Peru

 

Peru has four systems providing health protection: the social health insurance system, the comprehensive health insurance system (under the ministry of Health), the Armed Forces and national police health system and the private insurances. According to national household survey (ENAHO) data, the total enrolment in social health protection programmes, through the social health insurance system (EsSalud), healthcare providers, the Armed Forces, the police and the comprehensive health insurance system amounted to 10.6 million persons in 2006. Of these persons, 45% had contributory coverage. 

In 2006, the combined contributory coverage of EsSalud, the healthcare providers, the Armed Forces and the police reached 5.8 million persons, i.e., around 20% of Peru’s population. Contributory health insurance coverage as a proportion of the employed working-age population was at its lowest level in 2003-2004, with 17.2%. From there it showed a slight improvement and reached 20.2% in 2009.
 
The pension systems in Peru are the national pension system (ONP) and the private system for administration of pension funds (AFP). Enrolment is compulsory for dependent workers and optional for independent workers. Workers have to choose one of the two schemes, and their choice excludes enrolment in the other. According to a 2006 study conducted by the ILO, the rate of premium payment in the Peruvian pension system is 50%, for ONP affiliates as well as AFP affiliates. Peru has approximately 2.2 million inhabitants over 65, around 500,000 of whom receive an old-age, disability or survivor’s pension. The total rate of coverage for elderly persons is therefore around 23%. Compared with the current coverage rate for working premium-payers, this indicator clearly shows the reduction in contributory coverage for the Peruvian pension system over the past decade and a half.
 
The concept of “high-risk work” has been popular in Peru, implying that not all work entails professional risk, and leading to legal protection only for a minority of “high-risk” jobs. The coverage rate for the employed working-age population by the additional job risk insurance SCTR went up 1.5 percentage points from 2003 (when it was at a historical low) to 2007, and was 4.4% in 2009. This means that despite this slight progress, almost 95% of Peruvian workers are without job risk insurance.
Total population : 29.7 million
(UN Population Division | World Population Prospects, 2012)
GDP per capita (PPP US $) : 10318
(World Bank | WDI, 2011)
GDP growth (in %) : 6.9
(World Bank | WDI, 2011)
Human Development Index (HDI) : 0.725 [Rank: 80]
(UNDP | Human Development Indicators, 2011)
Total expenditures on health as % of GDP : 5.1
(WHO | WHO Statistical System, 2010)
Public expenditure on health as % of GDP : 2.7
(WHO | WHO Statistical System, 2010)
Govt. expenditure on health as % of total govt. Expenditure : 14.3
(WHO | WHO Statistical System, 2010)
Health expenditure not financed out of pocket by private households (% total health expenditure) : 60.5
(WHO | WHO Statistical System, 2010)
Public social security expenditure (including health) as % of PIB : 6.85
(ECLAC, 2010)
Share of population above the statutory retirement age benefiting from an old-age pension : 25
(ILO Social security inquiry, 2010)
Share of economically active population contributing to a pension scheme : 29.2
(ILO Social security inquiry, 2010)

See all
RESOURCES

Envejecimiento con dignidad por una pensión no contributiva
Oficina Internacional del Trabajo, 2011
Envejecimiento con dignidad. Pensiones no contributivas para reducir la pobreza en el Perú
Clark, F.; Mendoza De Souza, W.; Durán Valverde, F.; Picado Chacón, G.; Morón, E. ; Rostagno, M.; Arnillas Lafert, F.; Sánchez Reyes, C., 2009
Hacia una atención de salud, de calidad, integral y solidaria en zonas cafetaleras
Junta Nacional del Cafe, 2007

See all
NEWS & Calendar

Peru towards universal health insurance
Universalisation of health care

Comments


Add comments

Page updated 2012-11-01

 
Giuliana Samame
giuliana_samame@hotmail.com
 
carmen solorio
carmensolorio26@yahoo.com