Final Report to the Donor
UNICEF has been supporting the Ministry of Health’s (MINSA’s) efforts to scale up vertical transmission prevention actions through the donation of laboratory equipment and the training of health personnel to take HIV diagnosis closer to the population.
The country’s 153 municipalities currently have the right conditions for the HIV rapid test (laboratory equipment, reagents and trained personnel) and the access of pregnant women to PMTCT services has improved, including in indigenous and Afro-descendant communities of the Caribbean Coast. Decentralized care for people with HIV (clinical monitoring and antiretroviral treatment) has been initialized in the country’s 17 departments. All of the departments also have medical and nursing personnel trained in the comprehensive management of people with HIV.
This cooperation strategy was implemented with funds from the Netherlands and the US Fund. The financing from the US Fund has contributed to enhancing the diagnostic capacity for pregnant women and children exposed to HIV; strengthening the health personnel’s capacities for managing people with HIV; consolidating alliances with confessional organizations to promote the human rights of people with HIV, particularly women and children; protection actions with MIFAN; and the consolidation of ASONVIHSIDA as an organization that guarantees the social auditing of compliance with human rights in coordination with the Office of Human Rights Ombudsperson.
Meanwhile, communication strategies were formulated for changing social behaviour in relation to HIV and training communication professionals to address the issue through the media.
As a result, Nicaragua is now on the road towards the universal access of children, adolescents and pregnant women to HIV-related prevention, treatment, care and support services.
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