Multi-Dimensional Review of Paraguay: Vol. 3: from Analysis to Action

Foreword
Acknowledgements
Abbreviations and acronyms
Executive summary
	Reforming the Paraguayan health system
	Pension reform as a pillar for the overhaul of the social protection system
	Reforming the education system to foster inclusion and employability
Chapter 1.  Priorities for inclusive development in Paraguay: Summary of multidimensional analysis
	A reader’s guide to the Multi-dimensional Review of Paraguay: priority areas and action plans
	Paraguay’s development ambition and the main obstacles it faces
		Paraguay must leverage its macroeconomic stability to diversify its economy
		Reducing informal employment and improving the coverage and quality of social services are essential to improve the well-being of Paraguayans
		Towards better management of natural resources
		Strengthening democracy and moving towards more effective and transparent public management
		More resources need to be channelled towards development
	Towards a more inclusive and sustainable development path
		Creating the conditions for a structural transformation of the economy
		Promoting social development
		Raising the capacity of the state to steer the economy and development
		Implications for the National Development Plan
	Public policy orientations for reform in health, social security and education
		Overcoming fragmentation and accelerating reform can improve the health of Paraguayan citizens
		Achieving social protection for all Paraguayans requires larger investments and a systemic approach.
		Reforms in the education and skills system are necessary to foster inclusiveness and access to better jobs
	Notes
	References
Chapter 2.  Reforming the Paraguayan health system
	Policy orientations in the health sector in Paraguay
		Delivering quality health services is a global imperative for universal health coverage
	Paraguay needs to agree on a vision for its future health system as it works towards a structural reform (recommendation 1)
	The health funding strategy must be sustainable and must secure sufficient resources (recommendation 2)
		Drawing up a funding strategy
			Discussion and action plan: Sustainable funding
	Strengthening governance is necessary to steer the health system towards universal coverage (recommendation 3)
		Defining a package of health benefits (recommendation 3.3)
			Learning from international experience and adopting best practices could ensure better results in the implementation of a benefit package
			Discussion and action plan: Defining a package of health benefits
	To improve how the resources are used, the health system needs to become more efficient (recommendation 4)
		Reducing fragmentation through more and better inter-agency agreements (recommendation 4.1)
		Creating the right incentives through more strategic payment systems (recommendation 4.2)
			Discussion and action plan: Integration in service delivery and mechanisms for paying suppliers
		Ensuring that medicines are available, affordable and of good quality (recommendation 4.3)
			More efficient public procurement of medicines and medical supplies
			Discussion and action plan: Public procurement of medicines and medical supplies
	Notes
	References
Chapter 3.  Pension system reform as a pillar of the overhaul of social protection in Paraguay
	Social protection as a key element of inclusive development in Paraguay
		Diagnosis and priority actions for social protection
			Coverage is improving, but still insufficient
			The challenge of increasing and improving funding for social protection
			Governance and management: the great challenge of integrating a highly fragmented system
		Creation of a social protection system is underway
	An action plan for pension reform in Paraguay
		A strategy to expand coverage of the pension system (ER1)
			Improve incentives for registration (recommendation 1)
			Improve incentives for social security contributions (recommendation 2)
			Expand social pension coverage to its target population (recommendation 3)
		Making parametric adjustments for a fairer, more sustainable pension system (ER2)
			Strengthen the link between benefits and contributions through parametric reforms (recommendation 4)
			Improve equity in the pension system by aligning parameters (recommendation 5)
		Working towards integration of the pension system (ER3)
			Integrate the contributory and non-contributory pensions into one multi-pillar pension system (recommendation 6)
		Strengthening governance of the pension system (ER4)
			Establish a mechanism for seeking consensus among pension system stakeholders (recommendation 7)
			Establish regulations and a regulatory body for the pension system (recommendation 8)
			Improve the internal governance of pension providers (recommendation 9)
		Action plan summary table
	Notes
	References
Chapter 4.  Priority areas for action in education and skills formation
	Policies to help create a better education system for all
		Main challenges in the field of education
		Priorities of the Ministry of Education and Science
		A pact for education
		Expanding coverage and promoting school completion, particularly in pre-primary and secondary education and among the most vulnerable groups
			Generating better statistical data about education
			Expanding access to early childhood education
			Supporting access in remote areas and for disadvantaged groups
			Encouraging students to stay in school and complete education cycles
		Improving learning and the overall quality of the education system
	Improving employability and access to better-quality jobs
		Modernising curricula based on a national qualifications framework
		Strengthening the technical and vocational education and training system
		Improving the match between supply and demand for skills
	Notes
	References
Chapter 5.  A scorecard for monitoring implementation of the policy recommendations
	The scorecard offers indicators for achievement of the Sustainable Development Goals for 2030
		Reforming to foster healthier lives in Paraguay
		Moving towards social protection for all in Paraguay
		Towards an education and skills system that fosters inclusiveness and employability in Paraguay
	References
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