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President Bukele’s government has transformed El Salvador’s integrated national health system

President Bukele's government has transformed El Salvador's integrated national health system
Photo: Ministerio de Salud

May 31 |

The National Integrated Health System (SIS) has been transformed during the administration of the President of the Republic, Nayib Bukele, through different actions that include modernization of infrastructure, equipment and digitalization of processes.

For decades, Salvadorans suffered from lack of care, hospitals and health units in poor condition and lack of suitable equipment for diagnosis and medical procedures, digitized care and modern technology.

Currently, modern, state-of-the-art equipment has been provided for X-rays, MRIs and cardiac interventions with a biplanar arc that is unique in the country and in the region.

“Assured connectivity. The Integrated Health System is changing the care we provide in hospitals, health units and in the territory, since it allows us to keep better control of the patient and give him/her the appropriate follow-up regardless of the facility where he/she goes to consult,” said the Minister of Health, Francisco Alabi, recently.

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The issue of connectivity was raised by the Vice-Minister of Health Management and Development, Carlos Alvarenga, during his participation in the 76th World Health Assembly, held in Geneva, Switzerland.

“We have interconnected all health facilities, generated the electronic health record and other important elements of digital transformation that are the basis for transforming the country with a leap in quality,” said Alvarenga.

Similarly, in terms of infrastructure, the government of President Bukele built a walkway with all the conditions for the transfer of patients between the tower of the Benjamin Bloom National Children’s Hospital and the outpatient building of this medical center.

This has also been equipped with a biplanar arc angiograph for cardiac catheterization.

Likewise, after 30 years, the Zacamil National Hospital was intervened and equipped with technology and new areas, as well as artificial intelligence through Temi, a robot assistant.

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On the other hand, another of the debts settled has been the inauguration of the Specialized Outpatient Care Center La Ceiba, of the Salvadoran Social Security Institute (ISSS), which has a capacity to care for more than 1,100 patients per day.

Due to the security measures implemented by President Bukele, health services have also been brought closer to communities that for decades were dominated by gangs.

Similarly, the teaching sector will benefit from the construction of the first Magisterial Hospital of the Instituto Salvadoreño de Bienestar Magisterial (ISBM), for which more than $2.2 million was approved by the Legislative Assembly for the purchase of the land.

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Central America

Guatemala Dismantles Largest Cocaine Lab Found in 15 Years Near Mexico Border

Security forces in Guatemala discovered what authorities described as the largest cocaine laboratory dismantled in the country in the last 15 years, located in the southwest near the border with Mexico, officials announced on Wednesday.

Guatemalan Defense Minister Henry Sáenz said during a press conference that the operation was carried out as part of “Operation Ring of Fire,” a large-scale security initiative launched by the Guatemalan government and military to reinforce border controls and combat organized crime, particularly along the Mexican border.

The operation focused on the community of Zanjón San Lorenzo, in the municipality of Ayutla, San Marcos department, where authorities uncovered a sophisticated criminal compound made up of three interconnected buildings equipped to carry out the full cocaine production process.

“What we can preliminarily observe in these facilities is the complete production cycle used to produce cocaine ready for consumption,” Sáenz stated, adding that the investigation remains ongoing and additional findings could emerge.

The minister highlighted the scale and complexity of the laboratory, comparing it to previous major drug seizures in the country.

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“The last major laboratory we found was in El Estor, Izabal, in 2019, and that facility only processed coca paste,” he explained.

Authorities arrested eight individuals during the raid and seized a cache of weapons that included 14 military-style assault rifles, three 9mm pistols, and 1,306 rounds of ammunition.

Security forces also confiscated cash totaling 74,461 quetzales (approximately $9,600), $26,787 in U.S. currency, and 118,000 Mexican pesos.

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Central America

Opposition leader highlights migration crisis in Panama speech

Opposition leader María Corina Machado recalled on Monday, during her final day in Panama, the thousands of Venezuelan migrants who crossed the dangerous Darién Gap jungle on their journey toward North America in search of better living conditions.

Speaking before Panama’s National Assembly, Machado stated that “more than 500,000 Venezuelans have crossed the Darién in search of freedom,” adding that many did not survive the journey.

Her remarks highlighted the Darién Gap as a central route in the recent regional migration crisis, where thousands of migrants—mostly Venezuelans—have attempted to travel north through one of the most dangerous jungle passages in the Americas.

According to migration data cited in recent years, the Darién route has seen daily flows of over a thousand migrants at its peak, reflecting the scale of the humanitarian challenge in the region.

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Central America

Nicaragua’s Alliances With U.S. Rivals Could Trigger More Sanctions, Analysis Says

The administration of U.S. President Donald Trump is expected to maintain political and economic pressure on the government of Nicaragua, led by Daniel Ortega and Rosario Murillo, due to its growing alliances with Russia, China and Iran, according to an analysis released Monday by the Centro de Estudios Transdisciplinarios de Centroamérica (Cetcam).

The report states that tensions between Washington and Managua have increased since the beginning of Trump’s second term and could worsen amid the regional political climate, particularly because of developments in Venezuela and Cuba.

Cetcam researchers noted that since the second half of 2025, the U.S. government has intensified criticism of the Sandinista administration, mainly regarding political prisoners, human rights, religious freedom and what it describes as the authoritarian model established by Ortega and Murillo.

“With this background, it is possible to foresee that Washington will maintain pressure, including sanctions, against the Ortega-Murillo dictatorship,” the think tank stated in its report.

The study also warns that one of Washington’s main concerns is the strengthening relationship between Managua and countries considered strategic rivals of the United States, particularly Russia, China and Iran.

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Among the developments highlighted is the recent ratification by the Russian Senate of a military cooperation agreement signed with Nicaragua in 2025. The deal is expected to strengthen strategic coordination and Russia’s presence in Central America for an initial five-year period.

According to Cetcam, the move will “hardly go unnoticed” by the United States.

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