Equity, Access to Health Care Services and Expenditures on Health in Nicaragua

dc.creatorCortez, Rafael
dc.creatorAngel-Urdinola, Diego
dc.creatorTanabe, Kimie
dc.date2013-05-30T13:55:53Z
dc.date2013-05-30T13:55:53Z
dc.date2008-06
dc.date.accessioned2026-07-01T00:47:08Z
dc.descriptionNicaragua has embarked on an ambitious health sector program, which has contributed to significant progress in the health sector over the past decade. Health indicators show gradual but steady improvements: access to basic services such as clean water and sanitation facilities has improved, as have other related performance indicators such as life expectancy, infant/child mortality, immunization rates, and child nutrition among others. Despite these achievements, there are still large inequities in access and quality of health services across socioeconomic groups and regions. Poor individuals living in rural areas (especially in the Central and Atlantic regions), the indigenous population, and individuals living in households engaged in agriculture have average access to health care services and preventive care. The lack of risk mitigation mechanisms such as insurance and social security is causing users in Nicaragua to spend, out-of-pocket, a significant share of their income on health care, especially to buy medications and other non-consultation items such as medical tests. Long distances, lack of medicines, and high costs and other demand-side factors (such as self-prescription) constitute the main constraints causing poor and sick individuals to seek informal care or not to seek care at all.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2008/05/12315404/equity-access-health-care-services-expenditures-health-nicaragua
dc.identifierhttps://hdl.handle.net/10986/13667
dc.identifierhttps://doi.org/10.1596/13667
dc.identifier.urihttp://hdl.handle.net/123456789/410959
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectACCESS TO FAMILY PLANNING
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH CARE SERVICES
dc.subjectADOLESCENT HEALTH
dc.subjectADOLESCENT MOTHERS
dc.subjectADULT EDUCATION
dc.subjectAGED
dc.subjectAIDS
dc.subjectALLOCATION OF RESOURCES
dc.subjectBABIES
dc.subjectBASIC HEALTH CARE
dc.subjectBREAST-FEEDING
dc.subjectBREASTFEEDING
dc.subjectBULLETIN
dc.subjectCAUSE OF DISABILITY
dc.subjectCHILD CARE
dc.subjectCHILD HEALTH
dc.subjectCHILD HEALTH CARE
dc.subjectCHILD HEALTH SERVICES
dc.subjectCHILD MORBIDITY
dc.subjectCHILD MORTALITY
dc.subjectCHILD NUTRITION
dc.subjectCHILD-BEARING
dc.subjectCHILDBIRTH
dc.subjectCHILDREN
dc.subjectCHILDREN PER WOMAN
dc.subjectCHRONIC CONDITIONS
dc.subjectCLINICS
dc.subjectCONDOMS
dc.subjectCONTRACEPTION
dc.subjectCOSTS
dc.subjectDEMAND
dc.subjectDIET
dc.subjectDIPHTHERIA
dc.subjectDOCTORS
dc.subjectDOMESTIC VIOLENCE
dc.subjectECONOMIC STATUS
dc.subjectEDUCATIONAL ATTAINMENT
dc.subjectELDERLY
dc.subjectEMERGENCIES
dc.subjectEMPLOYMENT
dc.subjectEMPLOYMENT OPPORTUNITIES
dc.subjectEPIDEMIC
dc.subjectEQUITY
dc.subjectESSENTIAL HEALTH SERVICES
dc.subjectEXPENDITURES
dc.subjectFAMILIES
dc.subjectFAMILY HEALTH
dc.subjectFAMILY PLANNING
dc.subjectFAMILY PLANNING SERVICES
dc.subjectFERTILITY RATE
dc.subjectFERTILITY RATES
dc.subjectFINANCING
dc.subjectGENDER GAP
dc.subjectHEALTH
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE PROVIDER
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CARE SYSTEMS
dc.subjectHEALTH CARE UTILIZATION
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PLAN
dc.subjectHEALTH POLICY
dc.subjectHEALTH POSTS
dc.subjectHEALTH PROBLEMS
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH REFORMS
dc.subjectHEALTH RISKS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH TARGETS
dc.subjectHEALTH WORKERS
dc.subjectHETEROSEXUAL CONTACT
dc.subjectHIV
dc.subjectHIV/AIDS
dc.subjectHOSPITAL
