DOCSLIB.ORG

World Bank Documents and Assessments

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
World Bank Documents and Assessments Document of The World Bank FOR OFFICIAL USE ONLY Public Disclosure Authorized Report No: 34315-GT PROJECT APPRAISAL DOCUMENT ON A Public Disclosure Authorized PROPOSED LOAN IN THE AMOUNT OF US$49.0 MILLION TO THE REPUBLIC OF GUATEMALA FOR A MATERNAL-INFANT HEALTH AND NUTRITION PROJECT Public Disclosure Authorized December 15,2005 Human Development Sector Management Unit Central America Country Management Unit Latin America and the Caribbean Region This document has a restricted distribution and may be used by recipients only in the Public Disclosure Authorized performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization. CURRENCY EQUIVALENTS (Exchange Rate Effective 11/28/05) Currency Unit = Guatemalan Quetzales (GTQ) US$l.OO = 7.63 GTQ FISCAL YEAR January 1 - December 31 ABBREVIATIONS AND ACRONYMS AINM-C Community Integrated Care for Children and Women (Atencio'n Integral a la Nifiez y Mujer - Comunitario) ARI Acute Respiratory Infection CAIMIs Maternal and Infant Integral Health Care Centers (Centros de Atencidn Integral Materno Znfan ti 1) CAS Country Assistance Strategy CETC Communication, Education and Training at Community level Strategy DHS Demographic Health Surveys DPL Development Policy Loan FG Focus Groups GDP Gross Domestic Product GNI Gross Net Income GNP Gross National Product GOG Government of Guatemala GSR Government Social Policy (Guate Solidaria Rural) HCW Health Care Waste HIV/AIDS Human Immune-Deficiency Virus/AIDS IBRD International Bank for Reconstruction and Development IDA International DeveloDment Association IDB Inter-American Development Bank INE National Institute of Statistics (Znstituto Nacional de Estadisticas) LAC Latin American and the Caribbean Region M&E Monitoring and Evaluation MAGA Ministry of Agriculture (Ministerio de Agricultura, Ganaderia y Alimentacidn) MDGs MillenniumDevelopment Goals MSPAS Ministry of Public Health and Social Welfare (Ministerio de Salud Phblica y Asistencia Social) NGOs Non-Governmental Organizations PCU Proiect Coordination Unit PEC Program for the Extension of Coverage PHRD Japan Policy and Human Resources Development Fund POAs Annual Operational Plan (Plan Operativo Anual) SEGEPLAN Secretariat of Programming and Planning (Secretaria de Planijicacidn y Programacidn de la Presidencia) SESAN Secretariat of Food and Nutritional Security (Secretaria de Seguridad Alimentaria y Nutricional i 1 STAS I Directorate of Internal Health Svstem fDireccidn Sistema Integral de Atencidn en Salud) I -sIL Specific Investment Loan SOE Statement of Expenditures SOSEP Social Work Secretariat of the President’s Wife (Secretaria Obra Social Esposa del Presidente) STIs Sexually Transmitted Infections TBAs Traditional Birth Attendants UCPYP Project and Program Coordination Unit (Unidad Coordinadora de Programas y Proyectos) UPS1 Primary Level Service Provision Unit (Unidad de Provisidn de Sewicio de Primer Nivel) UPS2 Secondary Level Service Provision Unit (Unidad de Provisidn de Sewicio de Segundo Nivel) Vice President: Pamela Cox Country Director: Jane Armitage Sector Director: Evangeline Javier Sector Manager: Keith Hansen Sector Leader: Laura Rawlings rTask Team Leaders: Marcelo Bortman FOR OFFICIAL USE ONLY This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its contents may not be otherwise disclosed without World Bank authorization. GUATEMALA MATERNAL-INFANT HEALTH AND NUTRITION PROJECT CONTENTS Page No. A . STRATEGIC CONTEXT AND RATIONALE .................................................................. 1 1. Country and sector issues .................................................................................................... 1 2 . Rationale for Bank involvement .......................................................................................... 3 3 . Higher level objectives to which the project contributes ..................................................... 4 B. PROJECT DESCRIPTION.................................................................................................. 5 1. Lending instrument .............................................................................................................. 5 2 . Project development objective and key indicators .............................................................. 6 3 . Project components .............................................................................................................. 6 4 . Lessons learned and reflected in the project design .......................................................... 10 5 . Project Alternatives considered and reasons for rejection................................................. 