Profile: Wuqu’ Kawoq

Guatemala is one of the poorest countries in the Western hemisphere. Decades of violence, corruption, and racism have stranded much of the population in poverty with uncertain prospects for the future. Although nearly 75% of the population in Guatemala is Mayan, and speaks one of over 20 different indigenous languages, there are no health care or development programs which provide services in these languages.

Wuqu’ Kawoq was founded by a group of development workers partnering with indigenous communities in Guatemala to address this problem. They believe that health and cultural vitality are inseparable from each other. Wuqu’ Kawoq develops first-language health services, with a special focus on primary health care for women, children, and adults with chronic disease. They also support indigenous medical workers, perform research on the state of health in rural Guatemala, disseminate knowledge about traditional health practices, and collaborate with other organizations with similar interests.

Major projects at this time include: child malnutrition prevention and treatment programs; comprehensive women’s health and prenatal care services; primary care for adults with chronic diseases, especially diabetes; development of potable water systems; scale-up of rural health outreach activities; and language revitalization efforts, including the publication of Kaqchikel and K’ichee’ community health resources.

To learn more about Wuqu’ Kawoq, please visit their website.

Profile: Project HANDS

Project HANDS is a group of people whose goal is to provide healthcare, education and other support to those who, by chance of birth, have lives less fortunate than their own.  Their projects are aimed at improving the quality of rural Mayan life by providing healthcare and education.

Healthcare:  Because the Maya have little or no access to medical care, the group sends medical teams to run outreach clinics, and surgical teams to perform elective surgery.  As an extension to their idea of bringing surgery to the patients, they are working on a long term project to build a small surgical facility or hospitalito in a rural area.

Their trips usually go to rural northern Guatemala, to the departments of Alta Verapaz, Baja Verapaz and Quiche. On these trips they work closely with their affiliate Partner for Surgery (PfS), a US based NGO. PfS does all the local ground logistics for the trips and Project HANDS provides a small group of about 5-6 people to run the clinics.  These clinics are set up in outlying rural areas where the focus is to find patients who need surgery.  However, they also bring a small pharmacy with them and try to help all patients who come to the clinics. The patients who require surgery are then scheduled to have their procedures done either by the next Project HANDS surgical team or other volunteer surgical teams.

The group’s next trips to Guatemala will be:

  • October, 2010 – Triage trip to El Quiche
  • November, 2010 – Surgery trip to El Quiche

Education:  The majority of Mayan women are homemakers, wives and mothers.  However, many have much more to offer their families and communities and wish they could.  With the Guatemalan healthcare system desperately sagging and in need of everything from equipment, supplies, medications and professionals (throughout the whole country but especially within the indigenous population), it seems a perfect fit to marry these women with careers in the healthcare sector.   When twenty one year old Carmen worked with the group as a Q’eqchi translator in one of their outreach clinics, they saw her potential. Upon asking her if she would like to be a nurse she smiled shyly and said “If only…” implying it was something completely out of her reach. But why should it be? That was enough to start the group thinking, and led to Project HANDS funding young women to continue their education and go on to nursing school.

To find out more about Project HANDS, please visit their website.

Profile: Faith in Practice

faithinpracticeThe mission of Faith In Practice (FIP) is to improve the physical, spiritual, and economic conditions of the poor in Guatemala through short-term surgical, medical and dental mission trips and health-related educational programs. Their mission is based on an ecumenical understanding that as people of God they are called to demonstrate the love and compassion that is an outward sign of God’s presence among us. Faith In Practice’s life-changing medical mission is to minister to the poor, while providing a spiritually enriching experience for their volunteers.

Currently, their medical teams travel to the most remote and poorest parts of Guatemala, setting up makeshift clinics in rural villages. Working side by side Guatemalan volunteers, their medical teams provide general care and make referrals to Obras Sociales del Santo Hermano Pedro (The Obras), now a hospital that houses four state-of-the art operating rooms thanks to Faith In Practice supporters, and to four additional smaller hospitals throughout Guatemala. Patients now have a safe and pleasant place to stay at their guesthouse, the Casa de Fe, while awaiting and recovering from surgery in Antigua. Their public health initiative has seen the development of the VIA/Cryo Program designed to train Guatemalans to identify and treat pre-cancerous cervical cells. They are currently developing a Preventative and Restorative Dental Program. Through these programs, their more than 800 dedicated volunteers served more than 17,000 patients in 2008.

