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Lessons Learned through the Health Program for Results in Costa Rica

2023-10-24, Mussini, Micaela, Lara, Ana Maria, Rosado Valenzuela, Ana Lucia, Sheffel, Ashley, Di Giorgio, Laura

Costa Rica was one of the first countries in the Latin America and Caribbean region to choose the World Bank Program for Results (PforR) financing instrument to support the implementation of the Strategic Agenda for Strengthening Health Insurance by the Costa Rican Social Security Fund (CCSS), for its name in Spanish, Caja Costarricense de Seguro Social). The PforR’s unique features include using a country’s own institutions and processes and linking disbursement of funds directly to the achievement of specific program results, which helps building capacity within the country, enhances effectiveness and efficiency and leads to achievement of tangible, sustainable program results. The CCSS is the primary provider of health care in the country. The PforR “Strengthening Universal Health Insurance in Costa Rica" was approved by the World Bank's Board of Executive Directors in 2016, with the aim of improving the availability and quality of the universal health insurance system while boosting the institutional efficiency of the CCSS. Through the PforR, the CCSS successfully undertook strategic and complex health sector reforms that have had significant impact on quality of care, equity, and efficiency in Costa Rica’s health sector. This series of knowledge reports, developed by the World Bank in collaboration with the CCSS, aims to document the drivers of success, how challenges were faced, and crucial lessons learned during the design and implementation of the PforR and its associated transformative reforms. The overarching objective is to provide a practical guide for other countries interested in implementing similar programs.

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The Use of Satisfaction Surveys to Improve the Delivery of Health Services to the Population in Costa Rica

2023-10-23, Rosado Valenzuela, Ana Lucia, Sheffel, Ashley, Mussini, Micaela, Lara Salinas, Ana Maria, Di Giorgio, Laura

Costa Rica was one of the first countries in the Latin America and Caribbean region to choose the World Bank Program for Results (PforR) financing instrument to support the implementation of the Strategic Agenda for Strengthening Health Insurance by the Costa Rican Social Security Fund (CCSS), for its name in Spanish, Caja Costarricense de Seguro Social). The PforR’s unique features include using a country’s own institutions and processes and linking disbursement of funds directly to the achievement of specific program results, which helps building capacity within the country, enhances effectiveness and efficiency and leads to achievement of tangible, sustainable program results. The CCSS is the primary provider of health care in the country. The PforR “Strengthening Universal Health Insurance in Costa Rica" was approved by the World Bank's Board of Executive Directors in 2016, with the aim of improving the availability and quality of the universal health insurance system while boosting the institutional efficiency of the CCSS. Through the PforR, the CCSS successfully undertook strategic and complex health sector reforms that have had significant impact on quality of care, equity, and efficiency in Costa Rica’s health sector. This series of knowledge reports, developed by the World Bank in collaboration with the CCSS, aims to document the drivers of success, how challenges were faced, and crucial lessons learned during the design and implementation of the PforR and its associated transformative reforms. The overarching objective is to provide a practical guide for other countries interested in implementing similar programs.

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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

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.

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Health at a Glance: Latin America and the Caribbean 2020

2020-12-21, OECD, World Bank

This report presents key indicators on health and health systems in 33 Latin America and the Caribbean countries. This first Health at a Glance publication to cover the Latin America and the Caribbean region was prepared jointly by OECD and the World Bank. Analysis is based on the latest comparable data across almost 100 indicators including equity, health status, determinants of health, health care resources and utilisation, health expenditure and financing, and quality of care. The editorial discusses the main challenges for the region brought by the COVID‑19 pandemic, such as managing the outbreak as well as mobilising adequate resources and using them efficiently to ensure an effective response to the epidemic. An initial chapter summarises the comparative performance of countries before the crisis, followed by a special chapter about addressing wasteful health spending that is either ineffective or does not lead to improvement in health outcomes so that to direct saved resources where they are urgently needed.

