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The Americas and Caribbean : Nicaragua

Child Survival – Project HOPE is administering a child survival program in the rural areas of the Jinotega Department.  This program aims to improve maternal and child health by improving the quality of care given to pregnant women, encouraging the timely seeking of services, and improving the knowledge and skills of pregnancy management at the community level.  It also seeks to improve the nutritional status of children less than 5 years old by integrating nutritional counseling into all consultations with mothers to improve nutrition awareness and surveillance, as well micronutrient surveillance.  Other interventions include breastfeeding promotion, improved immunization coverage, control of diarrheal diseases and pneumonia cases, improved child spacing, and HIV/AIDS prevention education.
           
Primary Care Community Clinic – Project HOPE and its partner, MANNA Project International, seeks to establish a clinic in Managua, Nicaragua, based on the successful experiences implementing similar clinics in the Dominican Republic.  This clinic will start out providing essential and specialized maternal and child healthcare, health education in the clinic and the community, home visits and vaccinations in coordination with the Ministry of Health, and general medical attention for adults. 

Village Health Banks – Project HOPE is using its Village Health Bank model of combining micro-credit activity with health education to address issues of domestic violence. The goal is for nearly 2,000 women to participate along with their partners, indigenous organizations already working in domestic violence and law enforcement.  

Timeline

1966 The SS HOPE docks in Nicaragua, providing medical care and training, and creating a long-term partnership with the University of León
1974 Project HOPE helps establish residency programs in general surgery as well as laboratory sciences, nursing education, x-ray technicians, dentistry, nutrition, and hygiene training programs
1990 At the request of President Violeta Chamorro, Project HOPE returns to Nicaragua, helping to rehabilitate four hospitals and improving care for mothers and children
1991 Project HOPE begins the first of several child survival projects, which continue throughout the decade
1998 Project HOPE is one of the founding members of NicaSalud, a cooperative group of 24 local organizations working to improve Nicaragua’s health
1999 Following Hurricane Mitch, Project HOPE implements a rehabilitation program for the health system of Jinotega, and pilots programs in maternal and child health
2001 signs the Humanitarian Assistance Program protocol and has since shipped more than $22 million in GIK to health facilities from hospitals to health posts across the country
2002 Project HOPE begins a Child Survival program in rural areas of the Jinotega Department, which continues today

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