CAT/OP/BOL/3/Add.1
• Children under age 5
• Women and men age 60 and above
• Women of child-bearing age with regard to sexual and reproductive health
• Persons with disabilities who have legal status as such, in accordance with the
database of the Programme on the Central National Register of Persons with
Disabilities
• Others who are found eligible by decision of the Health Sector Coordination Board
130. Article 12 of Act No. 475 establishes that the Ministry of Health and the
autonomous territorial entities, through the Health Sector Coordination Board, can increase
the funding allocated to the Municipal Health Accounts and the National Health
Compensation Fund or to other additional measures designed to broaden the range of
services for beneficiaries, subject to sector priorities and the availability of funds.
131. With regard to women’s rights, the Ministry of Health is part of the sectoral and
intersectoral coordination board for a violence-free life. The board was set up to ensure the
enforcement of Comprehensive Act No. 348 on guaranteeing a violence-free life for women,
Supreme Decree No. 2145, and Act No. 243 on political violence and harassment of women
and its regulations (Decree No. 2935), which are part of national policies on the human
rights of women and the eradication of all forms of gender-based and generational violence.
132. With regard to sexual and reproductive health, the Ministry of Health has adopted
rights-based, inclusive policies, which it has strengthened by broadening them beyond
biological considerations, linking the issue to other rights, cultural concerns, universal
values and individual fulfilment and incorporating a gender perspective.
133. With regard to mental health, the current comprehensive approach to health care has
been enhanced through recognition of the fact that mental health is both a determinant and
an outcome and that mental illnesses can be acute or chronic and present in combination
with other disorders, thereby creating a vicious circle that upsets the well-being and
physical, mental and social balance that everyone deserves. Since mental disorders have
multiple causes, the health sector facilitates cooperation with other sectors with a view to
preventing health conditions that can lead to physiological and social problems, which harm
the persons concerned and indirectly their families and communities.
134. The 2017–2021 National Mental Health Plan gives an assessment of the results
produced by mental health services and the services provided by other sectors and
institutions. It also registers advances in respect of public health policy, as well as the
progress made in terms of the active participation and representative roles of civil society
groups, aboriginal and indigenous communities and campesinos. The headway being made
in this connection highlights the lessons learned about approaches to mental health issues.
The goal is to contribute to overall health by developing rights-based mental health services
and centering public health policy around the promotion of health and the prevention,
treatment and rehabilitation of the main mental health and behavioural disorders, with the
aim of achieving the Good Life for all inhabitants, irrespective of age, gender, identity,
social status, political views or culture. The Plan’s strategic focuses are to:
(a)
Strengthen the law and institutional support with the participation of the
population in order to develop subnational plans and programmes on mental health with
their own budget;
(b)
Ensure community-level mental health prevention and promotion with a view
to implementing intersectional and inter-institutional promotion and prevention measures
together with social organizations and associations;
(c)
Establish a mental health model under the unified health system;
(d)
Train staff of institutions and community-level service providers in mental
health issues;
(e)
GE.18-12244
Enhance information management and research in the area of mental health.
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