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD SIZE
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectILLNESS
dc.subjectILLNESSES
dc.subjectIMMUNIZATION
dc.subjectIMPROVEMENT OF WOMEN
dc.subjectINCIDENCE
dc.subjectINCOME
dc.subjectINDIGENOUS GROUPS
dc.subjectINDIGENOUS PEOPLE
dc.subjectINDIGENOUS POPULATIONS
dc.subjectINEQUITIES
dc.subjectINFANT
dc.subjectINFANT HEALTH
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATE
dc.subjectINFANT MORTALITY RATES
dc.subjectINFECTIOUS DISEASES
dc.subjectINFERTILITY
dc.subjectINSTITUTIONAL CAPACITY
dc.subjectINTERNET
dc.subjectINTERVENTION
dc.subjectIRON
dc.subjectKEY HEALTH INTERVENTIONS
dc.subjectKNOWLEDGE
dc.subjectLABOR FORCE
dc.subjectLAWS
dc.subjectLESS FORMAL EDUCATION
dc.subjectLEVEL OF DEVELOPMENT
dc.subjectLEVEL OF EDUCATION
dc.subjectLEVELS OF EDUCATION
dc.subjectLIFE EXPECTANCY
dc.subjectLIVE BIRTHS
dc.subjectMATERNAL DEATHS
dc.subjectMATERNAL HEALTH
dc.subjectMATERNAL HEALTH CARE
dc.subjectMATERNAL MORTALITY
dc.subjectMATERNAL MORTALITY RATES
dc.subjectMATERNAL MORTALITY RATIO
dc.subjectMEASLES
dc.subjectMEDICAL CARE
dc.subjectMEDICAL EDUCATION
dc.subjectMEDICAL FACILITY
dc.subjectMEDICAL TESTS
dc.subjectMEDICAL TREATMENT
dc.subjectMEDICINES
dc.subjectMENTAL HEALTH
dc.subjectMIDWIFE
dc.subjectMIDWIFES
dc.subjectMIDWIVES
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectMINISTRY OF HEALTH
dc.subjectMODERNIZATION
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMOTHER
dc.subjectNATAL CARE
dc.subjectNATIONAL HEALTH POLICY
dc.subjectNATIONAL LEVEL
dc.subjectNEONATAL HEALTH
dc.subjectNEONATAL MORTALITY
dc.subjectNUMBER OF CHILDREN
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNUTRITION
dc.subjectNUTRITIONAL DEFICIENCY
dc.subjectOUTPATIENT CARE
dc.subjectOUTREACH ACTIVITIES
dc.subjectPATIENTS
dc.subjectPEOPLE
dc.subjectPHYSICAL ACTIVITY
dc.subjectPHYSICIANS
dc.subjectPOLICIES
dc.subjectPOLICY DIALOGUE
dc.subjectPOLIO
dc.subjectPOOR FAMILIES
dc.subjectPOPULATION
dc.subjectPOPULATION GROUPS
dc.subjectPOSTPARTUM CARE
dc.subjectPOVERTY
dc.subjectPREGNANCY
dc.subjectPREGNANT WOMEN
dc.subjectPREVENTION
dc.subjectPREVENTIVE HEALTH CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY HEALTH SERVICES
dc.subjectPROBABILITY
dc.subjectPROGRESS
dc.subjectPROVISION OF SERVICES
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH EXPENDITURE
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLICATIONS
dc.subjectQUALITY OF HEALTH
dc.subjectQUALITY OF HEALTH CARE
dc.subjectQUALITY SERVICES
dc.subjectREDUCING MATERNAL MORTALITY
dc.subjectREPRODUCTIVE HEALTH
dc.subjectREPRODUCTIVE HEALTH SERVICES
dc.subjectREPRODUCTIVE NEEDS
dc.subjectRESOURCE ALLOCATION
dc.subjectRESPECT
dc.subjectRESPIRATORY DISEASES
dc.subjectRISKS
dc.subjectRURAL AREAS
dc.subjectRURAL WOMEN
dc.subjectSANITATION
dc.subjectSANITATION FACILITIES
dc.subjectSECONDARY EDUCATION
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE UTILIZATION
dc.subjectSEXUAL RELATIONS
dc.subjectSEXUAL VIOLENCE
dc.subjectSOCIAL PROGRAMS
dc.subjectSOCIAL SECTORS
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL WORKERS
dc.subjectSPOUSE
dc.subjectSTRATEGY
dc.subjectSUICIDE
dc.subjectTEEN
dc.subjectTEEN PREGNANCY
dc.subjectTEENAGE PREGNANCY
dc.subjectTERTIARY EDUCATION
dc.subjectTETANUS
dc.subjectTRAINING
dc.subjectTRANSPORTATION
dc.subjectTUBERCULOSIS
dc.subjectUNDER-FIVE MORTALITY
dc.subjectUNIVERSAL ACCESS
dc.subjectURBAN AREAS
dc.subjectUSE OF CONDOMS
dc.subjectUSE OF RESOURCES
dc.subjectVIOLENCE
dc.subjectVIOLENCE AGAINST WOMEN
dc.subjectVULNERABLE POPULATIONS
dc.subjectWOMEN OF CHILD-BEARING AGE
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectYOUNG MOTHERS
dc.subjectYOUNG WOMEN
dc.titleEquity, Access to Health Care Services and Expenditures on Health in Nicaragua

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