Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015

Details for Mechanism ID: 16725
Country/Region: Central America Region
Year: 2013
Main Partner: University Research Corporation, LLC
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $100,000

In 2012, URC has been awarded the Applying Science to Strengthen and Improve Systems (ASSIST) project with a ceiling of up to $184,984,030 by the US Agency for International Development (USAID). This five-year cooperative agreement will assist countries in improving health care and strengthening their health systems and advance the frontier of the science of improvement globally. Despite the availability of simple, high-impact interventions capable of saving lives and alleviating suffering, many patients and clients in low- and middle-income countries are not benefiting from such interventions. Much of this gap is related to weak health systems and inefficient processes of care delivery. In Nicaragua, USAID ASSIST, as a field support implementing mechanism, will continue the previous efforts started by the Health Care Improvement Project (2007-2013) specifically in the transferring of HIV norms, standards and protocols to universities and technical schools. This will include the transfer and use of the 'paquete pedagogico" to 8 universities and nursing schools, the implementation of a quality improvement collaborative among public and private universities (including Caribean Coast Universities) and technical assistance to transgender organizations to develop quality improvement plans and norms for their specific health needs.

Funding for Health Systems Strengthening (OHSS): $100,000

The project will concentrate its efforts in health system strenghtening, addressing several technical areas, including Prevention, Care and Support and Treatment, focusing in human resources for health. USAID Nicaragua has been working since 2007 in these areas, providing institutional strenghtening to the Ministry of Health. Technical assistance was provided to improve norms, standards and protocols, and to implement quality improvement collaboratives at the health services network. In 2012, USAID Nicaragua developed a training package which includes all these technical norms that was transferred to the MOH. The remaining gap in the HRH area was the lack of coordination between MOH and medical-nursing schools, for the pre-service training, which caused that the new health resources did not have the competences needed to provide comprehensive services to MARPS and PLWA, based on the national norms and instruments. The proposed mechanism will continue the transfer of this training package to the pre-service training, working with eight universities and nursing schools to close this gap. It will also coordinate actions with the Prevensida project, working in the Prevention area, to address unmet health needs of the transgender groups, providing direct technical assistance to their NGOs to implement quality improvement health plans and norms.The project will be implemented at national level, benefiting public and private health sector, continuing previous efforts to reduce stigma and discrimination, improve gender equality, institutional capacity building, donors coordination and Trans NGO leadership.

Subpartners Total: $0
Association for Human Rights of Nicaraguan Sexual Diversity : NA
Red Trans: NA
Cross Cutting Budget Categories and Known Amounts Total: $120,000
Gender: Gender Based Violence (GBV) $10,000
Human Resources for Health $100,000
Key Populations: MSM and TG $10,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's legal rights and protection