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. 21

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