FIP Mission Teams (click here to see 2010 calendar of trips):

Surgical Teams:  Faith In Practice medical and dental teams travel to Antigua, Guatemala which is the base for all the teams. All teams volunteer their services for a week, usually traveling from the US on a Saturday and returning on the following Saturday.  Teams are divided into a group of health providers who work at the hospital in Antigua and a group which travels to sites and villages in the countryside to provide family practice medicine and dentistry.

Medical and dental professionals working at the Hermano Pedro Hospital and Orphanage for the poor bring all the supplies they expect to use for performing surgery and post operative care. On Sunday, all surgery candidates are seen and reviewed; and a surgical schedule is prepared.  The remainder of the week is spent in surgery at the hospital.

Village Teams:  Family practice teams bring trunks of medicines and supplies as well and in the course of treating acute illnesses in the villages often encounter people who need surgical care.  These patients are referred to the surgical teams working at the hospital. Often the teams are met with busloads of people hoping to receive medical help.

Dental Teams:  Dental professionals accompany both the surgical teams and the family practice teams.  There is a well-equipped dental clinic at the Hermano Pedro Hospital where general dentistry and extractions are performed and oral hygiene instructions given.  Dental professionals who accompany the family practice teams to rural sites concentrate their efforts on pain relief (extractions) and oral hygiene instruction.

Professional Relationships:  The professional relationships that develop between U.S. medical and dental personnel and Guatemalan professionals is an added positive impact of the work Faith In Practice is doing.  Every year, Faith In Practice endeavors to present post-graduate type learning experiences to the Guatemalan medical community in Antigua and in Guatemala City.  Topics have included Ear Infections, Cancer Pain Control, Ovarian Cancer, Knee Surgery, and Hip Replacement Surgery.  Guatemalan surgeons are also invited to the OR in Antigua to learn the latest surgical techniques.  Faith In Practice believes developing mutual learning and understanding makes sustainable change possible.

Cooperative Efforts:  Faith In Practice makes concerted efforts to keep in touch with sister organizations who are working to improve the life and health of the poor in Central America. Much of the needed change that goes beyond any one organization’s scope can come about by combining resources, time, knowledge and energy.

To learn more about Faith in Practice, please visit their website, Facebook page, Twitter page, or blog.

New Project: The Hope Alliance Midwife Training Program

hope allianceGuatemala suffers from higher infant and maternal mortality rates than any other country in Latin America and the Caribbean except Haiti. The issue of maternal mortality is one that continues to go unnoticed, despite the devastating toll being taken on women around the world. Every minute, a woman dies from complications related to pregnancy and childbirth; 500,000 women die each year despite the fact that the majority of these deaths could be prevented if women received care from trained providers.

Lack of healthcare access for many women in the rural highlands of Guatemala is of prevalent concern, as is the lack of skilled birth attendants or certified midwifes. In collaboration with their partnering organization, Fundación Raxche and the Ministry of Health in the District of Izabal, The Hope Alliance has agreed to compliment the Ministry’s curriculum and provide training to a pilot group of certified midwives in clean birthing skills.

Issues that are of primary concern to the Ministry of Health and need to be incorporated as part of their training are: neo-natal tetanus, sepsis (both neo-natal and post-partum), cervical cancer, family planning and the use of oxytocin (this can be bought over the counter) to induce early labor leading to complications and hemorrhages resulting in hysterectomy.

In August 2009, The Hope Alliance shipped 5 clinic modules to the hospital T’Zunun Ha in El Estor.  This included an OB/GYN module as a means to bridge the gap between the rural skilled birth attendants and the medical professionals at the clinic.   The Hope Alliance has 3 training mannequins to assist with their training program: a neo-natal resuscitation doll, an EVA Gynecologic Manikin and Manikin Obstetric.

