Annual Report 2025
This report provides a summary of our work throughout 2025, a year in which Grupo Nexos continued to move forward with a clear focus on long-term sustainability. Download the document: Grupo Nexos – Informe Anual 2025 Final_compressed
New Policy Section: Strategic Priorities for Puerto Rico
The new Public Policy section is now available on our website, a digital space designed to share analysis, research, and proposals aimed at transforming the systems that affect the well-being and public health of Puerto Rico’s population.
This initiative responds to the need to strengthen evidence-based decision-making across key areas, including public health, economic development, community organizations, and social policy. To this end, our public policy team integrates research, experience, and multisectoral collaboration to drive sustainable solutions.
As part of this effort, federal public policy priority briefs are now available. These strategic documents present concrete analyses and recommendations to address some of Puerto Rico’s most pressing structural challenges.
The main focus areas are:
- Workforce development for the future economy as an engine for economic and social growth in Puerto Rico.
- Sustainability and innovation in community-based organizations (CBOs), a sector that serves nearly 700,000 people annually and faces a structural crisis in funding and institutional capacity.
- The transformation of the health system in Puerto Rico, given the increase in chronic diseases and the fragmentation in the provision of services, which limits the system’s efficiency.
Who are these resources for?
The federal public policy priority briefs are designed for public sector leaders, non-profit organizations, academia, and officials who influence decision-making. These documents are a data-driven guide for designing and implementing more effective public policies.
The new section will also include content on the analysis of federal and state public policy, legislative monitoring, and briefs on proposed legislation, as well as other updates to facilitate access to relevant information for the country.
Explore the new Public Policy section and access the priority summaries available on our website.
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2024 Annual Report
2024 Annual Report: a look at our impact, partnerships and results advancing mental health and community well-being in Puerto Rico.
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Transforming the response to the opioid crisis
PAICO-PR, an effort to transform the response to the opioid crisis in Puerto Rico, expanding access to evidence-based and effective treatments.
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Data as an advocacy tool
How Puerto Rico’s nonprofit sector builds the case for financial sustainability.
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Specialized panel registration: Strategies for financial sustainability
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[Article] Comienzo Saludable Puerto Rico: A Community-Based Network of Care
Originally published in the International Journal of Environmental Research and Public Health 2025.
Comienzo Saludable IJERPH paper
Abstract
Maternal and newborn health disparities remain a challenge in Puerto Rico, especially in underserved communities. Comienzo Saludable Puerto Rico, sponsored by the U.S. Department of Health and Human Services’ Healthy Start Initiative (HRSA), addresses these gaps through an integrated Networks of Care model known as Cuidado Compartido. Comienzo Saludable Puerto Rico is a maternal, paternal, and child health program aimed at improving the health and well-being of pregnant women, mothers, fathers, newborns, and children in Puerto Rico, particularly those from disadvantaged communities.
Methods: This paper presents the Comienzo Saludable Puerto Rico program’s Cuidado Compartido model to integrate a network of healthcare providers and services across hospitals, community organizations, and families. This model aims to improve maternal and newborn/child health outcomes by focusing on the importance of integrated, hospital-community-based care networks. Results: Participants experienced significant improvements in key birth outcomes: low birth weight prevalence declined by 27.2% compared to the community baseline, premature birth rates decreased by 30.9%, and infant mortality dropped by 75%, reaching 0% by 2021 and remaining there through 2023. These results were complemented by increases in maternal mental health screening, paternal involvement, and breastfeeding practices.
Conclusions: The Cuidado Compartido model demonstrates a scalable, culturally responsive strategy to improve maternal, newborn, and child health outcomes. It offers critical insights for implementation in other high-need contexts.
Citation: Acosta-P.rez, E.; D.az, C.; G.mez-Reyes, A.; Vega, S.; Noboa Ramos, C.; Justinianes-P.rez, R.; Ferran, G.; Carnivali-Garc.a, J.; Grau, F.J.; Sardi.as, L.M.; et al. Comienzo Saludable Puerto Rico: A Community-Based Network of Care to Improve Maternal, Newborn, and Child Health Outcomes. Int. J. Environ. Res. Public Health 2025, 22, 1204. https://doi.org/10.3390/ijerph22081204
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Serving Latino Communities in Uncertain Times
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Functional Family Therapy (FFT) – Free Service
Free family therapy for families with children ages 11 to 17. Improve communication and strengthen relationships.
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