14 C. IMPLEMENTATION ......................................................................................................... 16 1. Partnership arrangements ................................................................................................... 16 2 . Institutional and implementation arrangements ................................................................. 16 3 . Monitoring and evaluation of outcomes/results ................................................................ 17 4 . Sustainability ..................................................................................................................... 19 5 . Critical risks and possible controversial aspects ............................................................... 19 .. 6 . Loan condltlons and covenants .......................................................................................... 20 D. APPRAISAL SUMMARY .................................................................................................. 21 1. Economic and financial analyses ....................................................................................... 21 2 . Technical ............................................................................................................................ 23 3 . Fiduciary ............................................................................................................................ 24 4 . Social ................................................................................................................................. 24 5 . Environment ...................................................................................................................... 24 6 . Safeguard policies .............................................................................................................. 25 7 . Policy Exceptions and Readiness ...................................................................................... 25 Annex 1: Country and Sector or Program Background .......................................................... 26 Annex 2: Major Related Projects Financed by the Bank and/or other Agencies ..................37 Annex 3: Results Framework and Monitoring ......................................................................... 40 Annex 4: Detailed Project Description ...................................................................................... 43 Annex 5: Project Costs ................................................................................................................ 58 Annex 6: Implementation Arrangements .................................................................................. 61 Annex 7: Financial Management and Disbursement Arrangements ...................................... 66 Annex 8: Procurement Arrangements ....................................................................................... 70 Annex 9: Economic and Financial Analysis .............................................................................. 75 Annex 10: Safeguard Policy Issues: Environmental and Social Assesments ......................... 82 Annex 11: Project Preparation and Supervision ...................................................................... 98 Annex 12: Documents in the Project File .................................................................................. 99 Annex 13: Statement of Loans and Credits ............................................................................. 101 Annex 14: Country at a Glance ................................................................................................ 102 Annex 15: Map IBRD 33413 ..................................................................................................... 104 GUATEMALA GUATEMALA MATERNAL- INFANT HEALTH AND NUTRITION PROJECT APPRAISAL DOCUMENT LATIN AMERICA AND CARIBBEAN LCSHH Date: December 14,2005 Team Leader: Carlos Marcel0 Bortman Country Director: Jane Armitage Sectors: Health (75%);0ther social services Sector ManagerDirector: Keith E. Hansen (25%) Themes: Child health (P);Nutrition and food security (P);Other human development (S) Project ID: PO77756 Environmental screening category: Partial Assessment For LoandCredits/O thers : Total Bank financing (US$m.): 49.00 DEVELOPMENT Total: 44.40 4.60 49.00 I Borrower: Republic of Guatemala Responsible Agency: Ministry of Public Health and Social Welfare - Guatemala Ing. Marco Tulio Sosa Ramirez Minister 6a. Ave. 3-45, Zona 11, Escuela de Enfermeria, 3er Nivel, Ciudad de Guatemala, Guatemala. Phone: 502-2440-0516 Fax: 502-2475-1 125 Email: despachoministerial @mspas.gob.gt innual 17.72 11.08 11.02 5.56 3.62 0.00 0.00 0.00 0.00 3umulative 17.72 28.80 39.82 45.38 49.00 0.00 0.00 0.00 0.00 Ref. PAD A.3 No Does the project require any exceptions from Bank policies? Ref.
