Community Health Program for Rural Municipios (IADB-NI-L1095)

  • Nicaragua
Where the impacts of the investment may be experienced.
Specific Location
North Caribbean, Jinotega, Matagalpa, Dry Corridor Region
Whenever identified, the area within countries where the impacts of the investment may be experienced. Exact locations of projects may not be identified fully or at all in project documents. Please review updated project documents and community-led assessments.
Financial Institutions
  • Inter-American Development Bank (IADB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Bank Risk Rating
Risk rating varies among banks and may refer only to the particular investment and not to the risk for the project as a whole. Projects marked 'U' have an 'Unknown' risk rating at the time of disclosure.
Voting Date
Jun 23, 2016
The estimate day the bank will vote on a proposed investment. The decision dates may change, so review updated project documents or contact the EWS team.
Ministry of Health
The holder of the loan, grant, or other investment.
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
The categories of the bank investment: loan, grant, etc.
Investment Amount (USD)
$ 45.00 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please review updated project documents for more information.
Project Cost (USD)
$ 103.20 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please see updated project documentation for more information.
Primary Source

Original disclosure @ IADB website

Updated in EWS Jun 22, 2017

Disclosed by Bank Jan 4, 2016

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Project Description
This project aims to reduce health disparities and accelerate reductions in maternal and infant morbidity and mortality in priority Local Comprehensive Health Care Systems (SILAIS) in the North Caribbean, Jinotega, Matagalpa, and the Dry Corridor Region, specifically by broadening and improving access to and coverage of high-quality health promotion and health care services under the family and community health model. The most relevant socio-environmental risks are related to the operations stage of the primary hospitals as follows: greater demand for power and potable water, water quality, and sanitation; effluent discharge from the hospital; generation of hazardous solid waste from hospitals; and occupational health and safety for employees, patients, and visitors.
Investment Description
  • Inter-American Development Bank (IADB)
The program is financed through an investment loan of US$45 million drawn from the IADB's Ordinary Capital (60%) and the Fund for Special Operations (40%). The Government of Nicaragua will continue contributing treasury resources through the general budget of the Republic for an estimated US$57.7 million to finish covering the cost of care in the priority area during the program period, as well as US$483,480 to finance the maintenance of the investments financed under this operation. The total cost of the program is US$103.2 million.
Contact Information
ACCOUNTABILITY MECHANISM OF IADB The Independent Consultation and Investigation Mechanism (MICI) is the independent complaint mechanism and fact-finding body for people who have been or are likely to be adversely affected by an Inter-American Development Bank (IDB) or Inter-American Investment Corporation (IIC)-funded project. If you submit a complaint to MICI, they may assist you in addressing the problems you raised through a dispute-resolution process with those implementing the project and/or through an investigation to assess whether the IDB or IIC is following its own policies for preventing or mitigating harm to people or the environment. You can submit a complaint by sending an email to You can learn more about the MICI and how to file a complaint at,1752.html (in English) or,1752.html (Spanish).