Access to health care services is a critical factor for the success of health care systems and in Nicaragua the same holds true. In Nicaragua, URC is working to improve health care in USAID-assisted countries, strengthen their health systems, and advance their frontier of improvement science. Through the global component of the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, URC fosters improvements in a range of health care processes through the application of modern improvement methods.

For the in-country component of ASSIST, URC implements a range of activities, including, supporting the institutionalization of improvement methods and pre-service training in HIV and maternal and child services in the medical and nursing schools of six public and private universities; assisting in developing the skills of nursing and medical faculty to apply a teaching package for quality care; and providing technical assistance to NGOs to improve client-centered care for transgender populations.

URC’s initiatives in Nicaragua also include large-scale projects, such as PrevenSIDA, Strengthening the Response to TB, HIV and STIs Project, and HIV Co-Infection Surveillance Strategies for Program Planning.

From 1990–2008, the Quality Assurance Project (QAP), funded by the USAID, was active in Nicaragua and provided global leadership for health care quality assurance in USAID-supported programs. The project demonstrated that in developing country settings, the improvement collaborative approach could achieve significant results and public health impact in a short period.

Past collaborations have also included the Central America Health Consultancies and the global and regional components of USAID’s Health Care Improvement Project.