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Wx Ox Rx Lx D Bx Ax Nx K Wx Ox Rx Kx Ix Nx G Px Ax Px Ex R Nx Ox . 5x 7x
Health System Innovations i
x x x
n Central America
x x
Lessons and Impact of New Approaches
PublicxDisclosurexAuthorized
x x x x x
EditedxbyxGerardxM.xLaxForgia
PublicxDisclosurexAuthorized
PublicxDisclosurexAuthorized
THEx WORLDx BANK
,
, W x O x R x Lx D Bx Ax Nx K Wx Ox Rx Kx Ix Nx G Px Ax Px Ex R Nx Ox . 5x 7
Health System Innovations in Central
x x x x x
America
Lessons and Impact of New Approaches
x x x x x
EditedxbyxGerardxM.xLaxForgia
THEx WORLDx BANK
Washington,x D.C.
, Copyrightx ©x 2005
ThexInternationalxBankxforxReconstructionxandxDevelopmentx/xThexWorldxBankx18
18xHxStreet,xN.W.
Washington,xD.C.x20433,xU.S.A.x
Allxrightsxreserved
ManufacturedxinxthexUnitedxStatesxofxAmericax
FirstxPrinting:xJunex2005
x printedxonxrecycledxpaper
1x 2x 3x 4x 5x 07x 06x 05
WorldxBankxWorkingxPapersxarexpublishedxtoxcommunicatexthexresultsxofxthexBank’sxworkxtoxthex
developmentxcommunityxwithxthexleastxpossiblexdelay.xThexmanuscriptxofxthisxpaperxthereforex
hasxnotxbeenxpreparedxinxaccordancexwithxthexproceduresxappropriatextoxformally-
editedxtexts.xSomexsourcesxcitedxinxthisxpaperxmayxbexinformalxdocumentsxthatxarexnotxreadilyx
available.
Thexfindings,xinterpretations,xandxconclusionsxexpressedxhereinxarexthosexofxthexauthor(s)x
andxdoxnotxnecessarilyxreflectxthexviewsxofxthexInternationalxBankxforxReconstructionxandxDevel-
xopment/ThexWorldxBankxandxitsxaffiliatedxorganizations,xorxthosexofxthexExecutivexDirectorsxof
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notximplyxandxjudgmentxonxthexpartxofxThexWorldxBankxofxthexlegalxstatusxofxanyxterritoryxorx
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Thexmaterialxinxthisxpublicationxisxcopyrighted.xCopyingxand/orxtransmittingxportionsxorx
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andxwillxnormallyxgrantxpermissionxpromptlyxtoxreproducexportionsxofxthexwork.
Forxpermissionxtoxphotocopyxorxreprintxanyxpartxofxthisxwork,xpleasexsendxaxrequestxwithx
completexinformationxtoxthexCopyrightxClearancexCenter,xInc.,x222xRosewoodxDrive,xDanvers,
xMAx01923,xUSA,xTel:x978-750-8400,xFax:x978-750-4470,xwww.copyright.com.
Allxotherxqueriesxonxrightsxandxlicenses,xincludingxsubsidiaryxrights,xshouldxbexaddressedx
toxthexOfficexofx thexPublisher,xThexWorldxBank,x1818xHxStreetxNW,xWashington,xDCx20433,xUSA,x
Fax:x202-522-2422,xemail:.
ISBN-10:x0-8213-6278-X ISBN-13:x978-0-8213-6278-
5xeISBN:x0-8213-6279-8
ISSN:x 1726-5878 DOI:x10.1596/978-0-8213-6278-5
GerardxM.xLaxForgiaxisxLeadxHealthxSpecialistxinxthexLatinxAmericaxandxthexCaribbeanxRegionx
ofxthexWorldxBank.
LibraryxofxCongressxCataloging-in-PublicationxDataxhasxbeenxrequested.
