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Honduras

Population (2018): 9.265 M

Income per Capita (2018): 2210.59 US

Percentage of GDP on Healthcare (2015): 7.59%

training

Year of family medicine established: 2007 (Arya et al., 2017) 

Type of Training: As of 2019, there is a residency program in family medicine and a bachelor's program in Community Health (Pan American Health Organization, 2019)

Length of Training: As of 2019, the residency in Family Medicine lasts 3 years and the degree in Community Health lasts 4 years (Pan American Health Organization, 2019)

Number of institutions that offer family medicine: 2 (As of 2020, there is approval and operation at the Catholic University of Honduras Nuestra Señora Reina de la Paz (UNICAH) and the National Autonomous University of Honduras.

Number of Trainees: unknown

practice

Number of Family Physicians: unknown

Number of Physicians: In 2015, there were 10,995 registered physicians (Carmenate Milian, et al., 2017) 

Physician to population ratio: As of 2017, 0.3 physicians per 1,000 people (World Bank, 2022)

DALY: 20,009 per 100,000 individuals (Due to all Causes).

Life Expectancy:

  • Females 2017: 76.3 years

  • Males 2017: 71.2 years

Mortality rate 2017:

  • 2017 Males: 170 per 1,000 male adults.

  • 2017 Females: 117 per 1,000 female adults.

Infant Immunization-HepB3: % of 1-year-old children received: 90%

College of Family Physicians (Y or N):

  • Yes: Honduras Medical College

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healthcare system

The health care system in Honduras is universal, though is currently experiencing difficulties due to its limited management system capacity, weak governance and human resources. It also has two subsectors; a public and private. Public subsector composed by the Ministry of Health and the private subsector made up of for-profit and nonprofit institutions, as shown below in Figure 1 (Carmenate Milian, et al., 2017). Family medicine is recognized by the government in Honduras (Carmenate Milian, et al., 2017).

training

There are 3 stages or university levels. (State University, n.d.). After three or four years of study, an individual will earn a university first degree or a licentiate. To specialize in medicine, students have to work for three years after they complete six years of undergraduate work, then complete a final comprehensive examination.

practice

In addition to physicians, there are also nurses (Rennert & Koop, 2009) in Honduras. The medical staff work 8 hours a day, where they must attend to a maximum of 36 patients (Carmenate Milian, et al., 2017). In Honduras, they have used the same model of health and social protection for more than 50 years. A new health model reform in Latin America covers four major areas of change: reorganization or structural fragmentation systems, decentralization, optimization of regulatory functions and separation of financing. Separation of financing is mainly seen in the Honduras model (Carmenate Milian, et al., 2017).

References

1.     Arya, N., Gibson, C., Ponka, D., Haq, C., Hansel, S., Dahlman, B., and Rouleau, K. 2017. “Family Medicine around the World: Overview by Region: The Besrour Papers: A Series on the State of Family Medicine in the World.” Canadian Family Physician Medecin de Famille Canadien 63 (6): 436–41.

Banco Mundial. (2022). Médicos (por cada 1.000 personas)—Guatemala, Venezuela, RB, Honduras, Dominican Republic. https://datos.bancomundial.org/indicador/SH.MED.PHYS.ZS?end=2018&locations=GT-VE-HN-DO&start=1960&view=chart

2.     Carmenate Milian, L., Herrera Ramos, A., Ramos Caceres, D., Lagos Ordonez, K., Lagos Ordonez, T., Somoza Valladares, C., and Somoza-Valladares. 2017, C. “Situation of the Health System in Honduras and the New Proposed Health Model.” Archives of Medicine 09 (04). https://doi.org/10.21767/1989-5216.1000222.

3.     “Current Health Expenditure (% of GDP) | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS.

4.     “Honduras - Higher Education - University, Students, Medicine, and Doctoral - StateUniversity.Com.” n.d. Accessed January 11, 2019. http://education.stateuniversity.com/pages/610/Honduras-HIGHER-EDUCATION.html.

5.     “Population, Total | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SP.POP.TOTL.

6.     Rennert, W., and Koop, E. 2009. “Primary Health Care for Remote Village Communities in Honduras: A Model for Training and Support of Community Health Workers.” http://www.chwcentral.org/sites/default/files/Primary Health Care for Remote Village Communities in Honduras- A Model for Training and Support of Community Health Workers.pdf.

Universidad Nacional Autónoma de Honduras. (2021). CONSEJO TÉCNICO CONSULTIVO Viernes 27 de noviembre de 2020.

7.     “TRADING ECONOMICS | 20 Million INDICATORS FROM 196 COUNTRIES.” n.d. Accessed December 16, 2018. https://tradingeconomics.com/.

8. Pan American Health Organization. (2019). Mapping of Training Programs in Family and Community Health. https://www.observatoriorh.org/sites/default/files/webfiles/fulltext/2019/2019_ops_mapeo_programas_salud_familiar.pdf