Nicaragua Project

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    Nic

    By: Lina

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    Demographics Population: 5,727,707 (July

    2011) Birth Rate: 19.12

    births/1,000

    Death Rate: 5.04deaths/1,000

    Infant Mortality Rate:21.86 deaths/1,000 births

    Life Expectancy at birth:72.18 years

    Religion: Roman Catholic (58.5%), Protestant (23.2%) therest is other.

    Language: Spanish (Official)

    Literacy: age 15 and over canread & write: 67.5%

    Maternal Mortality Rate: 100deaths/100,000 live births

    Children under 5 years who areunderweight: about 4.3%

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    History

    first settled by the Spanish in 1522

    characterized by armed conflicts between liberals and

    conservatives with American interventions here and there with the

    Sandinistas in power

    In 1990, the Sandinistas who had come into power by way of aviolent rebellion handed over the power to the democratically

    elected Violeta Chamorro of their own accord--thus enacting the

    first time in recent world history that any rebellion has ever

    submitted to democratic elections and then peacefully stepped

    down from power.

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    Economy Ranks 21st out of 29 countries in South/Central America/ Caribbean Region

    GDP: $18.9 Billion

    Unemployment: 8.0%

    Exports include: coffee, beef, tobacco, peanuts, sugar, shrimp and lobster

    Imports: consumer goods, raw materials, petroleum products, machinery anequipment

    Half of the population is underemployed

    Central America-Dominican Republic- United States Free Trade Agreement: helped to diversify the economy

    Still remains among the poorest and least developed country in North & SouAmerica

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    Education

    Somoza family dictatorship (1937-1979)

    Nicaraguas illiteracy rate was about 75-90% in rural areas

    50% overall

    Sandinista Revolution -More of the governments spending was going

    towards building schools and helping to increase

    the literacy rate

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    Education (con.)

    President Daniel Ortega

    -Education is free for all

    -Nationwide literacy campaign

    -Doubled the budget spent on the education system

    Still, not all children are going to school since their families cannot financially

    support them In 2003, 823,000 children (out of 1.55 million) did not finish the 2003

    school year

    Government struggles to pay the bill for education

    A teacher is one of the lowest paying jobs ($185-$226 a month)

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    Attendance of Primary School Between1991-2010

    http://stats.uis.unesco.org/unesco/TableViewer/docum

    ent.aspx?ReportId=121&IF_Language=en&BR_Country=5580

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    Food/Agriculture

    Since its origin, the fundamental basis of Nicaraguan food has been corn

    other ingredients widely used in the Nicaraguan kitchen, mostly local,

    tropical products.

    Famous plates:

    Nacatamal, Vigorn and Quesillo

    Nicaragua's economy is predominantly agricultural

    main agricultural exports are coffee, cotton, sugar, and bananas

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    Health Status/ Health Challenges

    Nicaragua faces inequity in access to healthservices

    Main causes of death for children under 5

    are: respiratory, diarrhea, malnutrition andmeningitis.

    Maternal mortality rate is high comparedto other nations because 55% of womengive birth at home.

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    Diseases

    Communicable Diseases: Malaria, Dengue fever, TB,HIV/AIDS is rising but not significant, and Chagas disease.

    Non Communicable diseases: Cardiovascular disease,diabetes, and cancer.

    These diseases require laboratories to diagnose but there

    is huge inequality in the amount of laboratories available.Most are found in the capital city. If tests are done, theytake a long time if you live in a rural area. Unfortunately,this is where these diseases mostly happen.

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    Environment Infrastructure is bad in Nicaragua as most healthcare

    facilities do not have a reliable source of electricity orpotable water.

    The environment is not helping the situation. Naturaldisasters plague the country. It is highly vulnerable tohurricanes, volcanic eruptions, earthquakes, droughtsand floods. When theses disasters occur, they destroywhatever small progress that had been made in regardto healthcare provision and infrastructure.

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    MINSA

    MINSA stands for Ministerio de Saludor Health Ministry.

    MINSA is the main provider of health services and officially coverabout 70% of the population.

    It is also a regulatory agency for health care.

    MINSA has 1059 health facilities administered by 17 departmentagovernments.

    Mission: MINSAs mission is to provide Nicaraguan citizenswith individually tailored health services, to guarantee free anduniversal access to health services, and to promote healthy practand lifestyles that will improve quality of life and life expectancyand maximize national efforts to foster human development.

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    Shortcomings

    Health care workers make low wages that arecomparable to those in laborious industries likemining and construction.

    General practitioners make $544 a month on

    average--the lowest in Central America. There is constant change and re-organization of

    personnel within MINSA due to changes ingovernment every 4 years.

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    Delivery They struggle with Diagnostics and Laboratory services due to th

    unequal distribution of these facilities around the country. HighlInefficient and costly.

    Infrastructure hinders good medical care as many facilities have access to reliable sources of electricity or potable water.

    Overall, there is a shortage of well trained medical personnel. Tensures that quality of care is not very good.

    They also suffer from irregular medical supplies and stock outs acommon.

    They have a very low budget that stems from the fact that Nicarthe second poorest country in Latin America and the Caribbean.

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    Availability of Human Resources for

    Healthcare

    Health care under Sandinistas rule improved, although the country was inserious debt after the Somoza dictatorship

    Many smaller medical clinics than hospitals, no advanced medical technology

    About 55% of women in rural areas give birth at home; 65% are illiterate

    Rely on international countries to provide aid and send supplies

    Poor dental health (1 dentist per 10,000 people)

    Only 6.3% of entire population is insured

    The Pan American Health Organization (PAHO)/WHO Strategic Plan 2003-2007

    Ministry of Health

    Center for Development in Central America (CDCA) increase access to healthcare

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    Education (all Levels) Profile - Nicaragua. UNESCO Institute for Statistics, n.d. Web. 10 Feb. 20."Education in Nicaragua." Education in Nicaragua. N.p., n.d. Web. 10 Feb. 2013.

    ."Nicaragua : The Sandinista Government." Encyclopedia Britannica Online. Encyclopedia Britann11 Feb. 2013.

    ."Medical Care in Nicaragua." Nicaragua. N.p., n.d. Web. 11 Feb. 2013.

    .

    -Halperin, DC, and R. Garfield. Developments in Health Care in Nicaragua. PubMed, 5 Aug. 1Feb. 2013. .-Country Cooperation at a Glance: Nicaragua. World Health Organization, n.d. Web. 12 Feb. 2.-"Nicaragua." Nicaragua. Global Natural Health Alliance, n.d. Web. 12 Feb. 2013.

    .-"Health For All." Health Care in Nicaragua. N.p., n.d. Web. 12 Feb. 2013.

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    Bibliography

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    "Child and Maternal Health Issues in Nicaragua." Child and Maternal Health Issues inNicaragua. Foundation for Sustainable Development, n.d. Web. 13 Feb. 2013.

    Sequeira M, Espinoza H, Amador JJ, Domingo G, Quintanilla M, and de los Santos T. TNicaraguan Health System. Seattle, Washington: PATH; 2011.

    CIA World Factbook. Nicaragua Demographics Profile 2012. 08 Feb. 2013

    Nicaragua. 2013 Index of Economic Freedom. 08 Feb. 2013