Community Well Being and Development
The Problem: Community and Health Resources
Many communities in Nicaragua, particularly those that are affected by chronic poverty, have few resources available to improve conditions of health and hygiene. These poor conditions also impact education and developmental growth of children. There are few public health services available, particularly in rural communities. As a result, health risks and incidence of common illnesses are high in marginalized communities, largely due to lack of education. Many health problems are preventable when proper training, education, and resources are available.Also, improving public infrastructure in rural and urban communities (water systems, schools, etc.) is a frequent need and few resources are available to make the necessary changes. Lack of access to clean water or to electricity is a common issue in many areas.
Fabretto’s Response: Community Well Being and Development Program
Fabretto’s Community Well Being and Development Program is a program designed to build partnerships with organizations in order to make positive changes in health, hygiene, and community infrastructure. Through public schools, committees are organized to identify and prioritize the greatest needs. Fabretto’s staff of health professionals also works closely with the community organizations to develop public health workshops and campaigns that teach families simple steps to improve health and hygiene.Public health workshops are open to students, parents, and all community members, covering important topics such as: prevention of common illnesses; oral hygiene; proper water treatment; and environmental health. Student health committees also are responsible for planning community visits and campaigns to share their knowledge with other families. Primary and specialized medical services additionally are provided to students with particular needs that cannot be met by the public health system.
Fabretto works with partner organizations also to mobilize resources for making infrastructure improvements in rural and urban communities. These projects may include: building new classrooms; building preschools; improving community water systems, or other small infrastructure projects that ultimately improve the quality of life for the community. Within these projects, community members participate actively by providing local resources and volunteer labor.
Program Highlights
- 277 students received primary and specialized medical care in 2011
- More than 600 parents participated in public health workshops to learn how to improve health conditions in their homes and communities
- Campaigns were held in more than 50 rural community to distribute treatment for intestinal parasites
- 12 new classrooms were built at Fabretto centers to improve capacity
- 9 new classrooms and preschools were built in rural communities to improve conditions of overcrowding
- 6 rural schools were benefitted with new latrines to improve hygienic conditions


