Costa Rica

Costa Rica’s National Health Sector Plan within the National Development and Public Investment Plan 2023-2026 outlines strategic priorities for enhancing healthcare accessibility, efficiency, and public health outcomes. The plan aligns with a broader governmental approach focused on social inclusion, economic resilience, and infrastructure development. A key priority is expanding health insurance coverage, aiming to have 94% of the population insured and ensuring that at least 7 out of 10 economically active individuals are covered by social security schemes. Preventive healthcare is emphasized, particularly in early diagnosis of cancer, cardiovascular diseases, diabetes, and chronic respiratory conditions through predictive health models. Additionally, 34 community-based projects are planned to strengthen mental health services nationwide​. Infrastructure improvements feature prominently, including the construction, renovation, and equipment enhancement of hospitals such as Dr. Max Peralta Jiménez in Cartago, Monseñor Sanabria in Puntarenas, and Tony Facio in Limón. Investments also target reducing surgical waiting times, particularly for ambulatory surgeries, cataract procedures, ultrasounds, and endoscopies. Environmental health is addressed through efforts to improve potable water supply in indigenous communities. Meanwhile, public health promotion includes increasing the proportion of people engaging in systematic physical activity to 10 per 1,000 inhabitants. The plan reflects a commitment to universal health coverage and equitable access, yet challenges persist in resource allocation, implementation efficiency, and ensuring sustainability amid economic constraints. Long-term success will depend on effective governance, cross-sector collaboration, and continued investment in public health infrastructure and workforce capacity​.