Peru Core Package Final Report: Overcoming Operational Policy Barriers to the Provision of Services Essential to Safe Motherhood in Peru POLICY (March 2005)  Full Document (English)      Order for free      email to me  The POLICY Project (POLICY) provided a focused technical assistance package between September 2002 and June 2004 in Peru to help identify and eliminate operational barriers that stand in the way of access to safe delivery care for low-income women, particularly in areas with high maternal mortality. Our research and analysis identified barriers to delivery care. Key stakeholders at both the regional and national levels assessed the most significant barriers as follows: the severe lack of financial resources and absence of appropriate personnel at health establishments; multifaceted problems with the implementation of the Integrated Health Insurance (SIS) resulting in poor quality services that clients must pay for; and lack of respect for local cultural practices and customs at health facilities that serve as a disincentive for women seeking institutional care for their deliveries.