Sarah Martinez

11/06/13
SINQ
For this research paper I'm trying to look into dierent things !ithin the health care system o
Nicarag"a that are #oth dierent and similar to the health care system in the $S% I !ant to do this
#eca"se my senior pro&ect is a#o"t medical mission trips I take do!n to Nicarag"a each s"mmer' so I'm
trying to incorporate this research paper !ith my senior pro&ect research paper%
(ne topic I !as going to compare is the a)aila#ility o health care or people' I kno! that in
*merica pretty m"ch anyone can get health care #"t the pro#lem is paying or it% +o!e)er' in
Nicarag"a I'm not s"re ho! good their health care is or ho! a)aila#le it is since a lot o people li)e in
)ery small and )ery r"ral )illages% *long !ith the a)aila#ility o health care' I !as going to look into
the ,"ality o health care% I kno! that Nicarag"a isn't a )ery de)eloped co"ntry and doesn't ha)e the
#est schooling especially or medicine- *merica on the other hand has great ,"ality o health care .I
think so any!ay/ and it's acc"racy in treating and healing is pretty great% For the last thing pro#a#ly' I
!o"ld compare costs or health care% I kno! *merican health care is !ay o)er priced rom the )ideos
!e !atched in class' and I'd like to see !hat the cost is or Nicarag"a #eca"se I kno! that they are not
a !ealthy co"ntry as it is% May#e e)en see i there is an association #et!een ,"ality o their health care
and ho! m"ch it costs0
1+(% .*pril 2006/ 1orld +ealth (rganization% Country Cooperation Strategy at a Glance%
3etrie)ed rom http4//!!!%!ho%int/co"ntryoc"s/cooperation5strategy/ccs#rie5nic5en%pd
6his is a relia#le so"rce #eca"se it is the !e#site ran #y the $nited Nations to address dierent
health iss"es in dierent places thro"gho"t the !orld% 1+( also p"#lishes many credi#le &o"rnals' I
co"ldn't ind i they are peer re)ie!ed or not #"t I !o"ld ass"me so since they are "sed so oten% 6his
gi)es me an insight o statistics o ho! !ell or not !ell their health care system !orks% Some areas o
the health care system are more s"ccess"l than other and this !e#sites sho!s me !hat !orks and !hat
doesn't% 6he !e#site also gi)es inormation a#o"t the geographical conditions and ho! that might
eect people #eing a#le to access health care%
*#stract4
Health care pro)iders play a central role in the promotion and protection o h"man rights in
patient care% 7onse,"ently' the 1orld Medical *ssociation' among others' has called on medical and
n"rsing schools to incorporate h"man rights ed"cation into their training programs% 6his report
descri#es the eorts o one 7entral *merican nongo)ernmental organization to incl"de h"man rights88
related content into reprod"cti)e health care pro)ider training programs in Nicaragua and 9l
Sal)ador% :aseline indings s"ggest that health care pro)iders are not #eing ade,"ately prepared to
"lill their d"ty to protect and promote h"man rights in patient care% Medical and n"rsing school
administrators' ac"lty' and st"dents recognize the need to strengthen training in this area and are
enth"siastic a#o"t incorporating h"man rights content into their ed"cation programs% 9)al"ation
indings s"ggest that e;pos"re to ed"cational materials and methodologies that emphasize the
relationship #et!een h"man rights and reprod"cti)e health may lead to changes in health care
pro)ider attit"des and #eha)iors that help promote and saeg"ard h"man rights in patient care%
<*:S63*76 F3(M *$6+(3=
McNa"ghton 3eyes' +%' >adilla ?"niga' @%' :illings' A% B%' C :landon' M% .2013/% Incorporating
h"man rights into reprod"cti)e health care pro)ider ed"cation programs in Nicarag"a and 9l Sal)ador%
