Equity, Access to Health Care Services and Expenditures on Health in Nicaragua
Nicaragua 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 wa...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2008/05/12315404/equity-access-health-care-services-expenditures-health-nicaragua http://hdl.handle.net/10986/13667 |
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okr-10986-13667 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO FAMILY PLANNING ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ADOLESCENT HEALTH ADOLESCENT MOTHERS ADULT EDUCATION AGED AIDS ALLOCATION OF RESOURCES BABIES BASIC HEALTH CARE BREAST-FEEDING BREASTFEEDING BULLETIN CAUSE OF DISABILITY CHILD CARE CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MORBIDITY CHILD MORTALITY CHILD NUTRITION CHILD-BEARING CHILDBIRTH CHILDREN CHILDREN PER WOMAN CHRONIC CONDITIONS CLINICS CONDOMS CONTRACEPTION COSTS DEMAND DIET DIPHTHERIA DOCTORS DOMESTIC VIOLENCE ECONOMIC STATUS EDUCATIONAL ATTAINMENT ELDERLY EMERGENCIES EMPLOYMENT EMPLOYMENT OPPORTUNITIES EPIDEMIC EQUITY ESSENTIAL HEALTH SERVICES EXPENDITURES FAMILIES FAMILY HEALTH FAMILY PLANNING FAMILY PLANNING SERVICES FERTILITY RATE FERTILITY RATES FINANCING GENDER GAP HEALTH HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE PROVIDER HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH POSTS HEALTH PROBLEMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORMS HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH TARGETS HEALTH WORKERS HETEROSEXUAL CONTACT HIV HIV/AIDS HOSPITAL HOSPITAL BEDS HOSPITALIZATION HOSPITALS HOUSEHOLD SIZE HUMAN DEVELOPMENT HUMAN RESOURCES ILLNESS ILLNESSES IMMUNIZATION IMPROVEMENT OF WOMEN INCIDENCE INCOME INDIGENOUS GROUPS INDIGENOUS PEOPLE INDIGENOUS POPULATIONS INEQUITIES INFANT INFANT HEALTH INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFECTIOUS DISEASES INFERTILITY INSTITUTIONAL CAPACITY INTERNET INTERVENTION IRON KEY HEALTH INTERVENTIONS KNOWLEDGE LABOR FORCE LAWS LESS FORMAL EDUCATION LEVEL OF DEVELOPMENT LEVEL OF EDUCATION LEVELS OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MEASLES MEDICAL CARE MEDICAL EDUCATION MEDICAL FACILITY MEDICAL TESTS MEDICAL TREATMENT MEDICINES MENTAL HEALTH MIDWIFE MIDWIFES MIDWIVES MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MODERNIZATION MORBIDITY MORTALITY MOTHER NATAL CARE NATIONAL HEALTH POLICY NATIONAL LEVEL NEONATAL HEALTH NEONATAL MORTALITY NUMBER OF CHILDREN NURSES NURSING NUTRITION NUTRITIONAL DEFICIENCY OUTPATIENT CARE OUTREACH ACTIVITIES PATIENTS PEOPLE PHYSICAL ACTIVITY PHYSICIANS POLICIES POLICY DIALOGUE POLIO POOR FAMILIES POPULATION POPULATION GROUPS POSTPARTUM CARE POVERTY PREGNANCY PREGNANT WOMEN PREVENTION PREVENTIVE HEALTH CARE PRIMARY HEALTH CARE PRIMARY HEALTH SERVICES PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH EXPENDITURE PUBLIC HOSPITALS PUBLICATIONS QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY SERVICES REDUCING MATERNAL MORTALITY REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SERVICES