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At least 460 hospitals and health centers are located in Ecuador parishes under yellow alert for El Nino. Most are small health centers, and the risk list is concentrated heavily in Manabi and Guayas.
IESS transferred more than $63 million to 195 private health providers in June 2026, with Azuay, Guayas and Pichincha among the provinces highlighted. The payments are part of more than $616 million sent to external providers since December 2025.
El Comercio reports that dialysis patients are traveling to other cities or paying out of pocket because the MSP owes two years of services to private dialysis centers. The report says many patients do not reach the 12 monthly sessions they require.