Over the past several years the organization JustHope (www.justhope.org) has partnered with MINSA (Nicaragua's Ministry of Health) and DoCare (www.docareintl.org), to increase access to and continuity of medical care in Chacraseca, by bringing physicians, physician assistants, and other health care professionals from New York, Oklahoma, Illinois, Florida, and various other locations, to supplement what the community clinic (also supported by JustHope and MINSA) is able to provide.
Chacraseca is located outside of the city of León, and has a very well developed elementary school system. The Comedor Escolar Project, is running well in the town, and children are able to receive education due to the help of groups such as Students for 60,000 and JustHope.
Kaiser Permanente, commonly known simply as Kaiser, is an American integrated managed care consortium, based in Oakland, California, United States, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield. Kaiser Permanente is made up of three distinct but interdependent groups of entities: the Kaiser Foundation Health Plan, Inc. (KFHP) and its regional operating subsidiaries; Kaiser Foundation Hospitals; and the regional Permanente Medical Groups. As of 2017, Kaiser Permanente operates in eight states and the District of Columbia, and is the largest managed care organization in the United States.
The Edward Via College of Osteopathic Medicine (VCOM) is a private medical school on the campus of Virginia Tech in Blacksburg, Virginia (VCOM-Virginia), with branch campuses in Spartanburg, South Carolina (VCOM-Carolinas), Auburn, Alabama (VCOM-Auburn) and Monroe, Louisiana (VCOM-Monroe). VCOM also recently added Bluefield University to its list of campuses. Founded in 2002, VCOM graduated its first class of 139 students in June 2007.
Siuna is a county-sized administrative municipality in Nicaragua, located approximately 318 kilometres (198 mi) northeast of the capital city of Managua and 218 kilometres (135 mi) west of the coastal city and regional capital Puerto Cabezas in the North Caribbean Autonomous Region (RACN). Siuna is the name of the city as well as the municipality. The municipality of Siuna contains 204 rural communities and 20 neighborhoods. Most were settled in support of gold mining along the Ei River drainage basin, leading to rapid population growth from the mid-1930s.
Eastern Virginia Medical School (EVMS) is a public medical school in Norfolk, Virginia. Founded by grassroots efforts in the Southeastern part of Virginia known as Hampton Roads, EVMS is not affiliated with an undergraduate institution and coordinates training through multiple medical centers in the Hampton Roads region. EVMS campus includes the 555-bed Sentara Norfolk General Hospital, the region's only tertiary level 1 trauma medical care facility, and the 212-bed Children's Hospital of The King's Daughters, a regional pediatric referral care facility and only stand-alone children's hospital in the state. EVMS is the first institution in the US to have produced a viable fetus through in vitro fertilization. EVMS is most known for its reproductive medicine and simulation/standardized-patient education as well as research in pediatrics, geriatrics, diabetes, and cancer. In addition, EVMS is well known for its leadership in community service and medical missions as evidenced by faculty and alumni responsible for the founding of Operation Smile, Physicians for Peace, Global Brigades, and CONRAD.
A public hospital, or government hospital, is a hospital which is government owned and is fully funded by the government and operates solely off the money that is collected from taxpayers to fund healthcare initiatives. In some countries, this type of hospital provides medical care free of charge to patients, covering expenses and wages by government reimbursement.
DOCARE International is a non-profit medical outreach program that brings health care to underserved communities in remote areas of the Western Hemisphere. DOCARE International provides health care services through permanent medical clinics and short-term outreach trips. DOCARE International has worked in countries such as Haiti, Guatemala, Nicaragua, Haiti, Peru, India, Malawi, Uganda, and Tanzania. DOCARE International operates three permanent clinics, two Guatemala and one in Chacraseca, Nigaragua.
The China Youth Development Foundation (CYDF) is a national non-profit and non-governmental organization founded in March 1989 in Beijing. The CYDF works to develop Chinese youth through education, science and technology, culture, physical education, health, and environmental protection. The CYDF is best known for launching and managing its largest program to date, "Project Hope." Project Hope has sought to help school dropouts in poor remote regions return to school and complete at least an elementary education.
South University is a private university with its main campus and online operations in Savannah, Georgia, United States. Founded in 1899, South University consists of its School of Pharmacy, College of Nursing and Public Health, College of Health Professions, College of Business, College of Theology, and College of Arts and Sciences. The university is accredited by the Southern Association of Colleges and Schools Commission on Colleges. South University is owned by Education Principle Foundation, a non-profit which also owns the Art Institutes.
The California Medical Association (CMA) is a professional organization based in California that advocates on behalf of nearly 50,000 physicians in legislative, legal, regulatory, economic, and social issues. The organization was founded in 1856 and is a member of the American Medical Association.