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The Integrated Family Record System (SIFF), a Key Tool for Monitoring the Social Determinants of Health in Costa Rica

2023-10-24, Rosado Valenzuela, Ana Lucia, Sheffel, Ashley, Mussini, Micaela, Lara Salinas, Ana Maria, Di Giorgio, Laura

Costa Rica was one of the first countries in the Latin America and Caribbean region to choose the World Bank Program for Results (PforR) financing instrument to support the implementation of the Strategic Agenda for Strengthening Health Insurance by the Costa Rican Social Security Fund (CCSS), for its name in Spanish, Caja Costarricense de Seguro Social). The PforR’s unique features include using a country’s own institutions and processes and linking disbursement of funds directly to the achievement of specific program results, which helps building capacity within the country, enhances effectiveness and efficiency and leads to achievement of tangible, sustainable program results. The CCSS is the primary provider of health care in the country. The PforR “Strengthening Universal Health Insurance in Costa Rica" was approved by the World Bank's Board of Executive Directors in 2016, with the aim of improving the availability and quality of the universal health insurance system while boosting the institutional efficiency of the CCSS. Through the PforR, the CCSS successfully undertook strategic and complex health sector reforms that have had significant impact on quality of care, equity, and efficiency in Costa Rica’s health sector. This series of knowledge reports, developed by the World Bank in collaboration with the CCSS, aims to document the drivers of success, how challenges were faced, and crucial lessons learned during the design and implementation of the PforR and its associated transformative reforms. The overarching objective is to provide a practical guide for other countries interested in implementing similar programs.

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Increasing the Number of Major Outpatient Surgeries to Reduce the Waiting List in Costa Rica

2023-10-23, Rosado Valenzuela, Ana Lucia, Sheffel, Ashley, Mussini, Micaela, Lara Salinas, Ana Maria, Di Giorgio, Laura

Costa Rica was one of the first countries in the Latin America and Caribbean region to choose the World Bank Program for Results (PforR) financing instrument to support the implementation of the Strategic Agenda for Strengthening Health Insurance by the Costa Rican Social Security Fund (CCSS), for its name in Spanish, Caja Costarricense de Seguro Social). The PforR’s unique features include using a country’s own institutions and processes and linking disbursement of funds directly to the achievement of specific program results, which helps building capacity within the country, enhances effectiveness and efficiency and leads to achievement of tangible, sustainable program results. The CCSS is the primary provider of health care in the country. The PforR “Strengthening Universal Health Insurance in Costa Rica" was approved by the World Bank's Board of Executive Directors in 2016, with the aim of improving the availability and quality of the universal health insurance system while boosting the institutional efficiency of the CCSS. Through the PforR, the CCSS successfully undertook strategic and complex health sector reforms that have had significant impact on quality of care, equity, and efficiency in Costa Rica’s health sector. This series of knowledge reports, developed by the World Bank in collaboration with the CCSS, aims to document the drivers of success, how challenges were faced, and crucial lessons learned during the design and implementation of the PforR and its associated transformative reforms. The overarching objective is to provide a practical guide for other countries interested in implementing similar programs.

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Remarks at the World Health Organization Media Briefing on COVID-19 and Vaccine Equity

2021-06-01, Malpass, David

World Bank Group President David Malpass stated that the immediate priority is for countries that have sufficient supply to quickly release doses to countries that have vaccination deployment programs. He said that by the end of June, the World Bank will have approved vaccination operations in over 50 countries. It is vital to speed up the supply chain. The World Bank is providing transparent access to very detailed information about projects through an online portal available at https://www.worldbank.org/vaccines. He urged other development partners to publish detailed information about their vaccine financing and deployment programs and their delivery schedules. The World Bank is also working to expand supply and will be making announcements of investments by IFC, the World Bank Group’s private sector development arm.

