Quality, Costs and Cost Recovery: A Comparative Study of the Unidad Sanalitaria of the Ministry of Health (MOH) and Prosalud

Initial assessments conducted in the states of Acre and Amazonas identified deforestation and habitat fragmentation as primary challenges. Forest cover loss averaged 15% below regional benchmarks, particularly in areas with high conservation value. Implementation focused on three key interventions: reforestation programs, sustainable forest management, and community engagement. More than 1,500 hectares of degraded forest were restored during the first year. Demonstration plots established in 20 communities showed biodiversity improvements of 30% when applying the conservation practices. Community feedback indicated high adoption of agroforestry and agroforestry-based livelihoods, while forest certification faced implementation barriers due to market demand. Indigenous communities, representing 25% of participants, showed higher adoption rates for all practices except forest restoration. Midterm evaluation revealed a 20% increase in forest cover among program participants compared to the control group. Biodiversity indicators improved across all target communities, with greatest gains in areas where both reforestation and sustainable forest management interventions were combined. The program also reported a 15% increase in income among local communities, primarily due to the sale of certified forest products. The initiative's geographic focus was on the Amazon rainforest, with a specific emphasis on the states of Acre and Amazonas. The program's timeframes spanned from 2015 to 2020, with a total budget of $10 million. Recommendations from the midterm evaluation included scaling up the program to other regions and increasing support for community-led conservation initiatives.