Load more

Recommended publications
  • Santa Rosa No
    Santa Rosa No. MUNICIPIO ESTABLECIMIENTO DIRECCION TELEFONO NIVEL SECTOR 1 CUILAPA EODP ALDEA LOS ESCLAVOS PARVULOS OFICIAL 2 CUILAPA EODP EMILIA MEYER 1A AVENIDA 4-35 ZONA 4 78865232 PARVULOS OFICIAL 3 CUILAPA COLEGIO INFANTIL MARIA MONTESSORI BARRIO EL LLANITO PARVULOS PRIVADO 4 CUILAPA CPMI JOHN FITZGERALD KENNEDY COLONIA VALLADARES PARVULOS PRIVADO 5 CUILAPA EOUM TIPO FEDERACION 'DOMINGO FAUSTINO SARMIENTO' 4A. CALLE 4-03 ZONA 4, BARRIO EL LLANITO 78865192 PRIMARIA OFICIAL 6 CUILAPA EOUM TIPO FEDERACION DOMINGO FAUSTINO SARMIENTO 4A. CALLE 4-03 ZONA 4, BARRIO EL LLANITO 78875192 PRIMARIA OFICIAL 7 CUILAPA EORM PARCELAMIENTO LA CUARENTISEIS PRIMARIA OFICIAL 8 CUILAPA EOUM VICTOR MANUEL MONTERROSO GRANADOS BARRIO EL CALVARIO PRIMARIA OFICIAL 9 CUILAPA EORM ALDEA LAGUNA DE SAN JOSE PRIMARIA OFICIAL 10 CUILAPA EORM ALDEA PLAN DEL AMATE PRIMARIA OFICIAL 11 CUILAPA EORM ALDEA PLAN DE AVILA PRIMARIA OFICIAL 12 CUILAPA EORM ALDEA CUESTA GRANDE PRIMARIA OFICIAL 13 CUILAPA EORM ALDEA LAGUNA SECA PRIMARIA OFICIAL 14 CUILAPA EORM ALDEA EL PINITO PRIMARIA OFICIAL 15 CUILAPA EORM ALDEA MONTECILLOS PRIMARIA OFICIAL 16 CUILAPA EORM ALDEA JOYA DE LIMON PRIMARIA OFICIAL 17 CUILAPA EORM ALDEA LOS MATOCHOS PRIMARIA OFICIAL 18 CUILAPA EORM ALDEA BARILLAS PRIMARIA OFICIAL 19 CUILAPA EORM ALDEA EL MOLINO PRIMARIA OFICIAL 20 CUILAPA EORM ALDEA SAN JUAN DE ARANA PRIMARIA OFICIAL 21 CUILAPA EORM 'LIC. GUILLERMO FERNANDEZ LLERENA' ALDEA LOS ESCLAVOS PRIMARIA OFICIAL 22 CUILAPA EODP ANEXA A EORM 'EL CIELITO' ALDEA EL CIELITO PARVULOS OFICIAL 23 CUILAPA EORM
    [Show full text]
  • A Rapid Screening Program for Histoplasmosis, Tuberculosis, and Cryptococcosis Reduces Mortality in HIV Patients from Guatemala
    Journal of Fungi Article A Rapid Screening Program for Histoplasmosis, Tuberculosis, and Cryptococcosis Reduces Mortality in HIV Patients from Guatemala Narda Medina 1,2,† , Ana Alastruey-Izquierdo 1,† , Oscar Bonilla 3,†, Osmar Gamboa 2,† , Danicela Mercado 3,†, Juan C. Pérez 3,†, Luis Roberto Salazar 2,† , Eduardo Arathoon 2,3,† , David W. Denning 4,5,6,† and Juan Luis Rodriguez-Tudela 6,*,† 1 Mycology Reference Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, 28220 Madrid, Spain; [email protected] (N.M.); [email protected] (A.A.-I.) 2 Asociación de Salud Integral, 01001 Guatemala City, Guatemala; [email protected] (O.G.); [email protected] (L.R.S.); [email protected] (E.A.) 3 Clínica Familiar “Luis Ángel García”/Hospital General San Juan de Dios, 01001 Guatemala City, Guatemala; [email protected] (O.B.); [email protected] (D.M.); [email protected] (J.C.P.) 4 The National Aspergillosis Centre, University Hospital of South Manchester, Manchester M23 9LT, UK; [email protected] 5 The University of Manchester and Manchester Academic Health Science Centre, Manchester M23 9LT, UK 6 Global Action Fund for Fungal Infections, 1208 Geneva, Switzerland * Correspondence: jlrodrigueztudela@gaffi.org † This work was stated by the authors on behalf of Fungired. Citation: Medina, N.; Alastruey-Izquierdo, A.; Bonilla, O.; Abstract: Opportunistic infections (OIs) and advanced HIV disease (AHD) contribute to HIV-related Gamboa, O.; Mercado, D.; Pérez, J.C.; mortality. Here, we analyzed the situation of AHD and OIs in a cohort of newly diagnosed HIV Salazar, L.R.; Arathoon, E.; patients from Guatemala. We included 2127 adult patients from 13 facilities across the country during Denning, D.W.; Rodriguez-Tudela, J.L.