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Expansion of the Coverage of the Single Digital Health Record (EDUS) in the PHC System in Costa Rica

2023-10-24, Rosado Valenzuela, Ana Lucia, Sheffel, Ashley, Lara, Ana Maria, Mussini, Micaela, Di Giorgio, Laura

Costa Rica was one of the first countries in the Latin America and Caribbean region to choose the World Bank Program for Results (PforR) financing instrument to support the implementation of the Strategic Agenda for Strengthening Health Insurance by the Costa Rican Social Security Fund (CCSS), for its name in Spanish, Caja Costarricense de Seguro Social). The PforR’s unique features include using a country’s own institutions and processes and linking disbursement of funds directly to the achievement of specific program results, which helps building capacity within the country, enhances effectiveness and efficiency and leads to achievement of tangible, sustainable program results. The CCSS is the primary provider of health care in the country. The PforR “Strengthening Universal Health Insurance in Costa Rica" was approved by the World Bank's Board of Executive Directors in 2016, with the aim of improving the availability and quality of the universal health insurance system while boosting the institutional efficiency of the CCSS. Through the PforR, the CCSS successfully undertook strategic and complex health sector reforms that have had significant impact on quality of care, equity, and efficiency in Costa Rica’s health sector. This series of knowledge reports, developed by the World Bank in collaboration with the CCSS, aims to document the drivers of success, how challenges were faced, and crucial lessons learned during the design and implementation of the PforR and its associated transformative reforms. The overarching objective is to provide a practical guide for other countries interested in implementing similar programs.

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Sistemas de gestión de información en salud en el Perú

2023-08-29, World Bank

Los Sistemas de Gestión de Información en Salud (SGIS) se han convertido en un instrumento elemental para la operación óptima de los sistemas de salud a nivel mundial. El Perú está desplegando esfuerzos por impulsar el avance de los SGIS y enfrenta grandes desafíos. Este documento busca sintetizar el diagnóstico y la ruta para solucionar los factores que inhiben el desarrollo saludable de los SGIS en el Perú. La propuesta está centrada en contribuir a la implementación de un SGIS que apoye al Sistema Nacional de Salud (SNS) a brindar un efectivo cuidado a la salud de las personas. Este cuidado se evalúa en términos de cobertura y calidad, acorde a las políticas de protección social del estado peruano. Desde esa perspectiva y siguiendo la dualidad de los SGIS en cuanto a sistemas administrativos y asistenciales, se plantea ese doble rol: como soporte (i) de las decisiones vinculadas a una mejor gestión administrativa de los recursos, la logística y el financiamiento y, por otro lado, (ii) de la prestación de servicios de salud, que evoluciona a un papel cada vez más protagónico, en la gestión clínica a través de la Historia Clínica Electrónica (HCE) y otras estrategias e instrumentos en el marco de la transformación digital. La estructura del documento, incluyendo el diagnóstico y recomendaciones, se da a lo largo de cinco capítulos. Luego de un primer capítulo introductorio, el Capítulo II: Antecedentes plantea una línea de base para el sector y los SGIS sobre la cual se desarrolla el resto del análisis. En el Capítulo III: Descripción de los SGIS en el Perú, se realiza descripción del estado de los SGIS en el Perú ahondando en la evolución de las reformas planteadas y los nudos críticos enfrentados. Los Capítulos IV y V realizan el diagnóstico y recomendaciones, respectivamente siguiendo la organización por componentes de un SGIS: Infraestructura, Infoestructura, Recursos Humanos, Utilización de Información y Gobernanza.

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Enrollment and Eligibility Process of Brazil’s Auxílio Emergencial: Data Processing and Use of Administrative Registries

2021-01, World Bank

In order to support the systematization of institutional learning processes provided by the implementation of Auxílio Emergencial in Brazil and disseminate the best practices derived from the Brazilian experience to social policy operators and administrators in other developing countries, the World Bank headed up a study on the social protection response to the Covid-19 pandemic in Brazil. Financed by the Foreign, Commonwealth & Development Office (FCDO), which is linked to the Foreign Secretary of the Government of the United Kingdom, this study was conducted at the request and with the cooperation of the Brazilian Government. This project encompasses the preparation of a main Report covering the stages of the Auxílio Emergencial, together with four Technical Notes exploring specific implementation aspects in greater depth. One of them addresses registration and eligibility verification strategies, which form the subject of this text.