Nutrition, family planning and health components of the Guatemalan program of primary health care (SINAPS)
This chapter describes the Integrated System of Nutrition and Primary Health (SINAPS), the result of the combined effort of the Ministry of Public Health (MOH), the Pan American Health Organization (PAHO), and the Institute of Nutrition of Central America and Panama (INCAP) to design, implement, and evaluate a program for primary health care in Guatemala. SINAPS was implemented in March 1980 in three experimental health districts of eastern Guatemala; total population was approximately 70,000. SINAPS is evaluated through two different approaches: the internal evaluation based upon MOH records of service activities, and the INCAP staff's external evaluation through surveys of random samples of households in the experimental and control health districts before and after the implementation of health services delivery activities. SINAPS is carried out through close cooperation between the MOH, PAHO, and INCAP. MOH is responsible for service delivery and personnel training activities while PAHO and INCAP are responsible for developing methods and evaluating programs.
Lechtig, Aaron, John Townsend, Francisco Pineda, Juan Jose Arroyo, Robert E. Klein, and Romeo de Leon. 2019. "Nutrition, family planning and health components of the Guatemalan program of primary health care (SINAPS)," in Maria Wawer (eds.), Health And Family Planning In Community-based Distribution Programs. New York: Routledge.