This Health Plan complements the Health Agenda, agreed in the XXIII Forum of the Health Sector of Central America and Dominican Republic Sector (RESSCAD) and approved by the XXIX Meeting of the Council of Ministers of Health of Central America (COMISCA) of the System for Central American Integration (SICA), held in Tegucigalpa in January 31st, 2009. The Subregional Technical Commission for Elaboration of the Agenda and Health Plan (COTESAS) led the process of formulation and dissemination of the Health Agenda for Central America and the Dominican Republic (Subregion). Subsequently, the Technical Commission developed the Health Plan itself, in an intense and extensive process of consultations with the countries and subregional entities. Countless ordinary meetings and virtual sessions of the Commission led to the definition of a conceptual framework for the Health Plan, as well as the identification and definition of expected results, lines of action, indicators, management modalities and monitoring. The Health Plan was designed with inputs from organizations that are part of the family of specialized agencies participating in the SICA. These specialized agencies include the Nutrition Institute for Central America and Panama (INCAP), the Forum for Health, Potable Water and Sanitation of the Dominican Republic (FOCARD-APS), the Council of Institutions of Social Security in Central America and the Dominican Republic (CISSCAD), and the Center for Coordination of Prevention and Natural Disasters in Central America (CEPREDENAC). The Health Plan was designed to benefit from potential inter institutional synergies, and was guided by agreement documents issued by the different entities that are involved in integration efforts in Central America. Some of these agreement documents include the Strategic Social Agenda of the System for Central American Integration (SISCA), the Meso-american Public Health Plan, the Plan for Care of Indigenous Communities, the Subregional Program for Food Security in Central America (PRESANCA), and the Subregional Strategy for Health and the Agro-environment for Central America (ERAS). (AU)