Their goal in the summer of 2010 will be to make this first team the exploratory team and establish the base line curriculum, needs and training parameters to compliment the Ministry of Health’s midwife training program. Subsequent teams would then have an established curriculum to build upon and emphasize those areas in which the midwives lack knowledge and training. Five communities have been identified for the pilot program and each of those communities has identified 20-25 midwifes. Each community will select their 2 senior midwifes (in knowledge not necessarily age) to participate as part of the training with their teams. At the conclusion of the training, the senior midwives will return to their communities and train the remaining midwives in what they learned.

In 2007, The Hope Alliance sent a small surgical team to address the most common needs and to show their commitment to the communities of El Estor. One of those surgical components was an OB/GYN team.  As a result, the group has in place some necessary essentials for surgery including a portable “mash-type” anesthesiology machine.

Since one of their goals is to bridge the gap between the rural skilled birth attendants and the medical professionals at the clinic, they plan to include in their curriculum a training component involving medical professionals. The group also hopes that, by explaining to the rural midwifes what some of the equipment is used for, they may ease some of the fears some of the rural women have of hospitals.

To learn more about The Hope Alliance, please visit their website.

Book Review: Pathologies of Power: Health, Human Rights, and the new war on the poor

ppDr. Paul Farmer has written an ambitious book in the face of the world’s most stubbornly unsolvable issue:  poverty.  I first picked up the book after reading the best-selling biography “Mountains Beyond Mountains” by Tracy Kidder, in which Farmer’s travels and experiences with global health are recorded.  After getting to know his human side, I was interested to hear about his ideas for social change.

Farmer sets out to prove that it is the structure of society rather than lack of resources that prevent any real social change for the world’s poorest and most vulnerable.  He cites this phenomenon as “structural violence”:  poverty, inequality as well as more blatant physical violence.  The argument is that this kind of oppression isn’t obvious; instead, it is the lack of will for any wealthy country or person to make real, sustainable change in the lives of the poorest of the poor.  This leaves them at the mercy of a host of preventable diseases, the elements  from lack of proper shelter, and malnutrition.

To illustrate this point, Farmer uses three personal experiences he had:  the AIDS epidemic in Haiti, the political violence surrounding the Chiapas in Mexico, and drug-resistant tuberculosis as a form of punishment in Russian prisons.  I enjoyed this part of the book the most, as it gave me a clear picture of what structural violence means for real people, rather than as an abstract idea which I felt I’d heard before in bits and pieces.

He goes on to deal directly with the problem as well as his proposed solutions.  This part got me fired up, because I agreed with most everything he was saying, but realized at the same time that inequality will most likely continue, since the majority of the wealthy like the status and respect that accompanies their class, and want to keep it that way.

Considering the breadth of topic-as poverty can be traced as the root of the majority of the world’s ills-I was skeptical that this volume could achieve its end:  presenting both the extent of the issue as well as a plausible way to approach it.  Written in the style of a peer-reviewed journal, it can be tricky at times to fully absorb the meaning and applicability of some of his ideas unless you are seasoned in interpreting that kind of text.  I sometimes felt that it was more my personal interest in global health and development that kept me going through some parts rather than the words themselves.

However, I did find it interesting, particularly the way he used the case studies as a lens through which to critique the way society keeps the poor poor, even if we don’t know it.  Not light reading, but certainly informative, empowering, and yes, a little depressing.

Profile: Vanderbilt University Center for Latin American Studies

vanderbiltIn 2006, The Vanderbilt Center for Latin American Studies (CLAS) was designated a National Resource Center by the U.S. Department of Education.  While maintaining one of the strongest concentrations of Brazilianists of any university in the United States, the Center’s renowned faculty also has particular strengths in Mesoamerican anthropology and archaeology, the study of democracy building and economic development, Latin American literature and languages, and African populations in Latin America and the Caribbean. The Center fosters a lively research community on campus by sponsoring colloquia, conferences, films, and a speaker series featuring distinguished scholars and government and business leaders.  The Center is lead by Drs. Edward Fischer and Avery Dickens de Giron.

