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Within its benefits system the Salvadoran Social Security Institute (ISSS) has a number of programmes aiming to ensure comprehensive health for its contributors and beneficiaries, such as: comprehensive care for women; nutrition, family planning; HIV/AIDS; child care; immunization; older persons; health development and promotion; and occupational health. Besides health services, the plan includes monetary benefits by way of subsidies for temporary incapacity, pensions for occupational accidents and funeral expenses in the event of the death of the contributor.
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According to ISSS sources over the period 2004-2006, these programmes benefited a total of 1,895,890 workers and 786,377 children between the ages of 6 and 12, broken down as follows. In 2004 the programme benefited 612,190 workers and 213,274 children aged between 6 and 12. In 2005 the programme benefited a total of 633,752 workers and 256,557 children aged between 6 and 12. In 2006 the programme benefited a total of 649,948 workers and 316,546 children aged between 6 and 12.
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Over the reporting period, the ISSS spent more than $33 million on caring for children of insured beneficiaries.
Figure 52 Institutional finance unit Budget department Cost-control section Cost of caring for children of insured beneficiaries 2004 to 2006 and january to may 2007
Description
|
Summary
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Grand total in
US dollars
|
2004
|
Amount in US dollars
|
2005
|
Amount in US dollars
|
2006
|
Amount in US dollars
|
January to May 2007
|
Amount in US dollars
|
Spending on programme for
|
|
|
|
|
|
|
|
|
|
Vaccines
|
|
N.A.
|
|
683,000.00
|
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1,100,000.00
|
|
362,000.00
|
1,462,000.00
|
Consultations
|
542,375
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4,593,871.35
|
886,952
|
7,285,827.00
|
894,726
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7,348,318.22
|
332,002
|
2,739,158.90
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21,967,175.47
|
X-ray examinations
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43,893
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558,955.12
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44,248
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586,285.70
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51,300
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679,735.85
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22,201
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304,967.21
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2,129,943.88
|
Drugs
|
|
1,225,767.50
|
|
2,004,511.52
|
|
2,022,080.76
|
|
750,324.52
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6,002,684.30
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Laboratory tests
|
127,330
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414,030.61
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154,416
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500,222.08
|
172,737
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564,631.01
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69,246
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229,360.84
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1,708,244.54
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Total
|
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6,792,624.58
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11,059,846.30
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11,714,765.84
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4,385,811.47
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33,270,048.19
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Source: Actuarial and Statistics Department, Cost-Control Section Health preventon
N.B.: Medical care for children of insured beneficiaries which in 1989 covered ages 0 to 2 has been extended. It now covers the 0 to 12 year age range.
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Note also that in order to help improve health care for children of workers, the ISSS has been extending the age range for which they may benefit from medical and hospital services, at no additional cost to workers with dependent minor children. Accordingly, in the first stage children under 2 years of age were included; subsequently, over the period 1993-1996 cover was extended to children aged 2 to 6, and in September 2004, cover for children aged 6 to 12 was approved. The total number of children covered is currently 278,000, about 92,000 of whom are in the 6 to 12 age group. By the end of the year it is hoped to cover a total of 316,000 children, 131,000 of whom would be in the 6 to 12 age group (the goal is to cover some 211,000 children in that age group).
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The benefits of medical care for children under 12 of entitled workers include: specialist paediatric consultations, drugs, laboratory services, access to preventive utrition and vaccination programmes, and low-complexity emergency treatment in hospitals and medical centres as defined above.
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