Nicaragua

Een lespakket en video over wetenschappelijk onderzoek en seksuele en reproductieve gezondheid bij jongeren hier en in het zuiden

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CERCA aims to contribute to the global knowledge about how health systems could be more responsive to the sexual and reproductive health needs of adolescents and by extension to the other health needs of the community. A community based participatory action research method will be applied. The consortium will develop and test a model of community-embedded interventions. The research is conducted in Bolivia, Ecuador and Nicaragua.

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In Nicaragua, a new model of integrated primary health care (MAIS, modelo de atención integral en salud), is currently being implemented in primary health centres. Although the new model gives opportunities for more qualitative, accessible and equitable health care, the implementation is hampered by organizational, communicative and technical insufficiencies.
The present project investigates strategies to strengthen the implementation of the model through academically guided activities related to organization, technical ability, communication and research. The pivotal theme of the project is reproductive health delivery, identified as one of the most vulnerable aspects in this transition phase.

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General Objectives
•To reduce the incidence, morbidity and mortality related to cervical cancer in Nicaragua.
•To upgrade the curricula of nursery, medicine and gynaecology at UNAN-Managua to international standards

Specific Objectives
•Nurses, doctors and gynaecologists graduating at UNAN-Managua will be competent to adequately diagnosing and managing precancerous lesions of the cervix, and this adapted to their clinical function.
•Patients with precancerous lesions of the cervix, presenting at Bertha Calderon Women´s Hospital, will be timely and correctly managed.

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OBJECTIVES
•To describe the natural history of HPV infection in women who have been treated for CIN
•To assess the relevance of persistent HPV infection in women as a prognostic marker for recurrence after treatment for CIN

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OBJECTIVES
•To improve the reproductive health of Nicaraguan women through the implementation of an adequate, integrated pilot programme for cervical cancer screening at 3 levels (population, health care centre, district hospital).

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OBJECTIVES
•To assess strategies for an efficient detection and treatment of cervical cancer and STDs among Nicaraguan women.

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