    [Show full text]
  • Red Vial Santa Rosa
    Belen Yumanes RD 1 AN AFAEL AS ORES SRO-13 4 Carrizal S R L L San Juan Bosco 2 El Rodeo El Bosque 5 RD Sabana Redonda CR SRO07 SRO-29 4+500 El Chiltepe RD CR SRO08 Salitre 2 SRO-3 CR El Rinconcito Cienaguilla CR SRO11 2 Chapas SRO08 8+350 RD CASILLAS 16 8+300 Media Cuesta RD 3 SRO-28 RD SRO-13 SRO-27 5 3 1 LAGUNA DE AYARZA 4 Teocinte 7 Laguna de Pereira RD Ayarza Los Verdes Amberes SRO-2 RD RD Sn. Juan 3 SRO-9 4 4 RD 5 SANTA CRUZ SRO-3 6 RD SANTA ROSA El Jute SRO-2 RN NARANJO 2 10 SRO-2 22 2 DE LIMA Sn. Juan 2 4 Tapalapa Pinos Altos Cerro Redondo RD NUEVA SANTA ROSA RD 3 SRO-3 RD 4 3 SRO-15 CR Mal Pais SRO-9 Amberes SRO13 8+000 Salitre Ojo de Agua Monte Verde 7 El Colorado 6 Jumaytepeque RN 1 El Junquillo 2 El Pino 7 RD Las Lomas RD RD SRO-8 Portezuelo El Limar 5 SRO-26 SRO-3 CR SRO12 13 CR 10+000 SRO04 2 8+150 7 3 BARBERENA Estanzuelas Guacamayas La Sonrisa Laguna Seca 6 4 Joyas del Limon CR SRO01 San Sebastian 2 1+740 Monte Verde CR SRO02 5 5+120 El Barillas 7 Jicaro RD 6 El Pinito RD SRO-16 CUILAPA RD SRO-4 2 8 SRO-15 GUATEMALA Los Esclavos CA-1 Or. El Molino 10 El Cuje 1 GUATEMALA PUEBLO NUEVO 2 RN 8 RD CR SRO-15 SRO03 CA-8 VIÑAS 16 5+120 4 Llano Grande ORATORIO RD RD 4 Guznayal SRO-4 SRO-23 El Colmenar Plan de Amate 5 RD 8 SRO-15 12 RD RN 5 GUATEMALA 1 SRO-4 5 16 CA-8 El Corozal SANTA MARÍA RD Las Marias Joya Grande San Miguel Arroche IXHAUTÁN SRO-17 1 Ixpaco 4 Coatepeque 2 10 Estanzuela 2 CR Tecuamburro SRO05 4+800 Chuchuapa Buenos Aires Tierra San Juan Montereal RD Blanca RD SRO-33 CR SRO-17 SRO06 El Boqueron 4+100 La Consulta 11 CR SRO16 RN La Sorpresa 9+000 RD Pineda El Pital SRO-34 16 23 GUATEMALA 8 Matias Miramar El Irayol CA-2 Or.
    [Show full text]
  • Anna Summer Final Drph Dissertation
    Professional Midwifery: Learning from the Past and Present to Inform the Future of Maternal Health Services in Guatemala By Anna Leigh Summer A dissertation submitted in partial satisfaction of the requirements for the degree of Doctor of Public Health in the Graduate Division of the University of California, Berkeley Committee in Charge: Professor Sylvia Guendelman, Chair Professor Dilys Walker Professor Patricia Baquedano-López Spring 2016 © Copyright by Anna Leigh Summer, 2016 Abstract Professional Midwifery: Learning from the Past and Present to Inform the Future of Maternal Health Services in Guatemala By Anna Leigh Summer Doctor of Public Health University of California, Berkeley Professor Sylvia Guendelman, Chair Guatemala has an unacceptably high maternal mortality ratio (MMR) of 140, and improvements in this area have been slow. Furthermore, gross inequalities in health outcomes exist within its population, with over 70% of maternal deaths in Guatemala occurring among indigenous Mayan women. Mayan communities have been historically marginalized, and most Mayan women prefer the services of traditional birth attendants (TBA). As such, a disconnect exists between the formal and traditional health sectors in Guatemala, contributing to poor maternal health outcomes. It is widely agreed that professional midwifery is an important component of safe motherhood strategies that can reduce maternal morbidity and mortality. Today the Guatemalan Ministry of Health is reintroducing midwifery for the first time since 1960. Given the potential professional midwifery has to address the obstetric care needs of Mayan women and bridge the gap between the health sectors in Guatemala, formative research is needed at the outset to inform the design and implementation of this program.
