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=== Healthcare === {{Main|Healthcare in Nicaragua}}Although Nicaragua's health outcomes have improved over the past few decades with the efficient utilization of resources relative to other Central American nations, [[healthcare in Nicaragua]] still confronts challenges responding to its populations' diverse healthcare needs.<ref name=":0">Angel-Urdinola D, Cortez R, Tanabe K. (2008). Equity, Access to Health Care Services and Expenditures on Health in Nicaragua. Health, Nutrition and Population of the World Bank.</ref> The [[Government of Nicaragua|Nicaraguan government]] guarantees universal free [[health care]] for its citizens.<ref name=":1">Sequeira M, Espinoza H, Amador JJ, Domingo G, Quintanilla M, and de los Santos T. (2011). The Nicaraguan Health System. PATH.</ref> However, limitations of current delivery models and unequal distribution of resources and medical personnel contribute to the persistent lack of quality care in more remote areas of Nicaragua, especially among rural communities in the Central and Atlantic region.<ref name=":0"/> To respond to the dynamic needs of localities, the government has adopted a decentralized model that emphasizes community-based preventive and primary medical care.<ref>Birn AE, Zimmerman S, Garfield R. (2000). To decentralize or not to decentralize, is that the question? Nicaraguan health policy under structural adjustment in the 1990s. I''nternational Journal of Health Services,'' ''30,'' 111β28.</ref>
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