Pan American Journal Of Public Health' 34.1/' DE8DF%
6his is a credi#le so"rce #eca"se it is peer re)ie!ed% 6he article its !ith my research paper #eca"se it
helps me "nderstand that Nicarag"a doesn't ha)e ade,"ate medical schooling and it gi)es e;amples as
to ho! they can e)en impro)e their ed"cation programs% 6his makes me !ant to do e)en more in depth
research to ind o"t more pro#lems !ith their medical schooling and "nderstand #etter ho! some
things can #e changed%
*#stract4
Impro)ed health care in Nicaragua is a ma&or priority o the Sandinista re)ol"tion- it has #een
p"rs"ed #y ma&or reorms o the national health care system' something e! de)eloping co"ntries
ha)e attempted% In addition to its internationally recognized ad)ances in p"#lic health' considera#le
progress has #een made in health care deli)ery #y e;panding c"rati)e medical ser)ices thro"gh
training more personnel and #"ilding more acilities to "lill a commitment to ree "ni)ersal health
co)erage% 6he )ery "ne)en ,"ality o medical care is the leading pro#lem acing c"rati)e medicine
no!% $nderlying actors incl"de the diic"lty o ade,"ately training the greatly increased n"m#er o
ne! physicians% Misdiagnosis and mismanagement contin"e to #e ma&or pro#lems% 6he c"rati)e
medical system is not !ell coordinated !ith the pre)enti)e sector% 3ecent inno)ations incl"de initiation
o a Gmedicina integralG residency' similar to amily practice% Aespite its inade,"acies and the
handicaps o !ar and po)erty' the Nicarag"an c"rati)e medical system has made important progress%
.*m H >"#lic Health 1FIF- JF4 6E686D1%/ INS964 Ne! Ho"rnal Ba"nched4 *IAS 9d"cation and
>re)ention% <*:S63*76 F3(M *$6+(3=
Slater' 3% .1FIF/% 3elections on 7"rati)e +ealth 7are in Nicarag"a% American Journal Of Public
Health' 79.D/' 6E686D1
6his is credi#le so"rce #eca"se they are peer re)ie!ed and it came rom academic search premier%
It helps !ith my research paper #eca"se it tells me that there are pro#lems !ith the accessi#ility to
health care% It also talks a#o"t !eaknesses in medical training and ho! there are not a lot o doctors%
6he medical system is not )ery !ell managed !hich makes me #elie)e that may#e the go)ernment isn't
)ery help"l !ith the health care system% @no!ing these makes me more interested !hy their health
care system isn't !orking and !hat can make it more eecti)e and prod"cti)e%
*#stract4
6he article oc"ses on social sec"rity policy or the elderly and legitimation o the state in
Nicaragua #eore the 1FJF re)ol"tion% Social sec"rity d"ring this time !as limited to a small n"m#er
o !orkers in limited geographic areas' presenting a minor #"rden on pri)ate acc"m"lation% 6he post8
re)ol"tionary state has added a collecti)ist ideology to the #asis o its legitimacy and politicized the
altering economy' adding to its legitimation needs%
1allace' S% >% .1FIJ/% S(7I*B S97$3I6K >(BI7K F(3 6+9 9BA93BK *NA
B9LI6IM*6I(N (F 6+9 S6*69 IN >(S6839M(B$6I(N*3K NI7*3*L$*% Policy Studie
!e"ie#' 7.2/' 30E832D%
6his is a relia#le so"rce #eca"se it is peer re)ie!ed and the a"thor had a >+%A in comm"nity health
sciences% 6his relates to my topic #eca"se it gi)es me some inormation a#o"t health ins"rance/ social
sec"rity in Nicarag"a #oth #eore and ater their re)ol"tion% @no!ing !hat their health care system !as
#eore and ater their re)ol"tion can help me "nderstand ho! things may ha)e impro)ed or people or
ho! they might ha)e gotten !orse health care !ise% 6his can also help me relate to the accessi#ility o
health care among people !ith dierent conditions%