Case Studies: Ecuador
Centro Médico de Orientación y Planificación Familiar (Medical Center for Family Planning and Education or CEMOPLAF) is a private organization operating in the mountainous region of Ecuador. Its main objective is to facilitate access to educational services regarding sexual and reproductive health awareness and prevention to the poorest populations in the country, and especially to women and youth. CEMOPLAF currently operates 26 semi-urban and rural health centers in 11 provinces and employs a staff of 342, including health professionals and administration. Initially founded to serve women of reproductive age with family planning services, the community came to depend on CEMOPLAF clinics to provide a wide range of services from basic healthcare screenings to psychological services.
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Fundación Futuro works with local community organizations in Ecuador to create sustainable health programs systems in underserved rural and urban villages. Since 2000, the organization has created five community health programs in different regions of Ecuador. Each program includes a community health insurance plan, an affiliated health center with primary and specialty care, and health promotion programs. Families can join the health program by paying a $0.50 monthly affiliation fee, and gain access to general and preventative medicine, dentistry, and obstetrics care, and in some cases natural medicine, physical therapy, and mental health care. Affiliated families pay $0.50 cents for medical visits, and receive at 15% discount on medicines. Community members who do not pay the monthly affiliation fee may also use the health center, but must pay more for visits and medicine.
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