Central America Social Expenditures and Institutional Review : Costa Rica

The evolution of Costa Rica’s social sectors over the past decade has been dichotomous. On the one hand, economic growth has remained relatively high, however poverty and inequality have not declined (moreover, they have increased), and persistent...

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Bibliographic Details
Main Author:	World Bank
Format:	Report
Language:	English en_US
Published:	World Bank, Washington, DC 2016
Subjects:	SANITATION RISKS WORKFORCE ECONOMIC GROWTH BASIC EDUCATION QUALITY OF SERVICES NATIONAL DEVELOPMENT PLAN FORMAL EDUCATION SOCIALIZATION PEOPLE OLD AGE SKILLED WORKERS SOCIOECONOMIC STATUS INFORMATION SYSTEM HUMAN IMMUNODEFICIENCY VIRUS PUBLIC EDUCATION PREVENTION LAWS LIVE BIRTHS COMMUNITY HEALTH LEVELS OF EDUCATION RESOURCE ALLOCATION LABOR FORCE HEALTH INSURANCE PUBLIC SERVICES PRENATAL CARE NATIONAL DEVELOPMENT HEALTH CARE PUBLIC SECTOR EXPENDITURES HEALTH DROPOUT COMPREHENSIVE CARE INFORMATION TECHNOLOGIES HYPERTENSION RURAL POPULATION FUTURE GENERATIONS SOCIAL SCIENCES INFORMATION SYSTEMS LONGER LIFE HOSPITAL PUBLIC HEALTH LIFE EXPECTANCY ACCESS TO EDUCATION MATERNAL MORTALITY HEALTH SECTOR KNOWLEDGE SET OF RECOMMENDATIONS DIABETES LABOR MARKET COMMUNITY DEVELOPMENT MINISTRY OF HEALTH MILLENNIUM DEVELOPMENT GOAL DISEASES TRAINING IMMUNIZATION PATIENTS PATIENT SOCIAL EXCLUSION EDUCATIONAL ATTAINMENT INTERVENTION POPULATION DIVISION HEALTH INDICATORS FAMILY HEALTH PUBLIC HOSPITALS AGING DEMOGRAPHIC PROJECTIONS SECONDARY SCHOOL CHILD DEVELOPMENT FERTILITY RATE HEALTH CARE SERVICES ADOPTION TETANUS MARKETING HOUSEHOLD INCOME HOUSEHOLD SURVEYS MORTALITY RATE SOCIAL SECURITY TEACHER SALARIES TUBERCULOSIS SOCIAL RETURNS SERVICE DELIVERY PLACE OF RESIDENCE SOCIAL EXPENDITURES GROSS DOMESTIC PRODUCT MORTALITY HEALTH CARE SYSTEM RISK GROUPS ELDERLY RESPECT PROGRESS UNEMPLOYMENT CHILDBIRTH INFANT MORTALITY POPULATION TRENDS HUMAN CAPITAL INFANT DIPHTHERIA INVESTMENT IN EDUCATION WORKERS WHOOPING COUGH SURGERY SOCIAL SECTOR POLICIES LABOR CODE AGED SOCIAL SERVICES PATIENT SATISFACTION CHRONIC DISEASE HIV BASIC NEEDS IMMUNODEFICIENCY PENSIONS IMPACT ON HEALTH PUBLIC HEALTH EXPENDITURE MEDICAL SERVICES SOCIAL POLICY MINISTRY OF EDUCATION HEALTH OUTCOMES INTERPERSONAL SKILLS LONG-TERM CARE POPULATION DENSITY URBAN AREAS STRESS EARLY CHILDHOOD IMMUNIZATIONS MANDATES DECISION MAKING CHEMOTHERAPY NUTRITION MEASLES POPULATIONS POLICY PRIMARY HEALTH CARE WORLD HEALTH ORGANIZATION DEMOGRAPHIC TRENDS LIFESTYLES CHILD MORTALITY HEALTH SYSTEM SOCIAL SECTORS SEX GOVERNMENT POLICIES COMMUNICABLE DISEASES PREGNANT WOMEN WORLD POPULATION PROJECTIONS TEACHER RATIO CHILDREN LEVEL OF EDUCATION CLINICS WORLD POPULATION HEALTH PROVIDERS RURAL AREAS POPULATION PROJECTIONS ISOLATION ENDOCRINE SYSTEM DISABILITY CIRCULATORY SYSTEM NUMBER OF DEATHS SCHOOL YOUTH POPULATION HOSPITAL BEDS STUDENTS INSTITUTIONALIZATION NOURISHMENT DIGESTIVE SYSTEM MATERNAL MORTALITY RATE STRATEGY SOCIOECONOMIC DIFFERENCES PRIMARY EDUCATION FERTILITY FAMILIES WOMEN MEDICINES HOSPITALS MATERNAL MORTALITY RATES HEALTH INTERVENTIONS PUBLIC SERVICE INFANT MORTALITY RATE SECONDARY EDUCATION TERTIARY EDUCATION SOCIAL WORKERS HEALTH SERVICES IMPLEMENTATION PREGNANCY AT RISK GROUPS DEMAND FOR SERVICES NURSING HUMAN DEVELOPMENT SANITATION FACILITIES
Online Access:	http://documents.worldbank.org/curated/en/2015/06/24632423/central-america-social-expenditures-institutional-review-costa-rica http://hdl.handle.net/10986/23608

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Summary:	The evolution of Costa Rica’s social sectors over the past decade has been dichotomous. On the one hand, economic growth has remained relatively high, however poverty and inequality have not declined (moreover, they have increased), and persistent employment challenges remain. On the other hand, the country has continued experiences advances in many social indicators, such as pre-primary and tertiary enrollment rates, access to improved sanitation, and labor force participation, though not in others (secondary school completion, immunizations, employment). Higher economic growth and (to a lesser extent) revenues seem to have allowed a substantial increase in public social spending. Looking forward, the key challenges Costa Rica faces are related to continuing improving the quality and efficiency in the social sectors, while improving targeting to serve the most in need, in a tight and severe fiscal context. To expand coverage of excluded population, priority will have to be given to reallocations and improvements within the spending envelope for the social sectors to maximize impact. With a fiscal deficit of more than 6 percent of GDP, further expanding public social spending is no longer an option and budget cuts are looming. Improvements in public spending management and budget execution, including the need of institutional reform to consolidate programs and improve coordination among executing agencies is equally important. In a country that has long been the champion in expanding universal welfare state, sustainability concerns will imply that hard fiscal decisions would need to be made to increase the social returns of budget allocation.

Central America Social Expenditures and Institutional Review : Costa Rica

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