World Bank Group2023-10-172023-10-172023-10-17https://openknowledge.worldbank.org/handle/10986/40479The aim of this report is to document the fidelity of the implementation of the RIPSS in the Huetar-Atlántica Region in Costa Rica. Implementation fidelity seeks to assess the extent to which an intervention is implemented as planned and, for this, the PIPs were contrasted with what was implemented in practice. The assessment identified the following: (i) gaps in the implementation that require subsequent actions, and (ii) the core elements for the sustainability and scale-up of the RIPSS.en-USCC BY-NC 3.0 IGORIPSSUNIVERSAL HEALTH INSURANCESERVICE DELIVERYGOVERNANCET2DReportWorld Bank Group10.1596/40479