Guatemala has a rich culture with archaeological findings that date civilization as far back as 18,000 BC. The mountainous country is home to almost 13 million people – 75 percent of whom live below the poverty line. As one of the 10 poorest countries in Latin America, the majority of Guatemalans lack access to high-quality healthcare, including reproductive health services and HIV prevention.
PSI/Guatemala was founded in 1997 to improve prevention of HIV/AIDS using social marketing, as part of PASMO (Pan American Social Marketing Association). PASMO is a network of locally-registered social marketing entities in the seven countries of Central America, with headquarters in Guatemala. Since then, PSI/PASMO Guatemala has added voluntary counseling and testing services, and family planning to its portfolio. Since September 2008, PSI/PASMO Guatemala has increased its number of employees from 17 to 82, including 40 family planning community health workers.
PASMO estimates that in 2015, its products and services helped avert 49,541 DALYs, including, by health area:
- 17,354 HIV DALYs
- 32,031 FP DALYs
- 156 MNCH DALYs
PASMO’s family planning programs also provided 284,878 couple-years of protection.
The Women’s Health Project (WHP) began in July 2008 with the goal of increasing access to long term methods (LTM) of family planning for women of reproductive age. Doctors, nurses, coordinators, and community outreach workers collaborate with the Ministry of Health in Guatemala to offer a diverse range of family planning methods. As of 2013, INTRAHEALTH trained four master trainers, who are continuing to train other providers in the provision of high-quality family planning services. To date, 70,000 women have adopted at least one method of family planning. More than 100,000 women have been visited by a health promoter trained using PSI/Guatemala’s interpersonal communication agent training methodology.
As a part of the WHP program, PSI/Guatemala launched a social franchise model in 2009 known as Red Segura. As of September 2014, Red Segura included 242 partnering medical professionals. Since 2013, WHP project has offered services in public sector in addition to the private sector, as part of a total market approach (TMA) to increasing access to family planning products and services to traditionally underserved populations. In 2013, WHP averted 17,158 DALYs and 66,526 CYPs through 62,210 IUD insertions and 9,789 hormonal implants.
Since 2011, PASMO Guatemala is implementing the SIPFO project in 6 Departments with 91 municipalities in rural areas of the Occident, called PlanFam. Five local offices have been implemented with a team of 6 people in each one. The purpose is to reduce maternal mortality by increasing the use of pf methods. The project serves the public sector only: Health centers, CAPs and CAIMIs.
- Inter-institutional coordination.
- Increase access and quality of FP services, including metodos de largo plazo y definitivos.
- Decrease maternal mortality.
- Communication for women and men.
- Monitoring and evaluation
The SIFPO/PlanFam staff is formed by doctors, nurses, community coordinators, administrators and drives, making a total of 39 people.
Until September 2014, 61 PF clinics have been implemented and more than 1000 providers have been trained. A third of them, are fully Certified as a FP public sector provider. 20 people have been selected as FP champions. 148.000 CYPs gained since the beginning of the project
Less than 1 percent (0.08) of adult Guatemalans is estimated to be HIV-positive. However, because of the country’s large size, it accounts for nearly one-sixth of Central America’s HIV-infected population.1 Infections occur most frequently among men who have sex with men and sex workers. The high prevalence is among transgender women (23.8 percent), according to Global Fund statistic,
PSI/PASMO Guatemala’s HIV project includes:
- Behavior change communication activities carried out by staff, as well as other NGO and cyber educators.
- Voluntary counseling and testing services. Mobile and reference to partner´s clinics (APROFAM, IPPF AFFILIATE).
- Military population: train about safer sex behaviors and encourage peer teaching.
- Social marketing of condoms that are highly subsidized and distributed in high-risk zones.
With funds from IDB since January 2014 the nutrition project started in the occident of the country: The objective is to reduce chronic malnutrition among children under 2 years old and pregnant women. The project will train women to improve their knowledge of good nutrition. The services will beprovided by the RED SEGURA partners.
- U.S. Agency for International Development (USAID)
- U.S. Department of Defense
- MOH: Especially with Reproductive Health and HIV Departments
- Proyecto Vida
- Asociacion Nuevos Horizontes
- OTRANS Reinas de la Noche
- Gente Feliz
- Iseri y Bagary
- Shaping the Family Planning Market by Strengthening the Public Sector
PSI considers total market approaches to be critical for achieving universal health coverage, especially when it comes to contraception. This program brief presents cases, supported by several different donors, which take into consideration the total family planning market.
- Crisis in the Triangle: Addressing Adolescent Reproductive Health & Violence Prevention in El Salvador, Guatemala and Honduras
With the largest youth population in history, it is critical to bring together and evaluate the most promising practices from health, violence prevention, protection and education, to develop – in partnership with young people–programs, evidence based research and opportunities that will transform the Northern Triangle countries into safe and healthy places for young people to thrive.
- “Mamá Segura” Delivery Kits Summary
Socios públicos y privados reciben donación de kits “Mamá Segura” para prevenir la transmisión del virus del Zika en mujeres embarazadas Centroamericanas.
Public and private partners have donated "Mamá Segura" kits to prevent transmission of the Zika virus in pregnant women in Central America.
- Task Sharing to Auxiliary Nurses to Expand Delivery of Long-acting Reversible Contraception: PASMO Guatemala’s Experience
National guidelines for family planning in Guatemala prohibit auxiliary nurses from inserting implants, even though in practice they often do. With agreement from MoH and support from USAID’s SIFPO Project, PASMO trained and certified more than 400 MoH providers to insert LARCs (Copper-T IUD and Jadelle implants) in the context of voluntarily and informed choice.
- Applying a Total Market Lens: Increased IUD Service Delivery Through Complementary Public- and Private-Sector Interventions in Four Countries
In 2013, PSI started a pilot in four countries (Guatemala, Laos, Mali, and Uganda) to grow public-provider IUD service delivery through increased public-sector engagement while maintaining its ongoing focus on private providers. Preliminary results suggest that there is untapped demand for IUD service delivery in the public sector that can be met in part through greater participation of the public sector in family planning and IUD provision.
- Applying a Total Market Lens: Increasing IUD Service Delivery in Five PSI Countries
PSI piloted a public sector engagement strategy alongside existing private sector approaches in four countries with low IUD use and found that untapped demand can be met, in part, through greater participation of the public sector.
- Improving Provider Behavior Change Communication and IPC: Best Practices from the Women’s Health Project
This brief describes the challenges faced, strategies developed, and lessons learned by the Women's Health Project. It also proposes a set of best practices for improving productivity of interpersonal communications (IPC) agents and increasing providers' skills and motivation.
- The Effectiveness of the USAID Combination Prevention Program for Preventing the Spread of HIV Among Key Populations in Central America
PSI/PASMO recently published four peer-reviewed articles on the effectiveness and innovation of the USAID Combination Prevention Program for HIV in Central America.
- Cyber-Educators In Latin America
In Latin America, PASMO has employed cyber-educators to reach young MSM with HIV prevention information through online chat rooms. Check out this video explaining their approach.
- Integrating HIV prevention and family planning for a better future
Launched in 2010 by PSI's Central American affiliate, PASMO, the Combination Prevention Program for HIV offers an integrated approach to prevention that combines testing and counseling, condom promotion and distribution, and family planning, as well as other services to promote an improved well-being.