In Nicaragua, the slow improvement of maternal and child health indicators in rural areas has resulted in national disparities, and non-communicable diseases (NCDs) such as cancer and cardiovascular diseases account for a high percentage of all deaths due to the increase in life expectancy and changes in eating habits and lifestyle. Under these circumstances, the government of the country has introduced a community health model called the “Family and Community Health Model (MOSAFC),” which is the basis for primary health care (PHC) to network local health care professionals in underserved areas, identify residents’ needs, and improve health services. MOSAFC was introduced. However, the model had not yet established the systematic monitoring and guidance methods necessary for implementation. In response, the Japanese government, through technical cooperation, demonstrated and established a systematic management and guidance method and system for MOSAFC related to maternal and child health as the “MOSAFC Strengthening Methodology (Maternal and Child Health).
This collaboration aims to improve the use of PHC services in target areas by expanding the implementation of MOSAFC strengthening methods, monitoring and operational guidance by the MOH Directorate General of Health Services, and by strengthening the capacity necessary for nationwide dissemination, thereby contributing to improved health outcomes for PHC service users in areas where MOSAFC strengthening methods have been disseminated. The project will contribute to improving the health status of PHC service users in the regions where MOSAFC strengthening methods have been disseminated.
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