FONASA group Proportion of beneficiaries Proportion of total population Gross monthly income (US$) (2013) Other characteristics Co-payments MAI: Institutional Providers (Public Health Sector) MLE: Private Providers (Free-choice) Primary Health Care In-patients and specialist consultation Oral health 80 health problem GES Outpatient care In-patient care A 24% 19% Indigents Indigents / basic solidariity pensions beneficiaries (pensión básica solidaria) / family allowance beneficiaries (subsidio familiar) 0% 0% 0% 0% not allowed not allowed B 37% 28% < 432 0% 0% 30% 0 - 20% with an annual deductible depending on socioeconomic level, number of health problems and affiliation 50 - 60% up to 75% C 17% 13% 432 -631 If the contributor has more than 3 dependents beneficiaries pass to group B 0% 10% 50% 50 - 60% up to 75% D 22% 17% > 631 If the contributor has more than 3 dependents beneficiaries pass to group C 0% 20% 80% 50 - 60% up to 75% 100% 77% 0% Table S1. FONASA groups and financial coverage Data Source: authors based on FONASA (2013) Note: Observed Exchange Rate (average Jan-Aug 2013) 1US$ =486,21 Chilean peso
Intervention area Tracer indicators of intervention coverage Average Equity dissagregation Source Health insurance Household income Educational Residence Gender Public FONASA Private ISAPRE Q1 Q5 ratio Low: <8 YED High: >12 YED ratio Rural ratio Male Female ratio Health-related MDGs or Group I BoD Pregnancy care Antenatal care (at least one visit).The percentage of women with a live birth that received antenatal care provided by skilled health personnel at least once during their pregnancy. 96% 97% 91% 1.1 n/a n/a - n/a n/a - n/a n/a - - - - [35] Estudio de Verificación de Costos: Atención del MOH Chile 2008 Maternal and newborn care Skilled birth attendance, % of pregnant women 100% n/a n/a - n/a n/a - n/a n/a - n/a n/a - - - - MOH Chile, 2010 Family planning Proportion of FP need satisfied 99% 99% 100% 1 n/a n/a - 99% 100% 1 98% 99% 1 99% 100% 1 Quality of Life and Health Survey (ENCAVI 2000). MOH Chile. Child vaccination Pentavalent3 coverage (diphtheria, tetanus, whooping hepatitis B and Haemophilus influenza type b): % of population 94% n/a n/a - n/a n/a - n/a n/a - 93% 100% 0.9 n/a n/a - Departament of statistics "Cobertura de 2005-10". MOH-Chile
immunized (less than 1 year old) TB control Treatment success rate, (cure rate among estimated cases) 82% n/a n/a - n/a n/a - n/a n/a - 74% 91% 0.8 n/a n/a - National TB Program MOH-Chile HIV prevention & treatment Use of barriers methods during last sexual intercourse. Proportion of population [%] 49% n/a n/a - 45% 58% 0.8 n/a n/a - n/a n/a - 59% 37% 1.6 Chile. 7th National Youth Survey 2012* PMTCT among HIV positive women 89% 94% n/a - n/a n/a - n/a n/a - n/a n/a - n/a n/a - national Program MOH Chile, 2011 ART coverage 64% n/a n/a - n/a n/a - n/a n/a - n/a n/a - n/a n/a - national Program MOH 2012 Water and sanitation Adequate sanitation: Proportion of household using improved drinking water sources and improved sanitation facilities [%] 92% 91% 98% 0.9 86% 97% 0.9 86% 98% 0.9 62% 96% 0.6 91% 93% 1 Survey 2011. Ministry of Social development Chile Chronic conditions & injuries (CCI) or Group II and III BoD
Chronic adult conditions Effective coverage of High Blood Pressure: Normal BP among those in need of hypertension treatment [%] 17% 18% 13% 1.4 n/a n/a n/a 16% 17% 1 17% 17% 1 9% 25% 0.4 2nd National Health Survey MOH Chile Effective coverage of Diabetes : Normal glycemia among those in need of diabetes treatment [%] 35% 34% 42% 0.8 n/a n/a n/a 35% 38% 0.92 23% 37% 1.6 29% 39% 0.7 2nd National Health Survey MOH Depression treatment: people under treatment among those with depressive symptoms during the last year the last - ICID (>15 years) [%] 58% 56% 82% 0.7 n/a n/a n/a 60% 67% 0.9 53% 58% 1.1 35.90% 64.60% 0.6 2nd National Health Survey MOH Chile Cancer Cervical cancer screening: proportion of women (15 years and older) with PAP smear during last 3 years [%] 56% 55% 61% 0.9 55% 61% 0.9 51% 59% 0.88 57% 55% 1 - - - Survey 2011. Ministry of Social development Chile Mammography: Proportion of women (50 years and older) with mammography 54.40% 52.20% 77.20% 0.7 43.70% 70.20% 0.6 43.60% 66.90% 0.65 48.30% 55.20% 1.1 - - - CASEN Survey 2011. Ministry of Social development Chile