“Hidden on the Social Media”: HIV Education on MSM through Cyber-Educators in Central America

The Pan-American Social Marketing Organization (PASMO) developed a combination prevention intervention in Central America that delivers HIV prevention behavior change communication (BCC) messages, products, services, and referrals to promote improved condom and condom-compatible lubricant use, HIV testing, violence reporting and the use of complementary services. [from abstract]

Global Mental Health: Transformative Capacity Building in Nicaragua

Using the framework of best practice literature, this article analyses a four-year collaborative process between two universities to build health worker capacity at the primary healthcare and system levels to address gaps in mental health services. [adapted from abstract]

Primary Healthcare Providers' Views on Improving Sexual and Reproductive Healthcare for Adolescents in Bolivia, Ecuador, and Nicaragua

This study aimed to elicit the views of primary healthcare providers from Bolivia, Ecuador, and Nicaragua on how adolescent sexual and reproductive health care in their communities can be improved. [from abstract]

Does a Competitive Voucher Program for Adolescents Improve the Quality of Reproductive Health Care? A Simulated Patient Study in Nicaragua

This study evaluates the impact and sustainability of a competitive voucher program on the quality of reproductive health care for poor and underserved female adolescents and the usefulness of the simulated patient method for such evaluation. [from abstract]

Social Franchising of Sexual and Reproductive Health Services in Honduras and Nicaragua

This document outlines the outcome of three franchising projects implemented by Partners of Marie Stopes International (MSI) in Honduras and Nicaragua. The projects were designed to pilot full and partial social franchising models as part of an initiative to test and develop alternative forms of delivering quality sexual and reproductive health (SRH) services by a non government organisation (NGO). [abstract]

Leadership and HR Systems Strengthening: the Nicaragua Experience

This presentation focuses on the work MSH has done in Nicaragua, where leadership has been used as the key to address many of the challenges faced by the health sector, using a systems approach. [author’s description]

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Using Quality Assessment to Improve Maternal Care in Nicaragua

This case study describes how healthcare providers in Nicaragua worked together to improve the quality of obstetric care at their health centers and posts. They began by measuring the extent to which staff performed according to standards. Once aware of the quality gaps, they formed QI teams and used rapid team problem solving to implement quality improvements so that healthcare providers could perform according to obstetric standards. Continuous monitoring shows their success in meeting the standards and improving health outcomes. [author’s description]

From State to Market: the Nicaraguan Labour Market for Health Personnel

Few countries in Latin America have experienced in such a short period the shift from a socialist government and centrally planned economy to a liberal market economy as Nicaragua. The impact of such a change in the health field has been supported by the quest for reform of the health system and the involvement of external financial agencies aimed at leading the process. However, this change has not been reflected in the planning of human resources for health.