The Real Nicaragua: Discussion with Healthcare Workers about Birth Control

Based on a frank discussion with health workers, Jill Clark-Gollub provides a first-hand report on the services provided by a community health clinic in a poor neighborhood in Ciudad Sandino, Nicaragua. "Among the varied services the Nueva Vida staff provides to residents are sex education and mentoring programs for youth to encourage them to strive for goals that would be hindered by teen pregnancy. [...] the public healthcare system strongly encourages family planning and provides contraception free of charge, including sterilization services once women (and men) decide to have no more children, thereby reducing the demand for abortions. There are also services and medications for the trans population, both at Nueva Vida Clinic and in the public healthcare system."