Transcript DAIA en Nicaragua

Supply of Family Planning Services and
Commodities
The People do not stop…
restoring the right to Health
3 August 2010
Dr. Wilmer Beteta López
Specialized Services Directorate Team
General Directorate for the Extension of Quality of Care (DGECA)
Ministry of Health
The Family and Community Model
The Family and
Community Model
(MOSAFC, its initials
in Spanish) refers to a
group of health
services that include
Sexual and
Reproductive Health:
 Promotion, prevention,
treatment, and rehabilitation
according to life cycle,
population group and ethnic
and cultural characteristics.
Provision of Reproductive Health Services
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Newborn care
HIV AIDS Prevention
STI/HIV/AIDS
Sexuality education for
parents
• Responsible and
Planned Parenthood
En la mujer:
• Sexuality
• Post menopause
• Osteoporosis
• Family Violence
• Self-esteem
• Cervical Ca / Breast Ca
• STI/HIV-AIDS
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Promotion of Human Development
Promotion of Values and Self esteem
Violence Prevention
Life Skills
Delay in initiation of sexual activity
STI/HIV/AIDS
Responsible sexuality education
Family Planning
Safe Motherhood and perinatal health
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Focus on Rights
Gender Equity
Generational Focus
Social Participation
Multicultural –
multiethnic
In men:
• Sexuality
• Self-esteem
• Family Violence
• Diseases and Prostate
Cancer
• Andropause
• STI/HIV-AIDS
In women:
• Safe Motherhood and perinatal care
• Obstetrical emergency care
• Cervical Ca / Breast Ca
• Infertility - Sterility
• Family Planning
• Climaterium and Menopause
• Family Violence
• Sexual Education
• Self-esteem STI/HIV-AIDS
In men:
• Self-esteem
• Family Violence
• Sexual Education
• STI/HIV-AIDS
• Male Contraception
• Planned Parenthood
• Diseases and Prostate Cancer
Supply of Services and Commodities
 Free health care and contraceptives for the
Nicaraguan population in 100% of primary and
secondary health units.
 Full health and contraceptive coverage for
Nicaraguan Social Security Institute insured
members and their spouses in the Ministry of
Health’s Provisional Medical Clinics.
Supply of Services and Products
 IUD
 Male and female surgical sterilization
 DepoProvera
 Norigynon
 Microgynon
 Cyclebeads
 LAM
Identified Challenges
 High TFR in lowest income population
 Increase access to contraceptives in rural populations
 Proportion of high income population using public
services
 Teen pregnancy
 Low CPR in adolescents
 IUD Demand
 Coverage of Nicaraguan Social Security Institute insured
members
An objetive to be reached
“Contraceptive Security
(CS) is reached when
people have the
capacity to choose,
obtain and use
contraceptives and
condoms when they
need them."
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