    [Show full text]
  • Guatemala.Pdf
    © 2003 Center for Reproductive Rights www.reproductiverights.org formerly the Center for Reproductive Law and Policy guatemala final 2/28/01 12:35 PM Page 3 Table of Contents Acknowledgements ....................................................5 Glossary of Terms.......................................................6 Introduction ...............................................................7 I. Executive Summary ...............................................13 II. General Background on Guatemala......................23 A. Population and Demographics.................................................................................23 B. Recent History and the Peace Accords...................................................................23 C. Health Conditions and Indicators............................................................................24 D. Poverty and Economic Distribution........................................................................24 E. Current Unmet Need for Family Planning Information and Services..................25 F. Legal and Social Status of Women..........................................................................27 G. Education, Including Sexual Education .................................................................28 H. Role of the Catholic Church and Religion..............................................................28 I. Failed Attempts to Implement a Law or Policy on Family Planning....................29 III. Government Provision of Health Care, including Reproductive Health Care Services
    [Show full text]
  • A Pilot Study on Women's Health Education in Rural Guatemala: Impact on Beliefs and Behaviors
    A Pilot Study on Women's Health Education in Rural Guatemala: Impact on Beliefs and Behaviors The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation Messmer, Sarah Elizabeth. 2014. A Pilot Study on Women's Health Education in Rural Guatemala: Impact on Beliefs and Behaviors. Doctoral dissertation, Harvard Medical School. Citable link http://nrs.harvard.edu/urn-3:HUL.InstRepos:12407618 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#LAA ABSTRACT Background: Great disparities exist in women’s health outcomes in rural indigenous communities in Guatemala. Indigenous women are less likely to utilize family planning and cervical cancer screening services. This pilot study assessed baseline women’s health knowledge as well as the effects of a comprehensive women’s health course on women’s health knowledge and behaviors. Methodology: From February to November 2013, 61 participants in a seven-week language appropriate women’s health curriculum were evaluated before and after the course using a 10- item knowledge assessment. Rates of cervical cancer screening and birth control utilization were assessed by self-report before and after the course. Results: Several women’s health knowledge deficits were noted: the belief that birth control causes cancer, the inability to name symptoms of sexually transmitted infections, the lack of understanding of pap smears, and the lack of familiarity with condoms.
    [Show full text]
  • Guatemala Health System Assessment 2015
    GUATEMALA HEALTH SYSTEM ASSESSMENT 2015 August 2015 This publication was produced for review by the United States Agency for International Development. It was prepared by Carlos Avila, Rhea Bright, Jose Carlos Gutierrez, Kenneth Hoadley, Coite Manuel, and Natalia Romero and edited by Michael P. Rodriguez for the Health Finance and Governance Project. The Health Finance and Governance Project USAID’s Health Finance and Governance (HFG) project will help to improve health in developing countries by expanding people’s access to health care. Led by Abt Associates, the project team will work with partner countries to increase their domestic resources for health, manage those precious resources more effectively, and make wise purchasing decisions. As a result, this five-year, $209 million global project will increase the use of both primary and priority health services, including HIV/AIDS, tuberculosis, malaria, and reproductive health services. Designed to fundamentally strengthen health systems, HFG will support countries as they navigate the economic transitions needed to achieve universal health care. August 2015 Cooperative Agreement No: AID-OAA-A-12-00080 Submitted to: Scott Stewart, AOR Office of Health Systems Bureau for Global Health Recommended Citation: Avila, Carlos, Rhea Bright, Jose Gutierrez, Kenneth Hoadley, Coite Manuel, Natalia Romero, and Michael P. Rodriguez. Guatemala Health System Assessment, August 2015. Bethesda, MD: Health Finance & Governance Project, Abt Associates Inc. Abt Associates Inc. | 4550 Montgomery Avenue, Suite 800 North | Bethesda, Maryland 20814 T: 301.347.5000 | F: 301.652.3916 | www.abtassociates.com Avenir Health | Broad Branch Associates | Development Alternatives Inc. (DAI) | Johns Hopkins Bloomberg School of Public Health (JHSPH) | Results for Development Institute (R4D) | RTI International | Training Resources Group, Inc.