CLAS offers undergraduate major and minors and a M.A. degree in Latin American Studies as well as joint graduate degrees with the business school (MBA/MA) and Law School (LLM/MA). Moreover, the Center offers a popular graduate certificate program and administers summer research awards to students across the university carrying out work in Latin America. They are also one of the select graduate programs approved by the Department of Defense for its Foreign Area Officer training.

CLAS is home to a number of major research and outreach projects in Guatemala, including:

Vanderbilt Children’s Hospital / Shalom Foundation Alliance:

  • 2-3 major surgical missions per year to Guatemala
  • Guatemalan rotations possible for Vanderbilt pediatric interns
  • In late 2010, opening the Moore Surgery Center in Guatemala City, an innovative “medical timeshare” for mission trips that will involve local medical students as well.

Center for Latin American Studies program in K’iche’ Mayan:

  • Funding by the U.S. Department of Education to teach Mayan languages
  • 6 week Vanderbilt/University of Chicago Summer Intensive K’iche’ Program held in Nahaula, Guatemala

Biomedical Engineering:

  • Service-learning course taught by Cynthia Paschal; students work on medical equipment at Moore Surgery Center and other hospitals in Guatemala
  • Collaboration with engineering students from the Universidad del Valle

Owen School of Management:

  • Pyramid Project  (led by Bart Victor) students develop strategic planning and business models for Primeros Pasos and other projects in Guatemala
  • In the last module, students came up with an innovative micro-finance mortgage system and tested a new product to combat malnutrition

Midwifery / School of Nursing:

  • New international component to the midwife program sends students to work with local midwives and Primeros Pasos

Vanderbilt Cancuén Archaeology Project:

  • Vanderbilt Cancuén Archaeology Park in Alta Verapaz, Guatemala
  • Integrating local development and health projects and eco-tourism opportunities

Alternative Spring Break:

  • Program going to Primeros Pasos clinic in Guatemala every year since 2005, organized through the Office of Active Citizenship (OAC)

Primeros Pasos / InterAmerican Health Alliance:

  • Based at Vanderbilt, this successful NGO founded and led by VU medical student Brent Savoie offers preventive pediatric care to over 1000 patients a month in rural areas
  • Opportunities for service-learning trips, medical student emphasis program
  • CLAS provides the US-based home at Vanderbilt

Conexión Guatemala:

  • Organization run by CLAS that brings together over 15 humanitarian mission efforts based in Nashville that focus on Guatemala

Medicine, Health, and Society / CLAS VISAGE Course:

  • VISAGE year-long course Spring/Summer/Fall 2010
  • Students will spend 6 weeks in Guatemala over the summer of 2010

Institute for Global Health / PEPFAR:

  • Alfredo Vergara hopes to develop a PEPFAR project in Guatemala with U.S. Centers for Disease Control and Prevention (CDC)

Institute for Coffee Studies:

  • Possibilities for collaborations with ANACAFE (the Coffee producers association)

CLAS reaches thousands in Nashville, Tennessee, and the surrounding region through their various outreach programs to the educational, business, medical, and media communities. They have a vibrant K-12 teacher workshop series marked by high attendance and positive feedback; recent topics have included Andean archaeo-astronomy, the Panama Canal, and the art of Guayasamín. They offer Spanish instruction to their Medical School and at Fisk University. They regularly partner with local arts groups and community organizations to sponsor events. They have pioneered an effort to bring together NGOs, faith-based organizations, and academics working in Guatemala to coordinate efforts. They serve as a national resource through a variety of other programs as well, including cultural competency seminars, a film and lecture series, a classroom speakers’ bureau, and a resource lending library.

To learn more about CLAS, please visit their website.  To read about their most recent trip, please click here.

Profile: Guatemala Healing Hands Foundaiton

healing hands

The Guatemala Healing Hands Foundation (GHHF) is a nonprofit organization dedicated to improving the quality and availability of health care in Guatemala through education, surgery, and therapy.   Specializing in the treatment of congenital and hand injuries, they aim to reach Guatemalan children and adults through medical missions led by a team of specialized and skilled surgeons, therapists, and volunteers.

