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ROGER McKENZIE reports on Nicaragua’s free family and community model of healthcare and the role of ‘brigadistas’ in assisting pregnant women and rural populations
RADICAL APPROACH: Dr Mario Lazo Guerrero, a local healthcare director in Esteli, a Nicaraguan city, holding a poster of Tomas Borge, who was a cofounder of the Sandinista National Liberation Front

NEARLY 100 miles north of the Nicaraguan capital, Managua, is the city of Esteli.

Esteli, the eighth-largest city of the Central American nation, the de facto capital of the north, is also the country’s main tobacco production region.

The land around Esteli is ideal for growing cigar tobacco and the city became a conclave for Cuban cigar makers who left the Caribbean island after the revolution in 1959.

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