    [Show full text]
  • Datos Del Municipio
    Datos del Municipio Como el esquicito aroma de los pétalos de las orquídeas morada así es Chiquimulilla un lugar lleno de tradiciones, cultura y belleza. El diseño arquitectónico de su cabecera municipal es uno de las pocas construcciones no convencionales en el país, pues no está alrededor de un parque central que concentra la iglesia católica, y el portal del comercio, sin embargo en los últimos años este lugar ofrece diversos bienes y servicios en su cabecera a lo largo de sus calles que se tejen como pilar de la economía y del comercio, la aparición de los “tuc tuc”, ha venido a ser una fuente de empleo para muchos de los jóvenes de este lugar. Diversidad de restaurantes, abarroterías y bancos es parte de la variedad de comercios que se desarrollan día con día. Su mercado, es uno de los más grandes y visitados por los pobladores propios y visitantes pues en él se puede encontrar de toda clase de cosechas, ropa, carnes, y como dicen los pobladores en el mercado todo se vende, por lo que se encuentran vendedores de todos lados, como Guazacapan, Taxisco. Su gente es religiosa y siempre se ve a alguien que aparta unos minutos del día para visitar la iglesia católica, y pedir a sus santos por su salud, trabajo, tierras o simplemente para elevar una plegaria de gratitud. Otros prefieren dedicar tiempo para pasarla en familia en el parque central, o bien buscan la oportunidad para coincidir con sus amigos para platicar un rato bajo los frondosos árboles de almendro que rodean el parque.
    [Show full text]
  • Tiendas De Salud, Guatemala a Qualitative Evaluation of a Micro-Pharmacy Franchise
    Tiendas de Salud, Guatemala A qualitative evaluation of a micro-pharmacy franchise Anna De La Cruz and Naomi Beyeler The Global Health Group University of California, San Francisco November, 2013 Copyright © 2013 The Global Health Group The Global Health Group Global Health Sciences University of California, San Francisco 50 Beale Street, Suite 1200 San Francisco, CA 94105 USA Email: [email protected] Website: globalhealthsciences.ucsf.edu/global-health-group Ordering information This publication is available for electronic download at globalhealthsciences.ucsf.edu/global-health-group. Recommended citation De La Cruz, Anna, and Beyeler, Naomi. (2013). Tiendas de Salud, Guatemala: A qualitative evaluation of a micro pharmacy franchise. San Francisco: The Global Health Group, Global Health Sciences, University of California, San Francisco. Produced in the United States of America. This is an open-access document distributed under the terms of the Creative Commons Attribution-Noncommercial License, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original authors and source are credited. Tiendas de Salud, Guatemala A qualitative evaluation of a micro-pharmacy franchise Anna De La Cruz and Naomi Beyeler The Global Health Group University of California, San Francisco November, 2013 CONTENTS Background 5 Health in Guatemala 5 Tiendas de Salud 5 TISA qualitative evaluation goals 5 Methodology 6 Community selection 6 Data collection activities 7 Ethical considerations 7 Limitations 7 Community
    [Show full text]
  • Health and Poverty in Guatemala
    Health and Poverty in Guatemala Michele Gragnolati and Alessandra Marini World Bank World Bank Policy Research Working Paper 2966, January 2003 The Policy Research Working Paper Series disseminates the findings of work in progress to encourage the exchange of ideas about development issues. An objective of the series is to get the findings out quickly, even if the presentations are less than fully polished. The papers carry the names of the authors and should be cited accordingly. The findings, interpretations, and conclusions expressed in this paper are entirely those of the authors. They do not necessarily represent the view of the World Bank, its Executive Directors, or the countries they represent. Policy Research Working Papers are available online at http://econ.worldbank.org. The authors would like to thank Kathy Lindert (Task Manager of the Guatemala Poverty Assessment) for exceptional direction and for important comments and insights. Additional helpful comments and insights were received by: Harold Alderman (World Bank), Caridad Araujo (U.C. Berkeley), Chris Barrett (Cornell University), Carlos Becerra (INE), Giuliano Caloia (World Bank), Carlos Cifuentes (INE), Joanne Csete (Human Rights Watch), Heidi Deman (INCAP), Hilda Fanny (INCAP), Maggie Fisher (INCAP), Vivien Foster (World Bank), Ana Maria Ibanez (World Bank), Jerry La Forgia (World Bank), Judy McGuire (World Bank), Adam Montes (INCAP), Patricia Reynoso (World Bank), David Sahn (Cornell University), Carlos Sobrado (World Bank), Eduardo Somensatto (World Bank), Diane Steele (World Bank), Emil Tesliuc (World Bank), Maurizia Tovo (World Bank), Renos Vakis (World Bank). 1 Executive Summary The objective of this document is to provide up-to-date information on the characte ristics and patterns of the health status of the Guatemalan population and recommend possible solutions to the institutional, financing, and implementation problems that exist within the health sector.