GHHF offers physicians, therapists, nurses, students, and volunteers the opportunity to take part in a cross cultural educational experience. GHHF aims to both educate the local medical providers and supply specialized care for the needed hands of this poor country. They hold a two day, bilingual conference; the purpose of which is to provide education that will, overtime, help the Guatemalan people to be able to care for their own with the latest medical techniques. 

GHHF sends qualified professionals to Guatemala to train the local healthcare providers in hand surgery and hand therapy. These highly skilled volunteers come from across the globe to participate in GHHF. GHHF also welcomes volunteers of all ages and backgrounds who are looking for a multicultural educational experience and wish to lend a hand in a country that greatly needs their help.

On their 2009 trip, GHHF screened 174 patients, operated on 68, evaluated 190 therapy patients, fabricated 168 splints, and followed up on past patients.

Since the establishment of GHHF in 2004, their teams of dedicated volunteers have successfully:

  • Evaluated 597 patients for hand surgery and therapy (at screening day);
  • Completed surgery on 263 patients;
  • Fabricated 622 splints;
  • Brought one child to New Mexico to receive extensive hand surgery;
  • Brought one child to Shriners for microsurgery; and
  • Conducted workshops and conferences for over 1,875 people (doctors, therapists, and students).

To learn more about this group, please visit their website.

Profile: Reading Village

reading village

To visit the Reading village website, please click here.

Belief Statement:  Every child should be able to grow up free to express their fullest self, give what they have to contribute to their families, their communities, their countries and the world.  Access to books, the ability to read, and to think critically and imaginatively are fundamental to the full development of individuals and society.

Vision:  Their vision is of a proud and thriving Guatemala that loves to read, where children grow up able to realize their full potential.

Mission:  With a focus on children, they work collaboratively with the residents of impoverished villages to create programs that develop a culture of reading.

To read further about some of the children helped by Reading Village, check out their blog.

Scholarships

Public school is not free in Guatemala. In the communities where Reading Village works only 25% of the children study beyond the sixth grade. Reading Village has a scholarship fund you can donate to which has a double impact. It keeps a student in school, and that student gives time in return running reading activities with younger children in the community. Their scholars not only receive funding for school, they also provide leadership training, including field trips outside their community and opportunities to meet other student leaders in other communities. It is their desire to develop these young people into community leaders who will take ownership of creating a new future for themselves and their community.

To visit the Reading Village website, please click the following link.

Profile: Agape in Action

agapeinactionAgape in Action, Inc. is a tax exempt, nonprofit 501(c)(3) public charity organization with headquarters located just outside of Houston, Texas.   They conduct rural medical clinics in impoverished areas of the Quiché region.   Clinics are held in churches, schools, and on occasion, in an actual medical facility, or where the need arises.   Their mission is to care for physical ailments and to go beyond the stethoscope to minister to the spiritual and emotional needs of the indigenous Maya in the mountainous Quiché province of the Central Highlands of Guatemala.

They accomplish this by working in close cooperation with local medical officials and hospital facilities.  They support pastors in rural areas with medical clinics in their churches, as well as join with other missionaries to reach deep into remote areas to hold medical clinics and show the Jesus Film.  Their dorm serves as a facility where they host visiting medical missionary teams that provide surgical care to those who would otherwise go without treatment. They provide training and experience for visiting medical students from the United States and financially support deserving Guatemalan students in medical and nursing schools. 

Agape in Action hosts medical and surgery teams from the U. S. who volunteer their time and expertise to perform surgeries at Santa Elena National Hospital, as well as help conduct rural clinics in surrounding towns. 

Agape in Action has grown to be accepted as a vital part of the local Santa Cruz community.  To a large degree this is because they are closely identified with  their partners who are local pastors, educators, medical professionals and other missionaries all working together.  Mission teams from the United States have returned over many years and forged relationships that remain strong.  They invest and work hard in the community because they are most effective when they combine their talents with those of others who deeply care.         

Work has been completed on the expansion of the Agape in Action dorm facility which added over 1,600 square feet of living space, comprised of 4 additional bedrooms, 2 living room areas and 4 new bathrooms.  This addition is designed as dual purpose, as it can be used as either 2 separate apartment units or as additional dorm rooms for teams. The current facility can accommodate 24 individuals which will increase to 40 after the expansion is complete.  A covered carport has also been added. 

