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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 court overturns arrest warrants against former CICIG officials

Indigenous leaders in Guatemala announce increased protests

Colombian Attorney General Luz Adriana Camargo and current ambassador to the Vatican Iván Velásquez were both members of the International Commission Against Impunity in Guatemala, a UN-backed body created to investigate corruption networks within the Guatemalan state between 2007 and 2019.

Investigations led by the CICIG resulted in the imprisonment of high-ranking officials. According to international organizations, the arrest warrants issued against Camargo and Velásquez were seen as retaliation for their anti-corruption work.

In mid-2025, an appeals court in Guatemala ordered their detention after prosecutors accused them of obstruction of justice and influence peddling, among other charges. The ruling alleged that they had favored business figures linked to Odebrecht who were under investigation.

However, the Constitutional Chamber of the Supreme Court later ruled that the lower court had “overstepped its authority” by issuing the arrest warrants illegally, according to local media reports.

Camargo and Velásquez had immunity due to their roles within a United Nations-backed entity.

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“A month before the end of the term of the corrupt attorney general, Consuelo Porras, it seems the situation is beginning to change in Guatemala,” Velásquez wrote on social media.

Porras—sanctioned by the United States Government and the European Union over allegations of corruption and anti-democratic actions—is set to leave office on May 16 unless she is reappointed by President Bernardo Arévalo, with whom she has been at odds after attempting to block his inauguration two years ago.

The CICIG was unilaterally dissolved by former Guatemalan president Jimmy Morales (2016–2020).

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Central America

Honduras police launch high-impact operations amid security concerns

The director of the Policía Nacional de Honduras, Rigoberto Oseguera, presented a recent assessment of the country’s security situation and announced the deployment of high-impact operations in the department of Olancho.

The police chief identified the municipality of Choloma, in the department of Cortés, as one of the most critical areas for crime at a regional level. This comes despite an overall downward trend in violence across the Valle de Sula.

Oseguera also noted that the Central District—comprising Tegucigalpa and Comayagüela—records a high number of homicides. However, he explained that the rate remains comparatively low due to population density, although crime levels in Francisco Morazán still require special attention.

He added that the police have deployed five tactical intervention teams across key regions, including Valle de Sula, Olancho, Francisco Morazán, and the southern part of the country. In addition, authorities have identified multiple criminal incidents in the municipality of Concordia.

“It is a serious situation. These are long-standing social problems in the region, but it is time to act and not make excuses,” Oseguera emphasized.

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El Salvador and Paraguay approve 2026–2028 cooperation program

The governments of El Salvador and Paraguay approved the 2026–2028 Cooperation Program, which includes six joint development projects, according to Salvadoran Vice Minister of Foreign Affairs Adriana Mira.

Mira stated that El Salvador will act as the “main provider of cooperation,” contributing five initiatives focused on road infrastructure, tourism, and local development. She also noted that one of the projects will be led by the Paraguayan side, although no further details were disclosed.

The agreement was reached during the Second Meeting of the Joint Commission on Technical and Scientific Cooperation between both countries.

According to Paraguay’s Ministry of Foreign Affairs, the First Meeting of the Political Consultation and Bilateral Coordination Mechanism was also held, with the participation of Vice Minister Víctor Verdún.

In an official statement, the Paraguayan government reported that both delegations agreed to identify mechanisms to promote competitiveness, economic growth, and market access. They also committed to signing agreements related to air transport cooperation.

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