The Urban Program

Our urban program has been developed trough the creation of basic medical clinics, that are strategically located. The clinical staff has gone on to develop specific programs, such as medical and dental services, basic clinical laboratories, and basic pharmacies; all of which are locally managed in order to achieve self-sustainability and self-determination. The medical clinics serve as the catalyst of organization within the barrios, which allows them to complete community diagnoses and implement locally-based development programs.

Barrio Edgard Lang Sacasa

APS works with a community association in Barrio Edgard Lang Sacasa which strives to improve conditions in this very poor neighborhood in the heart of Managua. The ‘Edgard Lang Sacasa Association for Popular Promotion and Communal House’ is a neighborhood association that has worked to establish a library, a pre-school, an arts and crafts women's center, and a typing class. APS oversees an effort by Doctor for Global Health, who has supported the start-up of a clinic and pharmacy at the Center, including the hiring of a Nicaraguan doctor to see patients. This project seeks to address one of the most insidious problems in medical care facing Nicaraguans at present: the prohibitive prices of prescription medicines. The new clinic-pharmacy has enthusiastic support from the community.

Barrio Acahualinca: ‘Dos Generaciones’

‘Dos Generaciones’ offers an alternative to youths, and their families, who live and work in "La Chureca", the city dump. Every year, approximately 115 adolescents are trained in one of five different trades: carpentry, haircutting, baking, sewing or serigraphy (clothes design).