Program Outcomes

Map of Nicaragua

There are 24 hogars (elder homes) located throughout Nicaragua. Pacific University has collaborated with 12 of these hogars, indicated by a yellow star on the map.

Outcomes and Accomplishments

College of Health Professional (CHP) Participants


Students: 67

Faculty and Staff: 12

Optometry (OPT) Participants


Students: 9

Faculty and Staff: 3

Number of hogars (elder homes) with which we have collaborated

Direct Service Over 1500 hours of service to 560 older adults residing in elder homes and in the community

Professional Education and Caregiver Training

Hours: 230

Participants: 194

Community Meetings 15 meetings with: Government officials, church officials, health care professionals, academic personnel, and community leaders

Donated Suppliesincludes self-care products, rehabilitation equipment, medical and dental supplies, pharmaceuticals, and eyeglasses

Over 6,000 lbs


The Nicaragua initiative utilizes a community-based approach, endorsed by the World Health Organization, to facilitate sustainable care for elders by building social capacity for Nicaraguans to independently implement services and education. Efforts to achieve this goal focus on education and involvement of Nicaraguan government officials, health providers, health professional educators, community leaders and direct caregivers.

Listed below, is a sample of the positive outcomes achieved through implementation of a community-based approach:

  • Residents of the elder home in Granada now receive monthly visits by a local gerontologist once a month and bi-weekly group exercise sessions led by a local physical therapist.
  • Education in dementia care for caregivers working in elder homes has increased caregiver’s ability to manage challenging behaviors of elders experiencing this condition, resulting in a decrease of abusive strategies.
  • Local community organizations have volunteered over 500 hours of service to:
    • Improve the physical environmental living conditions of elders residing in homes
    • Increase the participation of elders in health–promoting productive and leisure activities
    • Collaboration with the nursing program of the Universidad Nacional Autónoma, located in Managua, Nicaragua, resulted in the incorporation of education specific to older adult health care into the nursing curriculum that includes on-going nursing student service to elders residing in local elder homes.
    • Educational workshops for local health professionals and community leaders generated over 20 project ideas that have been or are in the process of being implemented within the local communities that they serve.