Health reform in Ecuador: never again the right to health as a privilege


  • Miguel Malo-Serrano Ministerio de Salud Pública del Ecuador. Quito, Ecuador.
  • Nicolás Malo-Corral Ministerio de Inclusión Económica y Social. Quito, Ecuador.



Health care reform, Ecuador, Primary health care, Healthcare financing


The process of the health reform being experienced by Ecuador has had significant achievements because it occurs within the framework of a new Constitution of the Republic, which allowed the incorporation of historical social demands that arose from the criticism of neoliberalism in the restructure and modernization of the state. The backbone of the reform consists of three components: organization of a National Health System that overcomes the previous fragmentation and constitutes the Integral Public Health Network; development of policies to strengthen primary health care, articulating actions on the determinants of health, and finally, increasing funding to consolidate these changes. We conclude that challenges to the reform are related to the sustainability of the processes, financial sustainability of the system, greater activation of participatory mechanisms that enable citizen assessment of services and citizen empowerment regarding their right to health.


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How to Cite

Malo-Serrano M, Malo-Corral N. Health reform in Ecuador: never again the right to health as a privilege. Rev Peru Med Exp Salud Publica [Internet]. 2014 Dec. 2 [cited 2024 Apr. 14];31(4). Available from:

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