In Nicaragua, under the Salud Mesoamérica Initiative, MSH provided ongoing technical assistance to improve the quality of, access to, and use of health services at the primary and secondary levels of care for the poorest 20% of the population. This technical assistance focused on expanding essential obstetric and neonatal care, newborn and child health, family planning services, assuring quality in those services, monitoring and use of health information system data for decision-making, and results-based financing models.

USAID|PASCA LMG provided technical assistance in Nicaragua, mainly to the Nicaraguan AIDS Commission (CONISIDA), with implementation, monitoring, evaluation, and costing of the National HIV Plan. CONISIDA represents the national authority and multi-sectoral entity that leads the National Response to HIV.

USAID|PASCA LMG contributed to the following key achievements in Nicaragua:

  1. Development of the document to update the ARV Therapy Guide for persons living with HIV. This strategic information helped CONISIDA move towards the attainment of the 90-90-90 Goals and the adoption of 2015 WHO guidelines on HIV testing and treatment.
  2. An Advocacy Strategy, implemented with key population organizations, that led to a decree by the Ministry of Health, calling on on public and private facilities to eliminate all forms of discrimination against persons based on sexual orientation or gender identity. This achievement is important because it  allows persons to confidently approach the facilities that provide healthcare services.
  3. Information analyses conducted by ASHONVISIDA (organization for people living with HIV) on the access of key populations (men who have sex with men, transgender women and female sex workers) and persons living with HIV to the prevention and treatment continuum of care. Based on the gaps in access it observed, ASHONVISIDA identified local strategies to increase access to test and improve adherence to treatment.

Our Projects

Project Name Health Systems Health Areas Date
Salud Mesoamérica Initiative
Leadership, Management & Governance Women's, Children's, and Adolescents' Health May 07, 2013 - September 13, 2017
Program for Strengthening the Central American Response to HIV
Leadership, Management & Governance HIV & AIDS 2014 - 2017