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Sackings and strikes paralyse Nicaraguan health care

BMJ 1998; 316 doi: (Published 11 April 1998) Cite this as: BMJ 1998;316:1111
  1. Hilary Bower
  1. London

    A third of Nicaragua's state employed doctors have been fired and grants to trainee doctors removed in a government attempt to reduce state involvement in health.

    Over 400 specialists and 800 GPs have been dismissed while 600 student interns attached to the medical school of the National Autonomous University of Nicaragua in Leon have had their contracts cancelled. Coming on top of a seven year pay freeze at breadline wages, the move has triggered a strike that is devastating health services.

    Ninety five …

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