Pan American Social Marketing Organization (PASMO) Nicaragua and PSI Nicaragua work to accelerate and shape the local health market, specifically for HIV and sexual and reproductive health products and services, so that consumers have increased to the healthcare they both need and desire.
Founded in 1998, PASMO Nicaragua began activities as part of a regional HIV prevention program. Their scope subsequently expanded to other health areas such as reproductive health, including family planning and post-abortion care, prevention and management of gestational diabetes and Zika prevention.
In 2019, PSI also opened a separate Nicaraguan entity, PSI Nicaragua, which operates alongside, but independently of, PASMO Nicaragua to address post-abortion care, harm reduction and long-acting reversible contraceptives.
In 2018, PSI’s network members provided 10,883 years of healthy life for Nicaraguans, including:
years of healthy life provided by modern contraception
years of protection against unintended pregnancy for Nicaraguan couples
users reached with modern contraception
users reached with HIV testing services
Pan American Social Marketing Organization (PASMO) Nicaragua provides technical assistance to local organizations to strengthen their capacity to conduct HIV prevention activities under a combination prevention approach. PASMO Nicaragua is also involved in conducting online outreach targeted to men who have sex with men and focused on knowing one’s HIV status. Other activities include the promotion of HIV testing and counseling services, the offering of index testing services and referrals to structural or complementary services.
PSI Nicaragua operates a network of private providers that benefits both women and health providers. The Alianza de Profesionales para la Salud network offers sexual and reproductive health services that adhere to strict quality standards based on voluntary and informed choice. PASMO Nicaragua, with the aid of the Maverick Collective founding member Caitlin Heising, has also placed a special emphasis on strengthening youth-friendly services with the establishment of its first socially franchised clinic, the Red Segura Clinic.
PSI Nicaragua equips providers with training and support, healthcare ethics workshops and behavior change communication activities to educate them on the use of misoprostol for post-abortion care. PSI Nicaragua also registers and markets misoprostol to create availability and demand for these services, while working to increase accessibility to post-abortion reproductive health services, all within the context of the local law.
From 2012 to 2017, PASMO Nicaragua worked on reducing maternal and child morbidity that results from birth complications related to gestational diabetes mellitus, as well as reducing the risk of developing type 2 diabetes in the future. A total of 562 health providers were trained in prevention, diagnosis and management of gestational diabetes. PASMO Nicaragua screened 8,132 women for gestational diabetes.
PASMO Nicaragua markets and sells condoms and lubricants, in addition to other socially marketed sexual and reproductive health products. These aid to reduce HIV transmission and improve sexual health, a strategy that complements social and behavior change communication activities. PASMO Nicaragua recognizes the importance of directing efforts to improve the availability and accessibility of condoms for Nicaraguans, especially for those with a greater risk of HIV infection.
PASMO Nicaragua uses private sector partners to distribute Zika prevention kits throughout the community. These include informational materials, condoms, insect repellants and other helpful tools to prevent Zika transmission. Additionally, PASMO conducts behavior change communication campaigns to increase knowledge and promote preventative behaviors.