They ship medical supplies to their Quiché facility for their mission needs as well as donate supplies and equipment to the Santa Elena National Hospital and other health care providers. 

To learn more about Agape in Action, please visit their website.

Profile: Hospitalito Atitlán

hosp atitlanHospitalito Atitlán (HA) is a small, private, non-profit hospital serving a population of 43,000 Tz’utujil Maya on the southern shore of beautiful Lake Atitlán. Local physicians, nursing, and administrative staff work closely in collaboration with volunteer medical personnel from around the world to provide a comprehensive scope of care, including the only 24/7 emergency and surgical obstetrical care within a 2-hour radius.   The hospital is supported financially by Amigos Hospitalito Atitlan, a U.S. nonprofit corporation formed to provide financial, material and human resources in support of subsidized healthcare services in rural Guatemala.

More than 60 percent of the patients speak only Tz’utujil, the local Mayan dialect. Hospitalito staff translates Tz’tujil to Spanish for medical volunteers. HA has gone to great lengths to make services affordable to everyone. Social Workers are available to evaluate the resources of the patient and family and provide up to a 100% discount for those with limited resources.

General clinics are held in the three clinic rooms Monday through Friday, from 8:30 to 12:30 and from 2:30 to 5:00/whenever the last patient is seen. The most common conditions seen are listed below.

Adults

  • Chronic Obstructive Pulmonary Disease/COPD (“EPOC”). This is especially common in woman as they spend much of their time over wood fires.
  • Diabetes – Type 2
  • Hypertension
  • Gastritis/GERD (often H. pylori positive)
  • Intestinal Parasites (ascaris, giardia, and entomoeba histolytica are endemic)
  • Pneumonia
  • Cellulitis and Abscesses
  • Non-tropical (due to altitude) infectious diseases

Children

  • Colds
  • Otitis Media
  • Asthma
  • Bronchiolitis
  • Acute diarrhea with/without dehydration
  • Intestinal Parasites (ascaris, giardia, and entomoeba histolytica are endemic)
  • Dermatological Conditions
  • Malnutrition (replacement of healthy foods with soda and junk food)

Prenatal Clinics

  • Pre-existing/Gestational Diabetes
  • Grand multips
  • Pre-eclampsia
  • Need for slow prim-ip inductions

Emergency Room and Inpatients (some services are staff-dependent):

  • EKG
  • Defibrillation
  • Nebulization
  • Suturing
  • Intubation (for transfer, they do not have a ventilator)
  • Lumbar Puncture
  • Paracentesis/Thoracentisis/Chest Tubes
  • Vaginal deliveries, with suction and forceps if required
  • Fetal Monitoring
  • Ultrasound
  • Induction with Misoprostol or Pitocin
  • Magnesium infusion
  • Umbilical artery/vein catheterization
  • Cesarean section
  • Dilation and curettage
  • Tubal ligation
  • Hysterectomy
  • Fibroidectomy
  • Cystocele repair, bladder suspension

Education

Fundación K’aslimaal believes that education of staff and the community is an important part of their work. Administration or the department of Social Work organizes these events.  Since HA opened in 2005, the staff has been involved in the monthly training that the traditional midwives are required to attend by the Health Department. When a Spanish speaking medical volunteer is available with the ability to teach an important lesson to the traditional midwives, their social worker serves as a translator.

Meetings for the mothers and family members of the women in the Maternal Infant Sponsorship program are held every two weeks in the education room. These classes or “charlas” cover important topics such as danger signs during pregnancy, complications during delivery, breastfeeding, when to take your baby to the doctor, early stimulation, babies first foods, importance of books in the home, and more.

Often, medical volunteers set up informal presentations in the patient waiting room area.   Staff education can be formal or informal. Often visiting specialists and organizations schedule educational programs for the staff, or specific technical training.   Pediatricians and dentists schedule hygiene talks for the children at the school in Panabaj where the Student Sponsorship is centered.

A scholarship program for HA staff exists. Employees are chosen for scholarships on merit of their work experience.

To learn more about this hospital, please visit their website.  Very detailed staffing calendars can be accessed here.