Evaluation of the impact of a new general hospital in Managua, Nicaragua


In developing countries, high population growth and rural-urban migration put considerable pressure on existing urban health infrastructure and human resources. Managua, the capital of Nicaragua, for the first time in 32 years is building a new general hospital. The Nicaraguan government, the Inter-America Development Bank, and the government of the Netherlands are providing the funding for this infrastructure project. The new hospital is projected to attend to about 1,000 patients per day and is expected to relieve some of the pressure on resources across all levels of the city's health system. The research will carefully take into account spillover effects at other hospitals, as well as at the lower level health facilities, such as health posts and health centers. Of all population groups, the new hospital is likely to especially benefit pregnant women and newborns, as there is currently only one hospital dedicated to support their needs. The impact evaluation will pay special attention to pregnancy and birth outcomes.

A team of researchers from Georg-August University of Göttingen and the Erasmus University of Rotterdam are conducting an independent impact evaluation of the new hospital on the local population. The team from Göttingen will focus on the quantitative impacts on the health and socio-economic status of the residents of Managua, particularly focusing on those living in the areas surrounding the new hospital. The team from Germany just recently concluded a successful and informative inception mission to visit the progress of the new hospital and meet with public health officials and practitioners to assess the situation on the ground. The team will return to the field shortly after the hospital's opening date in mid-2017 for a baseline survey and in late-2017 for an end-line survey.



Selected Media Coverage (in Spanish):

  • El 19 Digital: Visitan construcción del Hospital Occidental para evaluar impacto social

  • Viva Nicaragua Canal 13: Hospital Occidental "Fernando Vélez Paiz" ya casi está listo

  • TN 8: Hospital Occidental lleva 90% de avance

  • Canal 2: Realizarán estudio de impacto social del nuevo hospital general occidental



  • Hospital Premature Unit

    Team from Göttingen visiting the new hospital's site: 90% of the construction is completed.




    Hospital Premature Unit

    The unit of premature babies at the Hospital Bertha Calderón: reducing the overload of existing hospitals is an important goal of the new hospital.




    Hospital Premature Unit

    Emergency unit at a health center in District III, where the new hospital will be located. Decreasing waiting times and increasing duration of doctor-patient interactions in other health facilities is another goal of the new hospital.