La Isla Network (LIN) has released a new case study demonstrating how the application of organizational psychology dramatically improved workplace safety and productivity at the Ingenio San Antonio (ISA) sugar mill in Nicaragua.
Under LIN’s Adelante Center of Excellence and PREP project, a comprehensive Rest-Shade-Hydration (RSH) intervention addressed severe heat stress among sugarcane workers, which previously contributed to high rates of kidney injury, heat-related illness and chronic kidney disease.
After implementing the RSH intervention, LIN embarked on a Management of Change (MoC) strategy, ensuring that ISA’s workplace culture worked in harmony with the newly-implemented RSH policies.

Integrating organizational psychology within their MoC strategy, La Isla Network significantly reshaped ISA’s workplace culture.
The intervention emphasized clear communication of health and safety metrics alongside productivity targets. It also embedded these metrics into supervisor performance evaluations, ensuring accountability and consistent implementation.
This targeted approach resulted in striking outcomes, including more than an 80% reduction in heat-related illnesses, a 70% decrease in kidney injury risks, up to a 20% increase in worker productivity, and a 60% ROI by year five with profitability of the intervention by year three.
La Isla Network believes this model can be effectively replicated in other industries facing occupational heat stress, offering a practical roadmap for companies committed to safeguarding worker health while maintaining or even improving operational efficiency.
Please read and download the case study below:
La Isla Network é uma organização de pesquisa e consultoria em saúde dedicada a acabar com lesões, doenças e mortes relacionadas ao calor entre trabalhadores em todo o mundo. Desenvolvemos intervenções de proteção ao trabalhador baseadas em dados e conduzimos o gerenciamento de mudanças, melhorando a resiliência das forças de trabalho e empresas à exposição ao calor. A LIN impulsiona mudanças duradouras trabalhando com governos e instituições multilaterais para informar e criar políticas. Para obter mais informações, use nosso formulário de contato.