The Program for Improved Accessibility and Quality of Health Services and Networks in Honduras (HO-L1090) helped improve health and well-being in that country by addressing gaps in the coverage and quality of health services, particularly in the country’s poorest municipalities, with a focus on young children, reproductive age women, and indigenous populations. The program focused on integrated health network management and community and family-based care, with services provided through primary health care teams that led health promotion, disease prevention, and care activities for specific geographic areas.

Over the life of the program, from 2014 to 2017, more than one million people received health services throughout 12 departments in Honduras. Nearly 40 percent of the beneficiaries were indigenous. By project completion, substantial improvements in coverage and quality of care translated into a number of important health outcomes. Among the most salient was a 27 percent increase in children aged zero to five with complete vaccinations, a 15 percent increase in the share of women of reproductive age who had four prenatal visits prior to delivery, and a 136 percent increase in women whose most recent birth was attended by a qualified health professional (from 33 percent in 2012 to 78 percent in 2017). Despite impressive gains under the program, health disparities persist in Honduras and the IDB is supporting the country in closing these gaps. For more information on program results and lessons learned, visit the Project Completion Report.