54 communities in three departments. The Paraguayan Red Cross completed this three-month DREF operation and has covered the emergency needs of 2,225 families (approximately 11,125 people) with essential relief items including mosquito nets, hygiene kits, and shelter kits in the departments of Alto Paraná, Misiones and Ñeembucú. A beneficiary from the department of Ñeembucú receives one of the shelter kits that are being distributed by the PRC. Source: Paraguayan Red Cross In addition, this DREF operation assisted affected people to recover their livelihoods through technical support and provision of seeds for their small-scale subsistence plots. At the end of this three-month operation, the crops have been planted and await harvest. The involvement and logistic support given by the local authorities, especially at the municipal level, bolstered the achievement of these results. Finally, this PRC-led project was coordinated at the national level with the National Emergency Secretariat (Secretaría de Emergencia Nacional - SEN). -
Paraguay 189% 195% 151% 145%
A Comparative Atlas of Defence in Latin America and Caribbean / 2014 Edition 240 Paraguay N ATIO Population 6,888,000 RM FO N 2 I 2006 Territorial Extension 406,750 km IC S A B GDP 2014 (US$) 29,550,000,000 Armed Forces Personnel 14,284 Defence Budget (US$) 440,752,612 Defence Budget Breakdown O O O O O P: Salaries and other benefits I I I I R: Retirement and pensions I funds R I: Investment R R R O: Other expenses R Comparative Increase (percentage variation 2008-2014) Expenditure in DefenceDefence GovernmentGovernment Personnel BudgetBudget BudgetBudget GDP P P P P P 189% 195% 151% 145% 2006 2008 2010 2012 2014 The Legal Framework The Defence System National Legislation Systems and Concepts National Defence President • National Defence and Internal Security Act (Nº 1337 - 1999/04/14. Council Last amendment: Law N° 5036 – 2013/08/22). • Act that establishes the Border Security Zone (Nº 2532 - 2005/02/17. Last amendment: Law Nº 2647 - 2005/08/18). Joint Staff Command of the Ministry of • Act that creates the National Intelligence System (Nº 5241 – Military Forces National Defence 2014/08/22). Military Organization • Obligatory Military Service Act (Nº 569 - 1975/12/24. Last amend- Command of the Command of the Command of the ment: Law Nº 3360 - 2007/11/02). Army Navy Air Force • Organic Act of Military Courts (Nº 840 - 1980/12/19). • Military Penal Code (Act Nº 843 - 1980/12/19). • Code of Military Penal Procedures in War and Peace Times (Act Nº Advisory and assistance functional relationship 844 - 1980/12/19). -
Solano Benitez (Asunción, Paraguay, 1963) He Graduated from the Faculty of Architecture at the National University of Asunción
Solano Benitez (Asunción, Paraguay, 1963) He graduated from the Faculty of Architecture at the National University of Asunción in 1986; he was awarded the national prize for architecture 1989-1999 by the college of Paraguayan architects; he reached the finals of the second “premio Mies van der Rohe de arquitectura latinoamericana”; he represented Paraguay at the Biennali in Venice, São Paolo and Lisbon, the capital of Ibero-American culture. He has been invited to speak at the following universities: in Argentina, at the National Universities of Rosario, Mar del Plata, Santa Fe, Oberà, La Plata, Tucuman, Resistencia and Buenos Aires; at the Catholic Universities of Cordoba and Posadas, Torcuato University in Tella and Palermo University in Buenos Aires; in Brazil, in San Pãolo, at the Mackenzie University, the Escola da Cidade, the Federal University of São Carlos, Umuarama and Belo Horizonte; in Chile, at the Catholic University of Santiago, the Andrés Bello National University and the University Diego Portales; in Ecuador, at the Catholic University of Quito; in Panama, at the Isthmus School of Architecture; in Peru, at the Ricardo Palma University and at the Catholic University in Lima; in Spain, at the Escuela Tecnica Superior de Arquitectura in Madrid; in the United States, at Arizona State University, Berkeley University of California, San Francisco University and Harvard University Graduate School of Design. He founded the “Gabinete de Arquitectura”, a professional architectural studio, which he currently shares with his partners -
Stronismo, Post Stronismo and the Prospects for Democratization
STRONISMO, POST-STRONISMO, AND THE PROSPECTS FOR DEMOCRATIZATION IN PARAGUAY Diego Abente Working Paper #119 - March 1989 Diego Abente is Assistant Professor of Political Science at Miami University in Oxford, Ohio. He has written extensively on the politics of Latin America in journals such as the Latin American Research Review and the Journal of Interamerican Studies, and has forthcoming articles in Comparative Politics, the Journal of Latin American Studies, and The Americas. He is currently writing a book on the prospects for democratization in Paraguay. The author would like to thank Roberto DaMatta, Michael Francis, Louis Goodman, Michael Grow, Daniel Levine, Guillermo O'Donnell, Karen Remmer, and Samuel Valenzuela for their helpful comments and suggestions and Caroline Domingo for her excellent editing ABSTRACT This paper examines the possibilities for the emergence of a situation that would favor a transition to democracy in Paraguay. The author analyzes the historical development of relevant factors, both structural—demographic changes, transformations in the social structure, and international realignments—and contingent—redefinition of space for the opposition, the decay of stronismo and the difficulty of reproducing it—and evaluates the implications of these changes. The overall conclusion is that the changes in the socioeconomic and geopolitical matrix tend to favor a democratic outcome, but it is unlikely that these alone could bring about a political transformation. Nevertheless, when contingent factors are also taken into account, particularly the nature of the last phase of stronismo and the beginning of post-stronismo, there are indications that Paraguay is entering a crucial stage that opens up a range of possibilities for liberalization and democratization.