Health System Innovations In Central America: Lessons And Impact Of New Approaches (World Bank Working Paper) (World Bank Workin,New

Health System Innovations In Central America: Lessons And Impact Of New Approaches (World Bank Working Paper) (World Bank Workin,New

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Similar to developing countries elsewhere, during the 1990s, Central American countries faced pressures to improve the performance of their health systems. In most countries, there was a consensus that the systems were failing to live up to their potential. Rather than take on systemwide change, each country opted to step into reform through launching innovations to address specific problems or deficiencies in a particular program, function or intervention of the system. Health Systems Innovations in Central America reports on how these experiences fared a hospital in Panama, a nutrition program in Honduras, primary care extension in Guatemala, a subset of hospitals and primary care units in Costa Rica and a social securitymanaged health care program in Nicaragua. The studies report on the performance of the innovations, the policy environment in which they were developed as well as nutsandbolts features and processes incorporated into their design and implementation.

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