Freedom House According to interviews and focus group results, the housing and shelter situation is one of the most difficult ones for Nicaraguan HRDs in terms of psychological stress. Moreover, there are not many institutions or organizations in Costa Rica that can support this type of cases with an integrated approach to deal both with legal and psychological support specifically for HRDs. When the large number of Nicaraguans living in Costa Rica permanently saw the seriousness of the situation emerge after 2018 with their compatriots, they decided to organize themselves to provide support and humanitarian assistance. Three well know examples are SOS Nicaragua, the Union of Nicaraguans in Exile (Unión de Nicaragüenses en el Exilio- UNE-CR) and the Coalition of Nicaraguans Abroad (Coalición de Nicaragüenses en el Exterior). These organizations are responsible for providing humanitarian aid such as food, clothing, medical care, school supplies, among others. While their support is welcomed, these services target the larger migrant and refugee populations, and as such it is not enough for the growing needs of Nicaraguan exile HRD population in Costa Rica. WHO OFFERS SUPPORT SERVICES FOR NICARAGUAN MIGRANTS, REFUGEES AND HRDS IN COSTA RICA? United Nations High Commissioner for Refugees (UNHCR): A very relevant service is the Medical Insurance Program-UNHCR – CCSS.28 The program targets refugees and asylum seekers with serious health conditions. Funded until December 31, 2021, 10,000 people will have access to this health insurance. Until February 2021, it was reported that 60% of the insurance had been assigned and it was projected to reach its limit before December 31. There are no actual numbers reported, but while Cubans and Venezuelans also seek asylum and refugee status in Costa Rica, Nicaraguans are by far the largest group and presumably would be the majority of beneficiaries. UNHCR also works with a network of partner organizations and groups in Costa Rica to provide other services and assistance such as: social and economic, legal, employment and integration. Refugee Education Trust (RET) International: Provides humanitarian aid to families in vulnerable situations, works with young people in violence prevention and promotes their integration into the educational system. RET manages the UNCHR-CCSS Insurance program. They are also responsible for managing economic support from government institutions (e.g., IMAS, PANI, INAMU, CONAPDIS, CONAPAM, CEN-CINAI, all acronyms in Spanish), as well as NGOs. CENDEROS: Operates two shelters, one in San José for women and another one in Upala for both men and women. It provides psychosocial care to migrants, humanitarian aid, training on a variety of topics relevant to the target populations, such as how to request refugee status, rights for Nicaraguans while in Costa Rica, and health care for women. CENDEROS works mainly with HRDs, especially women and LGTBIQ people. Jesuit Service for Migrants: Provides free legal advice and support in the process of changing immigration status, identity documents and naturalization, as well as information services and outreach programs, including a radio program to share relevant information and news. Fundación Mujer: While their original work targeted only women and still prioritizes women in all their activities, today the Foundation works with both men and women between 18 and 65 years of age, primarily migrants. They assist with training for economic self-sufficiency. It supports the integration of refugees into Costa Rican society through economic and productive initiatives that allow their self-sufficiency in the country. HIAS (Hebrew Immigrant Aid Society): Provides free legal assistance and has offices in San José and Liberia, as well as staff in La Cruz, Los Chiles, Paso Canoas, Peñas Blancas and Upala. La Salle Legal Clinic: Provides legal advice to refugees and applicants for refugee status in the necessary steps to effectively access their rights. FreedomHouse.org 15