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Protocolos Regionales de Politica Publica para Salud
Generar un conjunto de protocolos regionales de política pública, armonizados y consensuados, sobre bienes y servicios de telesalud (el Bien Público Regional). El fin es el de aumentar la eficiencia y reducir los costos de transacción y aumentar la calidad en la prestación regional de servicios de telesalud, para poblaciones con difícil acceso a estos servicios incluyendo comunidades indígenas.

Actividades:
Patrones regionales de requisitos para transmision de datos e infraestructura, estrategia para la promoción, prevención y asistencia de servicios mediante telesalud, guias regionales para la gestión de telesalud, estrategia para una red de investigación en telesalud, modelo de capacitacion y certificacion en telesalud.

Beneficiarios: LAC cities

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Infrastructure for Competitiveness and Social Welfare" and "Competitive global and Regional Integration" Strategic Priorities of the Inter-American Development Bank (IDB)
The Ninth General Capital Increase (GCI-9) of the Inter-American Development Bank established "Infrastructure for Competitiveness and Social Welfare" and "Competitive global and Regional Integration" as two of the five institutional strategic priorities to achieve the Bank’s overarching objectives of reducing poverty and inequality and promoting sustainable growth. The GCI-9 also sets an annual lending target of 15 per cent to support integration and regional cooperation in Latin American and the Caribbean (LAC) by the end of 2015. The IADB approved it corresponding sector strategies for "Infrastructure for Competitiveness and Social Welfare" and "Competitive global and Regional Integration" which emphasize the Bank needs to act simultaneously on the software (policy and regulatory frameworks) and the hardware (physical integration) of integration, ensuring coherence between national and regional interventions. Though software investments require fewer resources, they can make integration infrastructure more efficient and unlock investments in hardware.

Activities:
During 2013, the IDB approved 168 projects for a total value of $14 billion, increasing from for a total of $11.4 billion in funding in 2012. In terms of resources approved, 33 percent of IDB approvals in 2013 supported regional cooperation and integration. The IDB has a dedicated Fund for Initiatives for Regional Infrastructure Integration (FIRII), which has allocated US$46M for infrastructure project preparation studies and coordination of regional integration and it has also mobilized US$21M through its parallel multi-donor (Canada, USA, Mexico, Colombia and Spain) Fund (RIIF) for the same goal. FIRII has supported among others, the Initiative for the Integration of South American Regional Infrastructure (IIRSA) and the Mesoamerica Project (MIDP) and it has leveraged loans accounting for US$1.25 Billion, with $31 in loans per dollar allocated to technical assistance. The IDB is currently supporting the studies for the interconnection between Colombia and Panama. The IDB has supported The Electricity Interconnection System for Central America (SIEPAC) is a regional Program in which multiple stakeholders of the six countries (Costa Rica, Panama, Nicaragua, El Salvador, Honduras and Guatemala) in Central America are involved. The total cost of the electricity infrastructure for the SIEPAC is US$494 million, of which the IDB has contributed with more than half (US$235 million) plus nearly with US$19 million in technical assistance for the institutional structuring and regulatory framework of the regional electricity market (known by its Spanish-language acronym, MER). To date, commercial transactions of electricity are on the rise in Central America. The MER exchanged 134.5-GWh in March 2014, the highest amount traded in the last twelve years. Regarding the physical infrastructure, the tramo Panaluya (Guatemala) – San Buenaventura (Honduras) is already operational and, during late 2014, the Tramo 17 in Costa Rica will be finished, allowing the system to operate at 100% of its commercial capacity. Tasks ahead for the SIEPAC are the implementation of the regulatory framework for long-term transactions, maintain regional capacities needed for the market, and continue efforts on regional expansion planning, among others. Building upon the experience of SIEPAC, the IDM is currently supporting The Andean Electricity Interconnection System (SINEA) was born as part of an agreement between governments of Bolivia, Chile, Colombia, Ecuador, and Peru in late 2010. The countries agreed on a project with three main components: (i) establish mechanisms to facilitate the legal framework the development of regional infrastructure and international transactions of electricity, (ii) identify the required infrastructure for an electricity corridor in the Andean Region, and (iii) advance on specific bilateral agreements for commercial and financial mechanisms for the electricity exchange. During 2012, the IDB approved a US$1.5 million regional technical assistance to support the SINEA by financing studies regarding the regulatory framework, and infrastructure needs for the interconnection. With the IDB as a Technical Secretary, the Andean countries have held 6 physical meetings plus 10 virtual ones to discuss the studies. The methodology adopted by the countries consists in a phased integration analysis, starting with exchanges of electricity from bilateral contracts in the first phase and scaling-up to a regional market. Preliminary results have identified interconnection projects that are economically attractive at a bilateral and regional level, including also the possibility of strengthening the connections between countries that show significant benefits in the first stage of its operation. Countries will continue their work based on an Integration Roadmap to be approved at the next Council of Ministers to be held in the city of Lima on April 25, 2014. The IDB approved on May 2013 the “Pre-Feasibility Study for the Arco Norte Interconnection Project”, a non-reimbursable technical assistance of US$1.9 million to assess the potential development of an electrical interconnection among Suriname, Guyana, French Guiana and the northern Brazilian cities of Boa Vista (State of Roraima) and Macapá (State of Amapá). In this technical assistance, the IDB is working jointly with the Agence Française de Développement (AFD) and the energy agencies and electricity utilities companies of Suriname (Energiebedrijven Suriname – EBS), Guyana (Guyana Energy Agency – GEA), French Guiana (Electricité de France – EDF), and Brazil (Centrais Eletricas Brasileiras - Eletrobras). The aim of the studies is to determine the feasibility, alternatives, risks and mitigation measures of the development of an electrical interconnection to enhance regional integration, accessibility and to have a positive impact on the economic development of the region.

Beneficiaries: All the borrowing member countries of the IDB

Partners and financing: Canada, USA, Mexico, Colombia and Spain