... effective and efficient (e.g. improvingservice quality and access, decentralizing manage-ment and decision-making, controlling costs, and expanding the role of the private sector), and (2) bythe ... sectors in Mexico and Nicaragua.Final report.Washington,DC, Inter American Development Bank, 1999.21. Tsui AO, Wasserheit JN, Haaga JG, eds. Reproductive health in developing countries: expanding ... assess and compare the situations in thecountries based on a number of relevant indicators,including changes in financing and budget allocation,service structure, quality of care, and participation...