PublicxDisclosurexAuthorized
Wx Ox Rx Lx D Bx Ax Nx K Wx Ox Rx Kx Ix Nx G Px Ax Px Ex R Nx Ox . 5x 7x
Health System Innovations i
x x x
n Central America
x x
Lessons and Impact of New Approaches
PublicxDisclosurexAuthorized
x x x x x
EditedxbyxGerardxM.xLaxForgia
PublicxDisclosurexAuthorized
PublicxDisclosurexAuthorized
THEx WORLDx BANK
,
, W x O x R x Lx D Bx Ax Nx K Wx Ox Rx Kx Ix Nx G Px Ax Px Ex R Nx Ox . 5x 7
Health System Innovations in Central
x x x x x
America
Lessons and Impact of New Approaches
x x x x x
EditedxbyxGerardxM.xLaxForgia
THEx WORLDx BANK
Washington,x D.C.
, Copyrightx ©x 2005
ThexInternationalxBankxforxReconstructionxandxDevelopmentx/xThexWorldxBankx18
18xHxStreet,xN.W.
Washington,xD.C.x20433,xU.S.A.x
Allxrightsxreserved
ManufacturedxinxthexUnitedxStatesxofxAmericax
FirstxPrinting:xJunex2005
x printedxonxrecycledxpaper
1x 2x 3x 4x 5x 07x 06x 05
WorldxBankxWorkingxPapersxarexpublishedxtoxcommunicatexthexresultsxofxthexBank’sxworkxtoxthex
developmentxcommunityxwithxthexleastxpossiblexdelay.xThexmanuscriptxofxthisxpaperxthereforex
hasxnotxbeenxpreparedxinxaccordancexwithxthexproceduresxappropriatextoxformally-
editedxtexts.xSomexsourcesxcitedxinxthisxpaperxmayxbexinformalxdocumentsxthatxarexnotxreadilyx
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Thexfindings,xinterpretations,xandxconclusionsxexpressedxhereinxarexthosexofxthexauthor(s)x
andxdoxnotxnecessarilyxreflectxthexviewsxofxthexInternationalxBankxforxReconstructionxandxDevel-
xopment/ThexWorldxBankxandxitsxaffiliatedxorganizations,xorxthosexofxthexExecutivexDirectorsxof
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notximplyxandxjudgmentxonxthexpartxofxThexWorldxBankxofxthexlegalxstatusxofxanyxterritoryxorx
thexendorsementxorxacceptancexofxsuchxboundaries.
Thexmaterialxinxthisxpublicationxisxcopyrighted.xCopyingxand/orxtransmittingxportionsxorx
allxofxthisxworkxwithoutxpermissionxmayxbexaxviolationxofxapplicablexlaw.xThexInternationalxBankx
forxReconstructionxandxDevelopment/ThexWorldxBankxencouragesxdisseminationxofxitsxworkx
andxwillxnormallyxgrantxpermissionxpromptlyxtoxreproducexportionsxofxthexwork.
Forxpermissionxtoxphotocopyxorxreprintxanyxpartxofxthisxwork,xpleasexsendxaxrequestxwithx
completexinformationxtoxthexCopyrightxClearancexCenter,xInc.,x222xRosewoodxDrive,xDanvers,
xMAx01923,xUSA,xTel:x978-750-8400,xFax:x978-750-4470,xwww.copyright.com.
Allxotherxqueriesxonxrightsxandxlicenses,xincludingxsubsidiaryxrights,xshouldxbexaddressedx
toxthexOfficexofx thexPublisher,xThexWorldxBank,x1818xHxStreetxNW,xWashington,xDCx20433,xUSA,x
Fax:x202-522-2422,xemail:.
ISBN-10:x0-8213-6278-X ISBN-13:x978-0-8213-6278-
5xeISBN:x0-8213-6279-8
ISSN:x 1726-5878 DOI:x10.1596/978-0-8213-6278-5
GerardxM.xLaxForgiaxisxLeadxHealthxSpecialistxinxthexLatinxAmericaxandxthexCaribbeanxRegionx
ofxthexWorldxBank.
LibraryxofxCongressxCataloging-in-PublicationxDataxhasxbeenxrequested.
