Costa Rica Case Study : Primary Health Care Achievements and Challenges within the Framework of the Social Health Insurance

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collection.link.222
https://openknowledge.worldbank.org/handle/10986/13083
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UNICO Studies Series
dc.contributor.author
Montenegro Torres, Fernando
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dc.date.accessioned
2013-05-01T18:54:05Z
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dc.date.available
2013-05-01T18:54:05Z
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dc.date.issued
2013-01
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dc.description.abstract
The objective of this paper is to assess the key interventions Costa Rica has developed to expand health coverage for the poor and other vulnerable groups, with an emphasis on its approach to primary health care. Universal health coverage in Costa Rica is provided through a single national health insurance program. This program, which protects the poor without the pitfalls of a fragmented system, and the sustained policies that have enabled the building of a solid primary health care system, is broadly recognized as a success story. At the same, time new challenges are emerging to sustaining the success of Costa Rica's universal health coverage. Social Security of Costa Rica (Caja Costarricense de Seguridad Social, CCSS) faces increased production costs and demographic and epidemiological changes in a rapidly aging population. This report is divided into three broad sections: (1) objective of the case study and health system overview; (2) primary health care and the organization of health services within CCSS; and (3) agenda of key policy decisions for a renewed primary health care approach as part of a more responsive and sustainable health insurance system.
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dc.identifier.uri
http://hdl.handle.net/10986/13279
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dc.language.iso
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dc.publisher
World Bank, Washington, DC
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dc.relation.ispartofseries
UNICO Studies Series;No. 14
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dc.rights
CC BY 3.0 IGO
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dc.rights.holder
World Bank
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dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo
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dc.subject
abuse
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dc.subject
access to health services
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dc.subject
access to services
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dc.subject
Adult mortality
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dc.subject
Adult mortality rate
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dc.subject
age groups
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dc.subject
aged
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dc.subject
aging
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dc.subject
allocation of resources
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dc.subject
ambulatory care
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dc.subject
ambulatory services
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dc.subject
basic health care
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dc.subject
breast cancer
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dc.subject
burden of disease
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dc.subject
causes of death
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dc.subject
Child Survival
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dc.subject
clinical guidelines
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dc.subject
Clinics
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dc.subject
communicable diseases
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dc.subject
contraception
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dc.subject
Contraceptive prevalence
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dc.subject
cost structure
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dc.subject
cost-effectiveness
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dc.subject
deaths
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dc.subject
debt
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dc.subject
Delivery of Health Care
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dc.subject
demographic transition
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Demographic Trends
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dc.subject
Dental care
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dc.subject
dependency ratio
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developing countries
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dc.subject
disabilities
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dc.subject
Disability
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dc.subject
Economic Analysis
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dc.subject
economies of scale
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dc.subject
elderly
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dc.subject
elderly population
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dc.subject
emergencies
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dc.subject
employment
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dc.subject
epidemiological changes
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dc.subject
epidemiology
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dc.subject
families
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dc.subject
family health
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dc.subject
Fertility
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Fertility Rate
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financial management
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dc.subject
financial protection
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dc.subject
financial risks
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dc.subject
financial situation
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dc.subject
Health Care Coverage
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dc.subject
health care facilities
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dc.subject
health care management
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dc.subject
health care networks
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dc.subject
health care providers
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dc.subject
health care system
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dc.subject
Health Centers
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dc.subject
Health Coverage
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dc.subject
Health Data
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dc.subject
health expenditure
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dc.subject
health expenditure per capita
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dc.subject
Health Expenditures
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dc.subject
health facilities
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dc.subject
health financing
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dc.subject
health for all
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dc.subject
health information
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dc.subject
health institutions
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dc.subject
Health Insurance
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dc.subject
Health Insurance System
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dc.subject
health interventions
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dc.subject
health needs
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dc.subject
Health Organization
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dc.subject
Health Outcome Indicators
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dc.subject
health outcomes
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dc.subject
health promotion
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dc.subject
health sector
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dc.subject
Health Services
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dc.subject
Health System
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dc.subject
health systems
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dc.subject
health technology evaluation
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dc.subject
health workers
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dc.subject
health-care
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dc.subject
healthcare services
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dc.subject
HIV
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dc.subject
hospital
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dc.subject
hospital beds
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dc.subject
hospitalization
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Hospitals
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dc.subject
household income
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dc.subject
household surveys
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Human Resources
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dc.subject
human resources management
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dc.subject
hypertension
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dc.subject
ill health
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dc.subject
immunization
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dc.subject
incentives for efficiency
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income
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income countries
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income groups