    [Show full text]
  • Mataquescuintla
    CODIGO: AMENAZA POR DESLIZAMIENTOS E INUNDACIONES 2107 DEPARTAMENTO DE JALAPA 8 ^ MUNICIPIO DE MATAQUESCUINTLA AMEN AZA POR DESLIZAMIEN TOS 520000.000000 525000.000000 530000.000000 535000.000000 540000.000000 90°18'W 90°15'W 90°12'W 90°9'W 90°6'W " " " " " " El Remudadero El Chorro Sansare Granja s Quebrada Tío Alejo " La Trinidad La pred ic c ión d e esta a m ena za utiliza la m eto d o lo gía rec o no c id a Quebrada San Antonio Las ña California a " s C d e Mo ra -V a hrso n, pa ra estim a r la s a m ena za s d e d esliza m iento s a "Mesas Quebrada El Tizate a SAN SARE Quebrada Cañuelar a L ^ d e Joya a Sansare e r r Aguirre u un nivel d e d eta lle d e 1 kilóm etro . Esta c o m pleja m o d ela c ión utiliza " b "El Hato Honda e b " u lo q a s Mesas San Antonio La Paz Q i una c o m b ina c ión d e d a to s so b re la lito lo gía , la hum ed a d d el suelo , Finca Las Amalias R Los S " p i a Grandes a " gua a Anonos u chu o A B Llano De " m e l " lan c pend iente y pro nóstic o s d e tiem po en este c a so prec ipita c ión g Finca San Jose l Jocotales e " El Soyate a " Morales e " " t Las T Agua Caliente Granja u " os Anonos u A g L l a c um ula d a que CATHALAC genera d ia ria m ente a tra vés d el a J a Agua a d Mesitas Agua Finca j ra " l d E " i b o e a r u E Blanca Blanca Valparaiso r B da o Colonia " Q ue ra r l m o d elo m eso sc a le PSU /N CAR, el MM5.
    [Show full text]
  • Perfil Del Proyecto
    MUNICIPALIDAD DE SANTA CRUZ NARANJO, SANTA ROSA PERFIL DEL PROYECTO 1. DIAGNOSTICO: 1.1 NOMBRE DEL PROYECTO "MEJORAMIENTO CARRETERA SECTOR BIFURCACION PLAN DE LA CAÑA HACIA ALDEA El MORRO, SANTA CRUZ NARANJO, SANTA ROSA ". 1.2 ANTECEDENTES: Derivado del crecimiento de la población se hace necesario el Proyecto: “MEJORAMIENTO CARRETERA SECTOR BIFURCACION PLAN DE LA CAÑA HACIA ALDEA El MORRO , SANTA CRUZ NARANJO, SANTA ROSA.”, la actual no cuenta con las características de viabilidad necesarias para brindar un buen servicio a la población, debido al deterioro causado por varios factores con el paso del tiempo, inviernos copiosos y por contar con una capa de rodadura de terracería la cual necesita mantenimiento rutinario para mantener buenas condiciones de transitabilidad. Los vecinos han venido gestionando por varios años el mejoramiento de la carretera por medio de una pavimentación que contenga una capa de rodadura de concreto hidráulico, con la finalidad de mejorar el aspecto urbanístico del lugar así como que les provea de las condiciones necesarias en las cuales ellos puedan desenvolverse de la mejor manera posible en cuanto a sus actividades por medio de una buena viabilidad al momento de circular tanto peatonalmente como vehicular y así mejorar sus condiciones económicas. Además, en dicha carretera también es utilizada por las distintas poblaciones aledañas. Por ello la comunidad y la Municipalidad de Santa Cruz Naranjo considera este proyecto primordial para los vecinos del lugar, tomando en consideración que también beneficiaran a otras comunidades aledañas. 1.3 AREA DE INFLUENCIA (CARACTERIZACIÓN) El municipio de Santa Cruz Naranjo pertenece al departamento de Santa Rosa, en la región suroriente de la República de Guatemala.
    [Show full text]