The OU School of Community Medicine (OUSCM) located in Tulsa, OK is a branch of the University of Oklahoma College of Medicine. It is the first medical school of its kind in the nation. The OU School of Community Medicine is designed to serve the healthcare needs of entire communities, especially vulnerable and underserved populations. OUSCM is guided by the growing need for more physicians focused on serving vulnerable populations, the growing number of people without access to quality health care, and the relatively poor health status of Oklahomans.
Physicians for Human Rights–Israel is a non-governmental, non-profit, human rights organization based in Jaffa. Physicians for Human Rights–Israel was founded in 1988 with the goal of promoting "a just society where the right to health is granted equally to all people under Israel’s responsibility."
Project Nicaragua is a 501(3)(c) non-profit, apolitical organization in both the United States and Nicaragua. Its purpose is to improve the quality of health care in Nicaragua, the second poorest country in the Western Hemisphere, since 2004, when the founding members of the organization traveled to El Antonio Lenin Fonseca Hospital in Managua, Nicaragua to donate medical supplies.
United Health Services (UHS) is the largest and most comprehensive provider of healthcare services in upstate New York's Southern Tier.
Conemaugh Health System, a member of Duke LifePoint Healthcare, is the largest health care provider in west central Pennsylvania, with multiple hospitals, physician offices, and outpatient centers in eleven counties. Conemaugh Health System is located in Johnstown, Pennsylvania. CHS offers a continuum of care, from highly specialized services such as a Level 1 Regional Resource Trauma Center and Level 3 Neonatal Intensive Care Unit. Conemaugh Health System is also home to the Conemaugh School of Nursing and Allied Health, as well as Graduate Medical Education for residents in Emergency Medicine, Family Medicine, Internal Medicine, Surgery, Pharmacy, and Health Psychology. Conemaugh Health System was created in the wake of the Johnstown Flood of 1889 which gained national attention and caused the outpouring resource to help the local community. Among those who originally established the hospital system was Clara Barton, the founder of the American Red Cross.
Esperança (non-profit), the Portuguese word for hope, is a registered 501(c)(3) based in Phoenix, AZ. Founded in 1970 by Luke and Gerald Tupper. It currently operates programs in Mexico, Nicaragua, Bolivia, Peru, Mozambique and Phoenix, Arizona.
Healthcare in Nicaragua involves the collaboration of private and public institutions. Although Nicaragua's health outcomes have improved over the past few decades with the efficient utilization of resources relative to other Central American nations, it still confronts challenges responding to its population's diverse healthcare needs.
Advocate Illinois Masonic Medical Center is a 408-bed non-profit teaching hospital located in Chicago. Founded in 1897, the hospital operates a Level I trauma center and Level III Perinatal Center. Its license number is 0005165. The hospital is a part of Advocate Aurora Health. Each year, the hospital provides services for 18,000 inpatients, more than 152,000 outpatients and 41,000 emergency patients. Approximately 300 physicians are trained each year through its affiliations with the University of Illinois College of Medicine, the Chicago Medical School and the Chicago College of Osteopathic Medicine.”
The COVID-19 pandemic in Nicaragua is part of the worldwide pandemic of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2. The virus was shown to have spread to Nicaragua when the first case, a Nicaraguan citizen who had returned to the country from Panama, was confirmed on 18 March 2020.
The United States has many regions which have been described as medical deserts, with those locations featuring inadequate access to one or more kinds of medical services. An estimated thirty million Americans, many in rural regions of the country, live at least a sixty minute drive from a hospital with trauma care services. Limited access to emergency room services, as well as medical specialists, leads to increases in mortality rates and long-term health problems, such as heart disease and diabetes. Regions with higher rates of Medicaid and Medicare patients, as well patients who are uninsured are less likely to live within an hour's drive of a hospital emergency room.
Nicaragua's total population is 6,000,000, but a reliable count of the number of deaf people in Nicaragua is difficult to obtain. In 2009, a law was passed in which NSL was named as the official language of deaf people in Nicaragua. NSL is a newer sign language that emerged less than 50 years ago when deaf children started attending school. Due to the country's lack of early childhood hearing screenings, hearing loss is often undetected and left untreated. Deaf and hard of hearing children often face language deprivation due to the lack of language input they experience until they enter school. There are many schools in different cities in Nicaragua, however the majority of deaf children throughout the country aren't attending school. Deaf and hard of hearing people also face struggles when finding employment opportunities. NSL isn't an endangered sign language, but the total number of people who use the language are under 10,000.
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Nicaragua 
