Nicaragua
Although Nicaragua has made important strides in recent years in improving child and maternal mortality, there are still critical gaps in access and supply of basic health care services that leave many rural and indigenous groups (especially in the Center and the Atlantic regions) without access to proper healthcare. These areas also continue to experience the poorest maternal and infant health indicators in the country. These challenges are further compounded by other supply-side constraints including a lack of medicines, inconsistency in service, affordability constraints, and limited basic health care resources.
No tariffs are levied on pharmaceutical products.



