The context
Numerous scientific investigations agree in identifying an abnormal incidence of chronic renal failure, a serious and highly disabling disease, in Nicaraguan sugar cane workers.


Chichigalpa, Dipartimento di Chinandega, Nicaragua


Quezalguaque, Dipartimento di León, Nicaragua

The Objectives

Mani Tese has improved the health conditions of the population involved in the project by reducing the risk of Chronic Renal Failure from non-traditional causes.

In this regard, it collected and systematized data on the phenomenon by university specialists, which it then disseminated among the population, civil authorities and trade unions, subsequently adopting the appropriate measures to treat and prevent the disease. The pilot project currently completed may be extended, in the future, to other areas of the country.

Project Details



Municipalities of: Chichigalpa,Quezalguaque,


60 sick people, 20 at risk, 30 institutional representatives and 3 health centers

The Activities

What has been done:

  1. Collection and evaluation of publications on the topic in the period 2005-2016, selection of data and information, field interviews with chronic renal failure patients on the problems of chronic peritoneal dialysis (the most affordable renal replacement therapy).
  2. Elaboration of a first draft manual on chronic renal failure, including risk factors in Central America, early identification, diagnosis and treatment of the disease (with particular regard to peritoneal dialysis), adequate lifestyles for kidney patients and protective interventions for the vulnerable population.
  3. Confrontation with institutional and non-institutional key actors and potential beneficiaries, sharing of the first draft of the manual and identification of a common intervention strategy.
  4. Edition and printing of the final version of the manual.
  5. Training courses for patients with chronic renal failure and for people at risk.
  6. Information and dissemination of the manual.

Project Partners: