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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

Prosecutors Accuse Ex-Defense Minister of Undermining Press Freedom in Honduras

Honduras’ Public Prosecutor’s Office on Wednesday filed criminal charges against retired General Roosevelt Hernández, the country’s former defense minister and former chief of the Joint Chiefs of Staff, over his alleged role in actions that prosecutors say undermined press freedom and freedom of expression.

Prosecutors said the case was brought by the Special Prosecutor’s Office for the Protection of Journalists, Social Communicators, Human Rights Defenders and Justice Officials following an investigation into content published between 2025 and 2026 on a digital media platform operated by the Honduran Armed Forces.

According to the investigation, the publications were reported by journalists and the Honduran Journalists Association (CPH), which described them as part of an alleged campaign to discredit members of the press and media organizations.

The case dates back to May 2025, when the CPH filed complaints with national and international organizations after the Armed Forces referred to three journalists as “hitmen” in an article published by FF.AA. Digital. The association argued that the publication endangered the journalists’ safety and constituted an attack on press freedom.

The journalists identified in the publication as “hitmen of the truth” were Rodrigo Wong Arévalo, director of the television news program Abriendo Brecha; Dagoberto Rodríguez, director of Radio Cadena Voces; and Juan Carlos Sierra, president of the Honduran Journalists Association. The article also included photographs of the three journalists and the CPH’s logo.

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The Public Prosecutor’s Office said the case file includes formal complaints, pretrial investigative proceedings, a specialized forensic analysis of audiovisual and digital material, and witness testimony gathered during the investigation to determine whether the publications violated freedom of expression and the exercise of journalism.
Authorities emphasized that freedom of the press and freedom of expression are protected under the Honduran Constitution as well as international treaties ratified by the country.

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Central America

EU Urges Nicaragua to Hold Free and Transparent Elections Amid Proposed Electoral Reforms

The European Union on Saturday called on Nicaragua to hold elections “in accordance with international standards” after the country’s co-president, Daniel Ortega, promoted electoral reforms that critics say would prevent opposition groups from participating in future elections.

Nicaragua’s National Assembly, which is controlled by allies of President Ortega and Co-President Rosario Murillo, announced on Wednesday that it would draft a package of constitutional and electoral reforms to be voted on in August. Legislative President Gustavo Porras said the changes are intended to prevent what he described as the “terrible manipulation by empires and their lackeys” in the country’s electoral process, referring to opposition groups.

In a statement issued on behalf of the European Union’s 27 member states, EU High Representative for Foreign Affairs and Security Policy Kaja Kallas urged the Nicaraguan authorities to preserve democratic principles.

“We call on the authorities to convene elections and ensure that they are held as originally scheduled and conducted in a transparent, inclusive, and credible manner, in accordance with international standards,” Kallas said.

The European Union also reiterated its condemnation of what it described as the Nicaraguan government’s “systemic repression.” Kallas called for dialogue between Ortega’s administration and opposition groups before any electoral reforms are implemented.

Ortega, who has been in power for nearly two decades, has faced repeated criticism from the international community over restrictions on political opponents and civil liberties.

In response to the growing international criticism, the Nicaraguan government announced on Friday that it will brief foreign diplomats on the proposed reforms, seeking to explain the objectives and scope of the legislative package before it is debated in Congress next month.

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Central America

Honduras Warns of Possible New Dengue Epidemic as Cases Continue to Rise

Honduras could be on the verge of a new dengue epidemic, according to physician and Honduran lawmaker Carlos Umaña, who warned about the sustained increase in cases across the country.

“We are on the verge of a new dengue epidemic because cases have been rising steadily,” Umaña said, urging citizens to take preventive measures. “Let’s eliminate breeding sites so we do not face fatal consequences later,” he added.

According to official data cited by Honduran media, the country had recorded 5,780 dengue cases nationwide through epidemiological week 26, covering the period from June 28 to July 4.

Of that total, 1,362 patients developed dengue with warning signs, while at least 100 cases progressed to severe dengue, increasing pressure on the national healthcare system.

Although current figures represent a decline of nearly 39% compared with the same period in 2025, when more than 9,400 cases had been reported, health authorities continue monitoring the situation due to the risk of a new surge.

Umaña warned that if the spread of the virus is not contained, Honduras could face an increase in fatalities, particularly among vulnerable groups such as children and adolescents.

Health officials continue urging the population to remove mosquito breeding sites and strengthen prevention measures to reduce transmission of the disease.

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