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  • Publication
    Introducing Strategic Purchasing in Costa Rica
    (Washington, DC: World Bank, 2024-07-25) Di Giorgio, Laura; Rosado Valenzuela, Ana Lucia; Sheffel, Ashley; Mussini, Micaela
    The Costa Rican Social Security Fund (CCSS) has taken its first steps towards the introduction of strategic purchasing of healthcare services with a pilot that was introduced for the first time as part of the institution’s 2024 budget, which is currently being implemented. With this highly relevant reform, the CCSS begins its transition from a resource allocation model based solely on the historical budget to (i) a capitation model at the first level of care and (ii) the introduction of prospective elements at the hospital level. The purpose of the review in the resource allocation methodology is to align resources with the health needs of the population and the supply of services, while encouraging the achievement of specific strategic objectives, such as increasing productivity, accessibility, and quality of services.
  • Publication
    Not There Yet: Slow Recovery and Many Left Behind as Latin America and the Caribbean Navigates the Ripples of the Pandemic - 2021 High-Frequency Phone Surveys - Wave 2
    (World Bank, Washington, DC, 2022-09) World Bank; United Nations Development Programme
    To continue monitoring how the Coronavirus (COVID-19) pandemic has affected the welfare of households in the region, the World Bank and the United Nations Development Programme (UNDP) joined forces in 2021 to implement a second phase of High-Frequency Phone Surveys (HFPS) in Latin America and the Caribbean (LAC). A first wave was collected between May and July 2021, and a second between October 2021 and January 2022. This last wave takes the socio-economic pulse of households and measures the region's well-being almost two years into the pandemic. This note presents the emerging results in the areas of labor markets, income, food security, coping mechanisms, education, health, and gender.