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indigenous people
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indigenous peoples
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indigenous populations
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dc.subject
individual health
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dc.subject
infant
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infant mortality
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infant mortality rate
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infant mortality rates
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informal sector
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information systems
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inpatient care
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institutional capacity
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integration
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International comparisons
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dc.subject
investments in education
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laws
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life expectancies
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life expectancy
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Life expectancy at birth
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live births
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mandates
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maternal deaths
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Maternal mortality
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Maternal mortality rate
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medical services
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medical staff
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Medicines
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midwives
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Ministry of Health
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morbidity
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mortality
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dc.subject
national Health
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dc.subject
National Health Expenditures
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national Health Insurance
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national level
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nationals
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Neonatal mortality
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Number of births
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number of children
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Number of deaths
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nurse
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nurses
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older adults
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older age groups
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patient
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dc.subject
patients
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physician
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dc.subject
physicians
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dc.subject
Pocket Payments
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Policy Decisions
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policy dialogue
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policy makers
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political parties
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Population growth
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pregnant women
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prenatal care
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dc.subject
primary care
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Primary Health Care
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primary health care services
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primary health care system
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private sector
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dc.subject
provision of care
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dc.subject
provision of health services
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provision of services
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psychiatric hospitals
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psychiatry
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Public expenditure
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Public expenditure on health
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public health
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Public health expenditure
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public health insurance
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public health interventions
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public information
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Public opinion
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public policies
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public sector
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purchasing power
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purchasing power parity
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dc.subject
quality of care
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dc.subject
quality of services
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regional networks
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dc.subject
rehabilitation
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dc.subject
resource allocation
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dc.subject
respect
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risk factors
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dc.subject
rural areas
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Rural population
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safe water
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safety net
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sanitation
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sanitation facilities
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dc.subject
set of recommendations
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dc.subject
Share of Public Spending
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dc.subject
Skilled birth attendance
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Social Health Insurance
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dc.subject
social insurance
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dc.subject
social policy
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social sector
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dc.subject
Social Security
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socioeconomic status
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dc.subject
tertiary level
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dc.subject
tertiary levels
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dc.subject
trade unions
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dc.subject
Tuberculosis
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dc.subject
universal access
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dc.subject
universal health insurance coverage
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urban areas
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urban development
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dc.subject
use of resources
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vulnerable groups
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vulnerable populations
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dc.subject
woman
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dc.subject
workers
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dc.subject
World Health Organization
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dc.title
Costa Rica Case Study : Primary Health Care Achievements and Challenges within the Framework of the Social Health Insurance
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okr.date.disclosure
2013-02-01
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okr.doctype
Publications & Research :: Working Paper
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okr.doctype
Publications & Research
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okr.globalpractice
Health, Nutrition, and Population
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okr.globalpractice
Governance
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okr.globalpractice
Finance and Markets
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okr.globalpractice
Health, Nutrition, and Population
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okr.googlescholar.linkpresent
yes
okr.identifier.report
74962
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okr.region.administrative
Latin America & Caribbean
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okr.region.country
Costa Rica
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okr.topic
Health, Nutrition and Population :: Health Economics & Finance
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okr.topic
Health, Nutrition and Population :: Health Monitoring & Evaluation
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okr.topic
Health, Nutrition and Population :: Health Systems Development & Reform
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okr.topic
Health, Nutrition and Population :: Population Policies
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okr.topic
Law and Development :: Health Law
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okr.unit
Health, Nutrition & Popultn Team (HDNHE)
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