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About the PCPCD in Paraguay  

Chagas disease

PCPCD activities in Chagas disease have concentrated on vector surveillance in the three health regions that had the highest infestation indices of Triatoma infestans in the country: Concepción, Cordillera and Paraguarí. Surveillance activities include the participation of schools in the risk areas and are undertaken in coordination with the Ministry of Public Health and Social Welfare.  Actions were expanded to include Guairá and San Pedro in the fourth year of implementation, Misiones in the fifth year and Caaguazú and Caazapá in the sixth year.  

In 2008, through the actions of the PCPCD, the interruption of the vectorial transmission of Trypanosoma cruzi by Triatoma infestans in the Eastern Region of the country was certified.  In 2009, programming was directed to the Paraguayan Chaco where the goal is to interrupt vector-borne transmission of T. cruzi in the high risk communities.  Currently 32 communities are participating in Chagas disease prevention and control activities.

The Paraguay project has achieved the following:

  • Over 1,900 community leaders have been trained to carry out surveillance of the vector in high risk areas.
  • More than 1,7000 community surveillance posts have been established.  
  • An agreement between SENEPA (Ministry of Public Health and Social Welfare) and the Ministry of Education and Culture to involve schools in the Project activities has yielded excellent results in terms of community participation and support for Chagas disease prevention and control actions. Sixty-eight percent of schools in at risk areas are participating in Chagas week activities (total of 1,159).  Information on Chagas disease has been incorporated as a basic competency in the science curriculum in schools.   
  • Chagas disease project has been implemented in conjunction with the STI project to address the issue of vertical transmission (congenital syphilis and congenital Chagas disease) which helped to strengthen case detection in newborns, organize information and data gathering in both programs, and conducted joint supervision and monitoring between the Chagas and STI programs to strengthen the capacity of the STI program.
Last Updated on Friday, 15 October 2010 05:36

IMCI Strategy

In the Paraguay, training materials have been adapted and updated for prenatal and neonatal care, tuberculosis, dengue, and influenza, and the baseline indicators have been revised (for the clinical component of IMCI). Volunteer health promoters were trained, including indigenous promoters from Boquerón and Caazapá. In 2004–2005 the technical guidelines for IMCI and the registration forms were revised, a basic guide for the appropriate level of hospital referrals was prepared. Subsequently, the Project coverage area has been expanded.

The Project has generated greater support and political commitment from the highest authorities of the Ministry of Public Health and Social Welfare. Training was provided for human resources involved in the health care of the population of the Project’s beneficiary health regions

Technical guidelines were developed for implementing the IMCI strategy, which has strengthened the role of the Ministry of Public Health and Social Welfare in governing the implementation of the strategy.  Progress has been made in incorporating the IMCI strategy into the academic programs of the health sciences schools and partnerships have been forged among the public health sector, academia, nongovernmental organizations, and international financing programs (such as with UNICEF).

Key achievements:

  • 231 health services have the technical material available in the beneficiary areas of the project.
  • 231 health services are applying the ICMI strategy.
  • The Ministry of Public Health and Social Welfare has demonstrated its support for the child health as seen in the national Ministerial Resolution S.G. Nº 1168/06, although some issues in this area have yet to be resolved. The resolution reaffirmed that the IMCI strategy was an official strategy of the Ministry of Public Health and Social Welfare for the care of children under 5 years of age.


Integrated Health Program

In the third year of the PCPCD, a subproject was initiated in the department of Boquerón in the Paraguayan Chaco that integrated all Project components with the goal of developing human resources at the local level and increase access to care with an intercultural focus.  The integrated health program was designed to address the priority health problems in the indigenous and creole populations based on their identified needs.  The Project includes twelve health services and in over forty communities. 

In collaboration with the “Escuela de Salud del Chaco Boliviano “Tekove Katu”, and “Escuela Técnica de Salud de Cochabamba” in Bolivia, the PCPCD has supported the development of the curriculum for a technical school for the Paraguayan Chaco to train local human resources. It is anticipated that this will contribute greatly to reducing the limited human resources in health services that exist in the Chaco Region. 

Key achievements:

  • 60 health professionals have been trained to provide health care with an intercultural approach
  • 42 communities are participating in the Integrated health program
  • Superior Technical Institute “Alma Chaqueña” initiated in April 2010 with forty students. 
Last Updated on Monday, 14 June 2010 09:44

Sexually Transmitted Infections


A National STI Program was created as part of the National AIDS Program (PRONASIDA), whereby the prevention and control of sexually transmitted infections have received official recognition, and personnel in charge of actions. The Project was the sole support of the National STI Program until the fifth year of implementation; thus, its contribution to the establishment and st rengthening of the Program has been fundamental.

As a result of the lobbying efforts and support provided by the Program and its thematic Roundtables on Gender and Health, the national government assumed the commitment to provide free syphilis testing and treatment for pregnant women and their partners.  

The number of Ministry of Health personnel devoted to working in sexually transmitted infections increased, and the model of care developed through the Project for the prevention of vertical transmission of syphilis and HIV and the syndromic management approach for STI was expanded to the national level. The training and supervision models and materials have been extended to the rest of the country. The implementation of syndromic management in selected health services of the Project served as a model and an incentive for its expansion nationwide.

  • 562 health promoters are diagnosing and promoting the treatment of men and women according to the norms established within the project areas
  • 159 health units have implemented the syndromic management approach.
  • The coverage of syphilis and HIV testing in pregnant women increased, as did treatment for mothers and newborns, which includes the systematic clinical and epidemiological monitoring of newborns.
Last Updated on Monday, 14 June 2010 09:46

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