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Publication
Building Human Capital for the Institutional Strengthening of the Nicaraguan Ministry of Health
(World Bank, Washington, DC, 2020-07)The Nicaraguan Ministry of Health of through the Health Education Directorate implements the Guideline 8 of the National Health Policy, which states the development of Human Talent as an essential axis for transforming the National Health System, because human resources are the most decisive factor for bringing about changes towards an effective, efficient and humanized approach to care. To do so, it has formulated staff education and training programs to help improve and deepen continuously the Family and community health model (MOSAFC) healthcare delivery and management model. Through the technical and financial support of the strengthening the public health care system project, the Ministry of Health (MINSA) implements a health continuing education process that includes in-service training, public health system workers' knowledge update, and community network training for midwives and voluntary collaborators. -
Publication
Nicaragua: Integration of Natural Medicine and Complementary Therapies, Revival of Traditional Ancestral Medicine in Indigenous Peoples and Afro-descendants
(World Bank, Washington, DC, 2020-07)Since its inception in 2014, the Institute of Natural Medicine and Complementary Therapies (IMNTC) has set up a strategy for providing, promoting, and developing traditional and natural medicine and complementary therapies based on two key lines of action: revival of ancestral knowledge and practices of indigenous peoples and afro-descendants, and integration of IMNTC into the community and family health model (MOSAFC). Based on this and with World Bank (WB) - led technical and financial support under the Strengthening the Public Health Care System Project, the healthcare staff training plan is being implemented, along with the promotion, education, and dissemination of natural medicine, research, and the strengthening of complementary therapy and holistic pain management clinics nationwide. -
Publication
Healthcare Staff Training, A Key Pillar in Improving Quality of Care in Nicaragua
(World Bank, Washington, DC, 2019-01)Quality of care is one of the pillars that underpin the Family and Community Health Model (MOSAFC) implementation. One of the critical elements to deliver quality of care lies in the problem-solving capability of health professionals across all levels of care. Key training, e.g. Diploma in Hospital Administration, mirrors the commitment undertaken by the Nicaragua Ministry of Health towards institutional capacity building. This diploma course has helped hospitals complete their health diagnoses and develop strategic plans including four-year multi-year goals and results-based budgeting proposals. The Ministry of Health has in place a Health Continuing Education Strategy across all levels of care for 2017-2021. -
Publication
Toward More Efficient and Effective Public Social Spending in Central America
(World Bank, Washington, DC, 2017-05-18)Central America has come a long way both in terms of economic and political stability. Increasingly the region is focusing on implementing productivity-enhancing reforms as well as supporting reductions in poverty and inequality. This report analyzes recent trends in public social spending in Central America from 2007 to 2014, conducts international benchmarking, examines measures of the effectiveness and efficiency of social spending, and discusses the quality of selected institutions influencing this spending. We examine total social spending, as well as detailing its four components: public spending on the education, health, and social protection and labor (SPL) sectors. In analyzing public social spending, the report addresses three crucial policy issues: (a) how to improve the coverage and redistributional incidence of public social spending; (b) how to enhance the effectiveness and efficiency of public social spending; and (c) how to strengthen the institutions governing public spending in the social sector. While based heavily on a series of recent analytical social spending studies in six countries in the subregion—Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, and Panama—this report also takes a broader regional perspective and includes some comparisons to countries in other regions.