REPRODUCTIVE NEEDS RESOURCE ALLOCATION RESPECT RESPIRATORY DISEASES RISKS RURAL AREAS RURAL WOMEN SANITATION SANITATION FACILITIES SECONDARY EDUCATION SERVICE DELIVERY SERVICE UTILIZATION SEXUAL RELATIONS SEXUAL VIOLENCE SOCIAL PROGRAMS SOCIAL SECTORS SOCIAL SECURITY SOCIAL WORKERS SPOUSE STRATEGY SUICIDE TEEN TEEN PREGNANCY TEENAGE PREGNANCY TERTIARY EDUCATION TETANUS TRAINING TRANSPORTATION TUBERCULOSIS UNDER-FIVE MORTALITY UNIVERSAL ACCESS URBAN AREAS USE OF CONDOMS USE OF RESOURCES VIOLENCE VIOLENCE AGAINST WOMEN VULNERABLE POPULATIONS WOMEN OF CHILD-BEARING AGE WORKERS WORLD HEALTH ORGANIZATION YOUNG MOTHERS YOUNG WOMEN |
| spellingShingle |
ACCESS TO FAMILY PLANNING ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ADOLESCENT HEALTH ADOLESCENT MOTHERS ADULT EDUCATION AGED AIDS ALLOCATION OF RESOURCES BABIES BASIC HEALTH CARE BREAST-FEEDING BREASTFEEDING BULLETIN CAUSE OF DISABILITY CHILD CARE CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MORBIDITY CHILD MORTALITY CHILD NUTRITION CHILD-BEARING CHILDBIRTH CHILDREN CHILDREN PER WOMAN CHRONIC CONDITIONS CLINICS CONDOMS CONTRACEPTION COSTS DEMAND DIET DIPHTHERIA DOCTORS DOMESTIC VIOLENCE ECONOMIC STATUS EDUCATIONAL ATTAINMENT ELDERLY EMERGENCIES EMPLOYMENT EMPLOYMENT OPPORTUNITIES EPIDEMIC EQUITY ESSENTIAL HEALTH SERVICES EXPENDITURES FAMILIES FAMILY HEALTH FAMILY PLANNING FAMILY PLANNING SERVICES FERTILITY RATE FERTILITY RATES FINANCING GENDER GAP HEALTH HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE PROVIDER HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH POSTS HEALTH PROBLEMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORMS HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH TARGETS HEALTH WORKERS HETEROSEXUAL CONTACT HIV HIV/AIDS HOSPITAL HOSPITAL BEDS HOSPITALIZATION HOSPITALS HOUSEHOLD SIZE HUMAN DEVELOPMENT HUMAN RESOURCES ILLNESS ILLNESSES IMMUNIZATION IMPROVEMENT OF WOMEN INCIDENCE INCOME INDIGENOUS GROUPS INDIGENOUS PEOPLE INDIGENOUS POPULATIONS INEQUITIES INFANT INFANT HEALTH INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFECTIOUS DISEASES INFERTILITY INSTITUTIONAL CAPACITY INTERNET INTERVENTION IRON KEY HEALTH INTERVENTIONS KNOWLEDGE LABOR FORCE LAWS LESS FORMAL EDUCATION LEVEL OF DEVELOPMENT LEVEL OF EDUCATION LEVELS OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MEASLES MEDICAL CARE MEDICAL EDUCATION MEDICAL FACILITY MEDICAL TESTS MEDICAL TREATMENT MEDICINES MENTAL HEALTH MIDWIFE MIDWIFES MIDWIVES MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MODERNIZATION MORBIDITY MORTALITY MOTHER NATAL CARE NATIONAL HEALTH POLICY NATIONAL LEVEL NEONATAL HEALTH NEONATAL MORTALITY NUMBER OF CHILDREN NURSES NURSING NUTRITION NUTRITIONAL DEFICIENCY OUTPATIENT CARE OUTREACH ACTIVITIES PATIENTS PEOPLE PHYSICAL ACTIVITY PHYSICIANS POLICIES POLICY DIALOGUE POLIO POOR FAMILIES POPULATION POPULATION GROUPS POSTPARTUM CARE POVERTY PREGNANCY PREGNANT WOMEN PREVENTION PREVENTIVE HEALTH CARE PRIMARY HEALTH CARE PRIMARY HEALTH SERVICES PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH EXPENDITURE PUBLIC HOSPITALS PUBLICATIONS QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY SERVICES REDUCING MATERNAL MORTALITY REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SERVICES REPRODUCTIVE NEEDS RESOURCE ALLOCATION RESPECT RESPIRATORY DISEASES RISKS RURAL AREAS RURAL WOMEN SANITATION SANITATION FACILITIES SECONDARY EDUCATION SERVICE DELIVERY SERVICE UTILIZATION SEXUAL RELATIONS SEXUAL VIOLENCE SOCIAL PROGRAMS SOCIAL SECTORS SOCIAL SECURITY SOCIAL WORKERS SPOUSE STRATEGY SUICIDE TEEN TEEN PREGNANCY TEENAGE PREGNANCY TERTIARY EDUCATION TETANUS TRAINING TRANSPORTATION TUBERCULOSIS UNDER-FIVE MORTALITY UNIVERSAL ACCESS URBAN AREAS USE OF CONDOMS USE OF RESOURCES VIOLENCE VIOLENCE AGAINST WOMEN VULNERABLE POPULATIONS WOMEN OF CHILD-BEARING AGE WORKERS WORLD HEALTH ORGANIZATION YOUNG MOTHERS YOUNG WOMEN Angel-Urdinola, Diego Cortez, Rafael Tanabe, Kimie Equity, Access to Health Care Services and Expenditures on Health in Nicaragua |
| geographic_facet |
Latin America & Caribbean Nicaragua |
| relation |
Health, Nutrition and Population (HNP)
discussion paper; |
| description |
Nicaragua 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. |
| format |
Publications & Research :: Working Paper |
| author |
Angel-Urdinola, Diego Cortez, Rafael Tanabe, Kimie |
| author_facet |
Angel-Urdinola, Diego Cortez, Rafael Tanabe, Kimie |
| author_sort |
Angel-Urdinola, Diego |
| title |
Equity, Access to Health Care Services and Expenditures on Health in Nicaragua |
| title_short |
Equity, Access to Health Care Services and Expenditures on Health in Nicaragua |
| title_full |
Equity, Access to Health Care Services and Expenditures on Health in Nicaragua |
| title_fullStr |
Equity, Access to Health Care Services and Expenditures on Health in Nicaragua |
| title_full_unstemmed |
Equity, Access to Health Care Services and Expenditures on Health in Nicaragua |
| title_sort |
equity, access to health care services and expenditures on health in nicaragua |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2008/05/12315404/equity-access-health-care-services-expenditures-health-nicaragua http://hdl.handle.net/10986/13667 |
| _version_ |
1764423988316995584 |
| spelling |
okr-10986-136672021-04-23T14:03:09Z Equity, Access to Health Care Services and Expenditures on Health in Nicaragua Angel-Urdinola, Diego Cortez, Rafael Tanabe, Kimie ACCESS TO FAMILY PLANNING ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ADOLESCENT HEALTH ADOLESCENT MOTHERS ADULT EDUCATION AGED AIDS ALLOCATION OF RESOURCES BABIES BASIC HEALTH CARE BREAST-FEEDING BREASTFEEDING BULLETIN CAUSE OF DISABILITY CHILD CARE CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MORBIDITY CHILD MORTALITY CHILD NUTRITION CHILD-BEARING CHILDBIRTH CHILDREN CHILDREN PER WOMAN CHRONIC CONDITIONS CLINICS CONDOMS CONTRACEPTION COSTS DEMAND DIET DIPHTHERIA DOCTORS DOMESTIC VIOLENCE ECONOMIC STATUS EDUCATIONAL ATTAINMENT ELDERLY EMERGENCIES