Strengthening Universal Health Insurance in Costa Rica

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The development objectives of the Program-for-Results (PforR) : Strengthening Universal Health Insurance in Costa Rica Project for Costa Rica are to contribute to: (i) improving the timeliness and quality of health services; and (ii) enhancing the institutional efficiency of the Costa Rican social security administration (CCSS). The program will support all critical areas of strategic agenda for strengthening the health insurance (SASHI). It will focus on strengthening the primary health care (PHC) network and increasing the integration of services across all levels of care. The support of the PforR for investments in the first and second levels of care will allow the CCSS to free up resources for capital investments, including hospitals. The activities that SASHI includes with its own sources of funding (that is outside the boundaries of the program) include replacement or large civil works for various hospitals to replace existing ones that are obsolete or severely damaged. The PforR will provide funds to the CCSS based on a set of seven disbursement-linked indicators (DLIs) selected by the CCSS and agreed upon with the World Bank.