Several institutional barriers exist that could hinder the long-term viability of contracting arrangements and effective enrollment of people living with HIV in the Seguro Familiar de Salud (SFS), the country’s health insurance plan. For example, responsibilities for enrolling these people in SFS are divided among health clinics, SENASA, and the National Council for HIV and AIDS (Consejo Nacional para el VIH y el SIDA or CONAVIHSIDA). The process is not clearly defined or institutionalized, resulting in inefficiencies and systemic barriers to enrollment.
Throughout its activities, SHOPS Plus will strengthen the overall environment for private sector provision of HIV services. The project will hold a series of meetings with SENASA to advocate for contracting with NGOs and to prioritize enrollment of people living with HIV. SHOPS Plus will also implement strategies to improve coordination between SENASA, NGO health facilities, and other key stakeholders by institutionalizing standardized insurance enrollment procedures and advocating for their use across all stakeholders.
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