SILAIS

AcronymDefinition
SILAISSistema Local de Atención Integral de La Salud (Spanish: Local System for Integrated Health Care; Nicaragua)
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Un equipo de expertos del Ministerio de Salud, con el apoyo de la Organizacion Panamericana de la Salud y del Instituto de Ciencias Sostenibles, coordinaron y capacitaron a los 19 epidemiologos de los SILAIS, a quienes se les explico los objetivos, alcances del estudio, el manejo de muestras y del instrumento de recoleccion de datos.
Se crearon reglas de validacion para las variables edad, SILAIS y municipio.
La distribucion de los participantes y muestras tomadas fue similar en los 19 SILAIS, con aproximadamente 550 a 600 participantes por cada uno de ellos repartidos en dos municipios, con la excepcion del SILAIS Managua, donde se seleccionaron tres localidades (dos distritos y un municipio), donde, por lo tanto, se enrolo el mayor numero de participantes.
Since 1997, the Luxembourg intervention in the field of Health in Nicaragua have materialized in several projects, including the Support for Blood Transfusion and the Integrated Support to SILAIS Masaya, Carazo and Rivas.
The guidelines followed in project formulation took into account the strengthening of activities in the sector with previous projects including SILAIS and transfusion medicine, with the aim of closing a cycle of interventions since the Luxembourg Cooperation closure of the project must correspond to launch joint programs in 2018 with other European donors active in Nicaragua.
* The communication infrastructure is only used by the medical doctor, and the budget allocated by SILAIS in most cases is not enough.
Although knowledge and technology transfer was done with the health technicians at Cusmapa, it is important to involve other health workers at the regional health office (SILAIS) to prevent future staff modification.
MINSA sets strategic direction for planning and implementing iCCM through SILAIS personnel and brigadistas, with support from implementing partners such as Save the Children.
The iCCM was implemented by an integrated team consisting of brigadistas, local health center and health post nursing staff, Save the Children field supervisors, and SILAIS supervisors at the department (province) level.
On a weekly basis, each of the public clinics and hospitals organized into 180 local health systems (Sistema Local de Atencion Integral de Salud; SILAIS) report the number of consultations and deaths due to diarrhea among children < 5 years old.
By March (week 9), the 180 SILAIS throughout the country had reported 5 480 consultations per week, exceeding the median of the early peak (about 3 500 clinic visits per week) and approaching that of the mid-year peak (about 5 700 consultations per week).
En algunos departamentos de Nicaragua, como Masaya, la implementacion de la EGI-dengue ha contribuido a reorientar las actividades de los Sistemas Locales de Atencion Integral de Salud (SILAIS) hacia los municipios, haciendo hincapie en el mejoramiento de la salud ambiental, la reorganizacion de la estructura del mercado municipal y el mejoramiento de la red de distribucion de agua.