During the 2024–2025 biennium, PAHO played a key role in the implementation of the Social Determinants of Health Strategy in Costa Rica through a territorial approach led by the Ministry of Health and the Costa Rican Social Security Fund, with particular emphasis on the Brunca region.

Costa Rica made decisive progress in institutionalizing digital transformation in health, supported by sustained technical cooperation from PAHO. During the biennium, the country designed and implemented a long-term national policy for digital transformation, prioritized at the highest level of the Ministry of Health, which included the establishment of a Directorate for Digital Transformation with dedicated staff and resources. PAHO provided strategic technical assistance in the development of the road map, the regulatory design, and the initial implementation, ensuring alignment with regional standards and institutional sustainability.

Within the framework of the Better Care for NCDs initiative, Costa Rica formally incorporated the HEARTS clinical pathway into the first level of care, as a result of close technical cooperation between PAHO and the Costa Rican Social Security Fund.

With technical support from PAHO, Costa Rica made substantial progress in developing its national agenda toward 2030 for the elimination of communicable diseases and related conditions, within the framework of the PAHO Disease Elimination regional initiative. During the biennium, the country consolidated a national road map aligned with the National Health Policy 2023–2033, enabling the prioritization of diseases based on their epidemiological status, the definition of integrated strategic actions, and the strengthening of governance and surveillance.

In the area of health emergencies, Costa Rica systematically strengthened its preparedness and response capacities for respiratory viruses with technical support from PAHO, within the framework of the global Pandemic Influenza Preparedness framework.