Managua for cities and towns who tend to be considerably further from the main highway roads. Nicaraguan bus companies, often referred to as "Chicken Buses", serve both urban and rural areas to remedy the lack of sufficient infrastructure that plagues these towns or villages. Transportation infrastructure has grown outside of Managua and other Pacific coast cities and departments in recent years. A road from the river port city of El Rama to Pearl Lagoon, located in the South Caribbean Coast Autonomous Region, was completed in 2007. El Rama is connected by highway to Managua. Managua and Puerto Cabezas, located in the
South American Council of Health different country. The CSS is underpinned by the Technical Secretary in charge of the Pro Tempore Presidency (PPT) and two countries of the previous and following PPT, in order to ensure the continuity of works. There are also the Technical Groups responsible for analyzing, preparing and developing proposals, plans and projects that contribute to the South American integration in health, according to the alignment established by the South American Health Agenda. The Technical Groups are divided into areas of work defined by the South American Health Council, with one country in charge of the coordination and another country as the