Program Accomplishments. A key achievement of the Curamericas/CSRA Child Survival XIII Project was the implementation of five child survival interventions in four geographic regions of the Bolivian Altiplano reaching approximately 16,100 women, infants and children in 227 rural communities. Joint implementation of activities is on going with three municipal governments and their respective health centers and outlying health posts. Curamericas/CSRA has proven that an NGO can have a huge impact on how municipal governments manage health systems. The CS Project has demonstrated success in the following areas: development of vision and leadership competencies through accompaniment in the provision of services; capacity building through participation on MHBs; and demonstration of personal and professional values that inspire MOH and municipal partners to deliver quality
Program Accomplishments. Key achievements of CARE’s CS Project include the implementation of child survival activities in 94 communities and urban neighborhoods, support of community health activities by 366 CHWs, joint implementation of activities is on-going with 15 MOH health posts with staff trained in IMCI and quality of care, participation of 64 schools. Over 42,000 women and children are benefiting from primary health care interventions. Important results in the area of sustainability include improved linkages between communities and the MOH, institutionalization of quality of care assessments at MOH health posts, formal agreements between the MOH and the MED to continue providing health education in schools, and the formation of a savings and loan cooperative to continue providing credit to families for commercial and agricultural endeavors. Fourteen of the 15 health posts in the municipality of Matagalpa implement clinical IMCI, community outreach, referral and counter-referral systems, and information systems. Accreditation by UNICEF as Baby and Mother Friendly Health Units was awarded to all the health posts and the Municipal Policlinic. Each health post undertakes quarterly quality assessments and make action plans to address problem areas. Ninety-seven communities have functioning Base Houses, 94 manage referral and counter referral systems, 84 meet monthly with the health post to plan and evaluate activities, and 51 implement the AIN growth monitoring system. The new Survival Savings and Loan Cooperative is beginning with a fund of $US 11,000, with 150 members, 21 loans have been given and 51 communities are represented. The CS Project has developed an excellent relationship with MOH municipal and health post services, and progress has been made in strengthening quality of care at health facilities. Capacity building for CARE and the MOH has been significant, and both institutions are making valuable contributions to child survival in Nicaragua.
