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Humanitarian Assistance

Project Name: Project for Strengthening Chronic Kidney Disease (CKD) Prevention and Control System in Nicaragua
Project Description: Chronic kidney disease (CKD) is the leading cause of disease burden in Nicaragua and the mortality rate is the fourth highest among the countries of the Latin America and Caribbean region. The purpose of this project is to assist Nicaragua to strengthen capacity in the field of prevention and treatment of chronic kidney disease.
Overall, this project will:
1. Assist in updating the health strategies of CKD and propose appropriate suggestions for an action plan.
2. Strengthen the capacity of hospitals and health centers for (early) CKD diagnosis and clinical treatment.
3. Improve the capacity of families and communities in health management of CKD.

Implementation Start Date: 2019/1/9
Implementation End Date: 2022/1/8
Project Objectives: The objectives of this project are:
1. Assist in updating the health strategies of CKD and propose appropriate suggestions for an action plan.
(1) Update CKD health strategies and present appropriate suggestions for an action plan.
(2) Health officials to visit Taiwan: Invite at least two health policy decision makers to visit Taiwan for 10 days, to understand the health institutions, case management strategies and health promotion methods in Taiwan.
(3) Conduct at least one international seminar related to CKD prevention.

2. Strengthen the capacity of hospitals and health centers for (early) CKD diagnosis and clinical treatment.
(1) Strengthen the professional capacity of CKD care teams from hospitals and health centers
A. Dispatch members of CKD care teams from hospitals and health centers (nephrologists, internists, general practitioners, nurses, psychologists or nutritionists) to Taiwan for a period of one to three months to receive training in the field of diagnosis and clinical treatment of CKD and training as seed instructors (at least eight people).
B. Seed instructors will organize at least 15 training workshops for diagnosis and clinical treatment of CKD. Consultants from Taiwan will conduct on-site follow-up assessments for four person-months.
(2) Design an indicator guidance for the evaluation of the quality of CKD care (including dialysis).
(3) Support hospitals and health centers for the establishment of CKD case monitoring management systems and strengthen the establishment of CKD database.
A. Provide necessary equipment (hardware) for case monitoring to at least 40 hospitals or health centers.
B. Establish an SOP manual of CKD case management.
C. Dispatch IT personnel to Taiwan for a period of one to three months to receive training as seed instructor (at least one person).
D. Seed instructors will organize at least three training workshops. Consultants from Taiwan will conduct on-site follow-up assessments for five person-months and may evaluate the effectiveness of the project and provide assistance through telemedicine.

3. Improve the capacity of families and communities in health management of CKD.
(1) Capacity building for the Family and Community Health Teams (ESAFC)
A. Dispatch at least six ESAFC personnel to Taiwan for a period of one to three months to receive training as seed instructors in the field of early stage diagnosis and CKD patient health management.
B. Seed instructors will organize at least 25 training workshops for early stage diagnosis and CKD patient health management. Consultants from Taiwan will conduct on-site follow-up assessments for four person-months.
(2) Assist Nicaragua in conducting a research on health literacy and draft an investigation report. Work with MINSA and relevant units in the development of a "Manual on Chronic Kidney Disease (CKD) Care", based on the health literacy of families and communities
(3) Conduct health promotion activities in communities.
A. Trained ESAFC personnel will organize at least 40 health promotion activities for CKD health management in communities.
B. Use media or social media to promote health education related to CKD health management at least twice per year.
C. Produce health education electronic files in coordination with the health education and promotion activities; distribute at least 30,000 copies of the promotional booklet.
D. Perform advocacy and promotion activities on World Kidney Day in March every year, and share the achievements on the prevention and control of CKD by Taiwan and Nicaragua.

Executing Agency: TaiwanICDF/ Ministry of Health, Nicaragua
Current Progress: To the end of June 2019, the following activities have been carried out:
1. Conducted project site visit with 3 consultants dispatched by Far Eastern Memorial Hospital.
2. Held two health education activities to 73 people.
Project Coordinator Name: Emmanuel Chang
Project Coordinator Phone: (02)2873-2323#308
Project Coordinator E-mail: c.l.chang@icdf.org.tw
Signing Date: 2019/1/9
Mission: Taiwan Technical Mission in the Republic of Nicaragua
Sector: Social Infrastructure and Services
Sector Item: Health
Cooperating Country: Central America, Nicaragua
Project status: Projects under implementation
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  • Date:2019/1/17
  • Date Updated:2019/8/1