Strategic Areas

AMC has broadened their approach from basic health to encompass many aspects
of community health and development. Current strategic areas for the 2009 - 2013 period include the following:                                                                                                                                                                    
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Community Health
Community Health in Nicaragua – An Effective Grassroots Model
According to the Global Health Council website, “community health is based not only on health care delivery to the community, but on the capacity of involving and empowering the community to be a catalyst for change and guarantor of success.” Community health in Nicaragua is not merely the mobilization of clinical services outside a health facility but a model in which the local population participates in identifying problems and planning appropriate solutions with the purpose of resolving health needs. The promoters of community health are inhabitants of the local community and can be poor farmers or indigenous people who have the capacity to adequately address the first level of health in their community. They know the context and issues and have a moral commitment to attend to their own people.  Health problems are not merely addressed on an individual level but with a collective focus. Neither is health independent of the political, social, and above all cultural context of the community or communities. The determinants of health are usually found within the community and given that most health problems have diverse and multiple causes, the community health system is a collection of integrated actions of the prevention of disease, health promotion and health care delivery carried out with a inter-institutional approach in coordination with all stakeholders (State, community and local organizations of civil society) vested in improving health. 

AMC RAAN Project Manager Yamileth Sequeira tries out the new well drilled by AMC and Together International in the Tasba Pri territory. Over 300 families have clean drinking water thanks to this effort.

The community health team is a multidisciplinary group made up of doctors, dentists, nurses, pharmacists, public health experts, sociologists, social workers, psychologists, educators,  health communicators, hygienists, agronomists, and the community health volunteers who can be leaders, indigenous healers, midwives, first aid workers, teachers, pastors, health promoters, and farmers, and community organizations such as water committees or indigenous and women’s associations. Community health can improve health indicators by addressing issues such as clean water, HIV/AIDS, nutrition, sexual and reproductive health, health infrastructure, access to medicines and health care.
AMC uses this model to implement community health in diverse projects and programs:
  • Clean water and sanitation
  • HIV and AIDS
  • Essential Medicines
  • Maternal Infant Care
  • Integrating Health Models
  • Dental Health
  • Health Education and Promotion


    A midwife on the Coco River examines an expectant mother.
    Midwives are important leaders in their communities.


Food Security
Model Farms for Learning and Land Banks
  • Model Farms for Learning -
    Model farms for Learning are centers where surrounding families can receive training and try experimental planting of crops appropriate to the geography and climate of this remote part of Nicaragua. The centers also provide a storage area for grains and seed bank for future planting. Each benefiting farmer must work with other farmers to replicate new and better farming practices that guarantee enough food for each family now and into the future.
    Watch -  Promotional Video about Model Farms for Learning in the North Autonomous Atlantic Region (Feb 2010).

Spanish with English Subtitles

Spanish Only
    • Land Banks -
      Four farms in Matagalpa that provide 5 acres to each family to develop with diversified and organic crops for nutritional and economic stability. Each family pays off their land over a long period with no interest,  creating a "bank" or fund that is used to benefit more families. AMC provides technical assistance, materials and spiritual support. Farmers agree to environmentally sound practices, to pay off the land and to work with other farmers in the community as mentors.
    AMC Agronomist Miguel Sequeira and Land Bank Partner Manuel López.
    Disaster Prevention and Mitigation
    • Risk Management
    • Emergency relief and rehabilitation
    Emergency food aid is the start of the recovery after a disaster.

    Risk mapping communities helps prevent disaster situations
    when natural phenomena like hurricanes and tropical storms strike.
    Knowledge Management
    • Community Health Institute
    • Publications and Research
    • Staff Training

    AMC has published numerous texts, manuals, and promotional material for each of their health and development strategies. Materials are published in local languages and appropriated to the local cultural and historical context.

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