---
title: Although Nicaragua's health outcomes have improved over the past few… — Nicaragua · tree and pragmatics
description: Although Nicaragua's health outcomes have improved over the past few decades with the efficient utilization of resources relative to other Central American nations, healthcare in Nicaragua still confronts challenges responding to its populations' diverse healthcare needs. Who acts: healthcare, chall
---

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# Nicaragua, sentence 519

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From Wikipedia, [«Nicaragua»](https://en.wikipedia.org/wiki/Nicaragua), revision of the 2026-09-01 dump, [CC BY-SA 4.0](https://creativecommons.org/licenses/by-sa/4.0/). The trees and pragmatics of these pages, Mova's parse of that text, are CC BY-SA 4.0 too.

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Although Nicaragua's health outcomes have improved over the past few decades with the efficient utilization of resources relative to other Central American nations, healthcare in Nicaragua still confronts challenges responding to its populations' diverse healthcare needs.

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**Who acts:** healthcare, challenges, diverse healthcare · **What happens:** improve, relative, confront, respond, need, utilize · **To what, where:** health outcomes, challenges, resources

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This is a sentence of the English Wikipedia article «Nicaragua». The page gives its syntax tree — a dependency tree in the style of Universal Dependencies — and its pragmatics clause by clause: who acts (healthcare, challenges, diverse healthcare), what happens, when and where, as Mova's frames read it from the tree.

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**Mova's own parse.** This tree may be wrong. The article's note marks are left out of the parse.

## The tree {#tree}

```conllu
# sent_id = wikipedia:Nicaragua:519
# text = Although Nicaragua's health outcomes have improved over the past few decades with the efficient utilization of resources relative to other Central American nations, healthcare in Nicaragua still confronts challenges responding to its populations' diverse healthcare needs.
1	Although	although	SCONJ	IN	_	7	mark	_	_
2	Nicaragua	Nicaragua	PROPN	NNP	Number=Sing	5	nmod:poss	_	SpaceAfter=No
3	's	's	PART	POS	_	2	case	_	_
4	health	health	NOUN	NN	Number=Sing	5	compound	_	_
5	outcomes	outcome	NOUN	NNS	Number=Plur	7	nsubj:pass	_	_
6	have	have	AUX	VBP	Mood=Ind|Number=Plur|Person=3|Tense=Pres|VerbForm=Fin	7	aux	_	_
7	improved	improve	VERB	VBN	Tense=Past|VerbForm=Part|Voice=Pass	19	advcl	_	_
8	over	over	ADP	IN	_	12	case	_	_
9	the	the	DET	DT	Definite=Def|PronType=Art	12	det	_	_
10	past	past	ADJ	JJ	Degree=Pos	12	amod	_	_
11	few	few	ADJ	JJ	Degree=Pos	12	amod	_	_
12	decades	decade	NOUN	NNS	Number=Plur	7	obl	_	_
13	with	with	ADP	IN	_	16	case	_	_
14	the	the	DET	DT	Definite=Def|PronType=Art	16	det	_	_
15	efficient	efficient	ADJ	JJ	Degree=Pos	16	amod	_	_
16	utilization	utilization	NOUN	NN	Number=Sing	19	obl	_	_
17	of	of	ADP	IN	_	18	case	_	_
18	resources	resource	NOUN	NNS	Number=Plur	16	nmod	_	_
19	relative	relative	VERB	VBP	Mood=Ind|Number=Sing|Person=1|Tense=Pres|VerbForm=Fin	0	root	_	_
20	to	to	ADP	IN	_	24	case	_	_
21	other	other	ADJ	JJ	Degree=Pos	24	amod	_	_
22	Central	Central	PROPN	NNP	Number=Sing	24	compound	_	_
23	American	American	ADJ	JJ	Degree=Pos	24	amod	_	_
24	nations	nation	NOUN	NNS	Number=Plur	19	obl	_	SpaceAfter=No
25	,	,	PUNCT	,	_	26	punct	_	_
26	healthcare	healthcare	NOUN	NN	Number=Sing	30	nsubj	_	_
27	in	in	ADP	IN	_	28	case	_	_
28	Nicaragua	Nicaragua	PROPN	NNP	Number=Sing	26	nmod	_	_
29	still	still	ADV	RB	_	30	advmod	_	_
30	confronts	confront	VERB	VBZ	Mood=Ind|Number=Sing|Person=3|Tense=Pres|VerbForm=Fin	24	acl:relcl	_	_
31	challenges	challenge	NOUN	NNS	Number=Plur	30	obj	_	_
32	responding	respond	VERB	VBG	VerbForm=Ger	31	acl	_	_
33	to	to	ADP	IN	_	39	case	_	_
34	its	its	PRON	PRP$	Case=Gen|Gender=Neut|Number=Sing|Person=3|Poss=Yes|PronType=Prs	35	nmod:poss	_	_
35	populations	population	NOUN	NNS	Number=Plur	39	obl	_	SpaceAfter=No
36	'	's	PART	POS	_	35	case	_	_
37	diverse	diverse	ADJ	JJ	Degree=Pos	38	amod	_	_
38	healthcare	healthcare	NOUN	NN	Number=Sing	39	nsubj	_	_
39	needs	need	VERB	VBZ	Mood=Ind|Number=Sing|Person=3|Tense=Pres|VerbForm=Fin	32	obl	_	SpaceAfter=No
40	.	.	PUNCT	.	_	19	punct	_	_
```

## Pragmatics {#pragmatics}

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| # | verb | tense, mood | who | what, whom | to whom | where | when | other | roles by |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1 | **improve** | present · perfect · passive |  | Nicaragua's health outcomes |  |  | decade |  | vn other\_cos-45.4 «NP V NP.patient»: subject=Patient |
| 2 | **relative** | present |  |  |  |  |  | with the efficient utilization of resources; to other Central American nations | tree rules |
| 3 | **confront** | present | healthcare in Nicaragua | challenges |  |  | still |  | vn confront-98 «NP V NP»: agent=Agent challenge=Theme |
| 4 | **respond** *speech: other* | gerund | challenges *not said here* |  |  |  |  |  | vn respond-113 «NP V»: agent=Agent |
| 5 | **need** | present | diverse healthcare |  |  |  |  | 's healthcare's populations | vn want-32.1-1-1 «NP V NP S\_INF»: agent=Pivot |
| 6 | **utilize** |  |  | resources |  |  |  |  | nom utilization «act transitive»: of=patient |

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One row per clause the reader finds. «not said here»: a role filled from the clause above. «roles by»: a VerbNet class and frame when one fits the verb, else the reader's rules on the tree.

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**Text:** the English Wikipedia, «Nicaragua», revision of the 2026-09-01 dump, CC BY-SA 4.0. **Tree:** Mova's own parse, CC BY-SA 4.0 as the text is. **Frames:** Mova's frames reader (`prag`), the article read in order, CC BY-SA 4.0.

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