Advances and challenges in family planning in nicaragua
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Advances and Challenges in Family Planning in Nicaragua. Contraceptive Security Committee Nicaragua April, 2007. Advances. Family Planning in Nicaragua. 10 %. 30%. Total Fertility Rates and Contraceptive Prevalence Rates. Contraceptive Prevalence by residence All methods included.

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Advances and Challenges in Family Planning in Nicaragua

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Advances and Challenges in Family Planning in Nicaragua

Contraceptive Security Committee Nicaragua

April, 2007


Family Planning in Nicaragua



Total Fertility Rates and Contraceptive Prevalence Rates

Contraceptive Prevalence by residenceAll methods included.

Fuente: ENDESAS 1993, 1998, 2001

Percentage of Health Units with adequate Contraceptive Supplies

MINSA 2001-2005

Source: Annual Evaluation of logistic indicators

MINSA (Ministry of Health) – DELIVER 2005

Stakeholders progress (Public sector, NGOs)

MINSA (Ministry of Health, MoH)

  • Sexual and Reproductive Health National Strategy

  • High prevalence of modern contraceptive methods

  • Budget support for contraceptive procurement

  • Logistic System: Integrated and operating

    INSS (Social Security National Institute)

  • Regulatory Framework for Family Planning (FP) in Private Clinics outsourced by INSS

  • Information – Education – Communication (IEC) Campaign to foster demand.


  • Strengthening of the Community distribution network

  • Launching of a Contraceptive Social Marketing Strategy


  • Contraceptive Security Plan (DAIA).

CS Committee Background

  • Phasing out of USAID contraceptive funding

  • Need to maintain the FP accomplishments

  • Regional Meetings sponsored by Deliver USAID were the starting point of the CS Committee in Nicaragua



Contribute to the reduction in maternal and child mortality and in total fertility rate according to National policies and guaranteeing the sustainable and equitable contraceptive availability in Nicaragua, with the active collaboration between the Government, civil society, private sector and donor community.


  • An interinstitutional and multidisciplinary group that offers counselling and technical support to the public and private sector. This committee facilitates the contraceptive security in Nicaragua.

    Committee Members:



    INSS (Social Security)NicaSaludQAP USAID


CS Committee

  • Chaired by MoH

  • Has a technical secretariat

  • Organises periodical meetings

  • CS Committee in Nicaragua has:

    • Statutes

    • Bylaws

    • Working plan


Family Planning in Nicaragua

Prevalence and unmet need by quintiles

Population not wanting to use FP

Fuente: ENDESA 2001

Users by quintile and method sources

Trends of contraceptive funding

MoH Nicaragua 2001 - 2008

U$ 713,044

Source: USAID/Deliver Project

Stakeholders Challenges


  • Gradually buying contraceptive supplies since 2007

  • Improves the demand equity and fundings between contraceptive users

  • Focus the resources on the most vulnerable populations

  • Foster cost-effective options of the contraceptive basket

  • Keep the Logistic System operating

    INSS (National Social Security Institute)

  • Guarantee 100% contraceptive coverage for female insured and beneficiaries

  • Identify procurement mechanisms to guarantee sustainable supplies to the clinics


  • Reach the sector with ability to pay that still uses free services

  • Facilitate the access to contraceptive methods at affordable prices

  • Achieve behavioural changes in the use of contraceptive methods


  • Achieve the full exercise of reproductive rights for Nicaraguans, reduce the unmet need, improve gender equity and achieve the financial and programme sustainability.

¡Muchas Gracias!

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