Reproductive Health/Salud Reproductiva
PASMO/Nicaragua offers both long- and short-term family planning methods to women of limited resources:
- Long-term: The Women's Health Project provides intrauterine devices (IUDs) and contraceptive implants, and trains doctors and nurses to use these devices.
- Short-term: Oral and one- and three-month injectable contraceptives are sold through distributor networks and to pharmacies.
PASMO/Nicaragua also operates Red Segura, a network of private providers that benefits both women (direct consumers) and health providers (network members). The Segura Network offers sexual and reproductive health services that adhere to strict quality standards based on voluntary and informed choice. Members belonging to the network receive trainings to improve the quality of services as well as specialized instruction on various family planning methods. Network members must undergo a certification process before they can officially join the network. In Nicaragua, the Segura Network has more than 60 members in the departments of Managua, León, Chinandega, Estelí, Chontales and Masaya. The network is also present in Guatemala and El Salvador.
Nicaragua has one of the lowest reported HIV prevalence rates in Central America. However, the country is at risk of a growing epidemic due to social conditions, including multiple sex partners, gender inequality and widespread poverty. Additionally, many Nicaraguans are unaware of their HIV status and unknowingly spread the virus.
PASMO/Nicaragua helps prevent the spread of HIV by distributing PSI-brand Vive condoms and lubricants. It also distributes Body Guard condoms, PASMO/Nicaragua’s socially marketed condom brand. Distribution is targeted to areas with high populations of at-risk and vulnerable populations, such as female sex workers (FSWs), clients of sex workers, and men who have sex with men (MSM). PASMO/Nicaragua is also one of the implementers of the regional USAID-funded Combination HIV Prevention Program, which seeks to reduce the prevalence of high risk behaviors among most at risk populations (MARPs) and people living with HIV; improve and implement interventions to reduce hostility in social environments that promote and tolerate homophobia, stigma, and discriminatory attitudes towards sexual orientation, occupation, or HIV status; and increase MARPs’ access to a minimum package of services, which includes, but is not limited to, access to condoms, voluntary HIV counseling and testing, and STI diagnosis and treatment.
- Offers youth peer education programs.
- Trains staff and provides resources for voluntary counseling and testing (VCT) services.
- Promotes sexual responsibility – condom use, fidelity or abstinence – among youth via BCC methodologies and activities.
PASMO/Nicaragua has just launched a project that seeks to reduce maternal and child morbidity due to birth complications related to gestational diabetes mellitus (GDM) and reduce the risk of developing Type 2 diabetes in the future. Working with the Ministry of Health, the National Autonomous University of Nicaragua, Novo Nordisk, and the World Diabetes Foundation, PSI/PASMO is building the capacity of health care providers at the national maternal health referral hospital and three public health centers on GDM risks and management techniques as well as GDM screening and diagnosis. In addition, novel behavior change communications are improving pregnant women’s ability to manage GDM.