We investigate the impact of a large new public hospital on directly observed waiting times in emergency departments of other public hospitals in Nicaragua. Using a difference-indifferences design, we estimate a significant decrease in waiting time by 42% or 10.1 minutes in nearby hospitals...

The 2023 Article IV Consultation highlights that Nicaragua's economy has remained resilient in the face of multiple shocks, supported by appropriate economic policies, substantial buffers, and multilateral support. The external and fiscal positions are assessed to be sustainable under the...

This paper investigates the effects of alleviating remoteness constraints on access to quality maternal and newborn health care. Using a cluster-randomized controlled trial, we provided transportation vouchers to impoverished pregnant women residing in remote Nicaraguan villages located...

This study examines the repercussions of the 1979 Sandinista revolution on Nicaragua's economic growth trajectory. Drawing on the synthetic control method, it constructs an artificial counterpart to Nicaragua with the primary objective of estimating the counterfactual gross domestic product...

This paper studies the drivers of the labor market performance in Nicaragua with a particular focus on informality, to identify vulnerable groups during economic downturns; and estimates the speed of adjustment of employment to shocks. The paper compares this experience with the ones in other...

This paper studies the drivers of the labor market performance in Nicaragua with a particular focus on informality, to identify vulnerable groups during economic downturns; and estimates the speed of adjustment of employment to shocks. The paper compares this experience with the ones in other...

This 2022 Article IV Consultation highlights that prudent macroeconomic policies, substantial pre-crisis buffers and official external financial assistance helped Nicaragua's economy rebound from a protracted contraction during 2018-2020, caused by the socio-political crisis of 2018, two major...

Unlike Latin American peers, and contrary to World Health Organization recommendations, Nicaragua eschewed lockdowns and other common strategies to mitigate the spread of COVID-19. Analysts have since demonstrated how Nicaraguan authorities dramatically under-reported the number of deaths and...