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Ecuador – Maternal and Child Health in Esmeraldas

Maternal and child health in Esmeraldas

Doctors for Peace has worked in collaboration with the S. José Cottolengo Health Center, of which it has integrated the amulatory activities. It has carried out monitoring, prevention and treatment activities for high-risk pregnancies, child malnutrition and chronic diseases. She also trained a group of Ecuadorian volunteer mothers to promote the dissemination of information and good prevention practices in the community.

Project Map

The context

Esmeraldas, a city of 184,000 inhabitants located 300 km from Quito, has a poverty index of 78.3%, significantly higher than the national average (60%). Doctors for Peace, in collaboration with CECOMET and the Center for Tropical Diseases of the Sacred Heart Hospital in Negrar, has activated a community epidemiology project at the local Health Center, aimed at reducing mortality in the population of the poorest neighborhoods.

Activities

Doctors for Peace has carried out monitoring, prevention and treatment activities for high-risk pregnancies, child malnutrition and chronic diseases. The outpatient activities of the S. José Cottolengo Health Center, the health facility targeted by the intervention, were integrated with those of the territory, applying the regulations of the Ministry of Health which assigns a percentage of the staff’s time to activities at home or in the area, and an equivalent percentage to be dedicated to outpatient activities (50/50). The interventions carried out by the midwife Rosario Chanatasig and Dr. Daniela Armani were supported, aimed at integrating the clinical and monitoring activities of the local Health Center to reduce morbidity-mortality from avoidable causes in the population of the poorest neighborhoods. The health personnel involved in the project have been entrusted with the task of supervising the nutritional status of children under 5 years of age; monitor pregnancy, childbirth, puerperium; identify chronic patients (hypertensive, diabetic, epileptic); monitor the treatment of patients with tuberculosis; Educating to health. A group of Ecuadorian volunteer mothers, specially trained by medical personnel, has promoted the dissemination of information and good prevention practices in the community, composed mainly of populations of African origin, descendants of victims of the slave trade.
Fundamental to the excellent results achieved was the participation of the community as an active subject, directly involved in taking charge of its own health.

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