EMPLOYMENT EMPLOYMENT OPPORTUNITIES EPIDEMIC EQUITY ESSENTIAL HEALTH SERVICES EXPENDITURES FAMILIES FAMILY HEALTH FAMILY PLANNING FAMILY PLANNING SERVICES FERTILITY RATE FERTILITY RATES FINANCING GENDER GAP HEALTH HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE PROVIDER HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH POSTS HEALTH PROBLEMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORMS HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH TARGETS HEALTH WORKERS HETEROSEXUAL CONTACT HIV HIV/AIDS HOSPITAL HOSPITAL BEDS HOSPITALIZATION HOSPITALS HOUSEHOLD SIZE HUMAN DEVELOPMENT HUMAN RESOURCES ILLNESS ILLNESSES IMMUNIZATION IMPROVEMENT OF WOMEN INCIDENCE INCOME INDIGENOUS GROUPS INDIGENOUS PEOPLE INDIGENOUS POPULATIONS INEQUITIES INFANT INFANT HEALTH INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFECTIOUS DISEASES INFERTILITY INSTITUTIONAL CAPACITY INTERNET INTERVENTION IRON KEY HEALTH INTERVENTIONS KNOWLEDGE LABOR FORCE LAWS LESS FORMAL EDUCATION LEVEL OF DEVELOPMENT LEVEL OF EDUCATION LEVELS OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MEASLES MEDICAL CARE MEDICAL EDUCATION MEDICAL FACILITY MEDICAL TESTS MEDICAL TREATMENT MEDICINES MENTAL HEALTH MIDWIFE MIDWIFES MIDWIVES MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MODERNIZATION MORBIDITY MORTALITY MOTHER NATAL CARE NATIONAL HEALTH POLICY NATIONAL LEVEL NEONATAL HEALTH NEONATAL MORTALITY NUMBER OF CHILDREN NURSES NURSING NUTRITION NUTRITIONAL DEFICIENCY OUTPATIENT CARE OUTREACH ACTIVITIES PATIENTS PEOPLE PHYSICAL ACTIVITY PHYSICIANS POLICIES POLICY DIALOGUE POLIO POOR FAMILIES POPULATION POPULATION GROUPS POSTPARTUM CARE POVERTY PREGNANCY PREGNANT WOMEN PREVENTION PREVENTIVE HEALTH CARE PRIMARY HEALTH CARE PRIMARY HEALTH SERVICES PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH EXPENDITURE PUBLIC HOSPITALS PUBLICATIONS QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY SERVICES REDUCING MATERNAL MORTALITY REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SERVICES REPRODUCTIVE NEEDS RESOURCE ALLOCATION RESPECT RESPIRATORY DISEASES RISKS RURAL AREAS RURAL WOMEN SANITATION SANITATION FACILITIES SECONDARY EDUCATION SERVICE DELIVERY SERVICE UTILIZATION SEXUAL RELATIONS SEXUAL VIOLENCE SOCIAL PROGRAMS SOCIAL SECTORS SOCIAL SECURITY SOCIAL WORKERS SPOUSE STRATEGY SUICIDE TEEN TEEN PREGNANCY TEENAGE PREGNANCY TERTIARY EDUCATION TETANUS TRAINING TRANSPORTATION TUBERCULOSIS UNDER-FIVE MORTALITY UNIVERSAL ACCESS URBAN AREAS USE OF CONDOMS USE OF RESOURCES VIOLENCE VIOLENCE AGAINST WOMEN VULNERABLE POPULATIONS WOMEN OF CHILD-BEARING AGE WORKERS WORLD HEALTH ORGANIZATION YOUNG MOTHERS YOUNG WOMEN Nicaragua 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. 2013-05-30T13:55:53Z 2013-05-30T13:55:53Z 2008-06 http://documents.worldbank.org/curated/en/2008/05/12315404/equity-access-health-care-services-expenditures-health-nicaragua http://hdl.handle.net/10986/13667 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Latin America & Caribbean Nicaragua |