Wuqu' Kawoq

Wuqu' Kawoq's mission is to address the barriers to excellent health care that the majority of Guatemala's indigenous Maya population face, including principally the lack of access to health care in their own languages. As such, Wuqu' Kawoq develops primary care and health programs within a larger context of community vitality, family stability,and Mayan language revitalization.
Dec 31, 2013

Fulbright Fellow Collaborating with the Midwives on Capacity Building

Since August, we have had the great fortune of having Nora, a 2013-2014 Fulbright Fellow, work with us. Nora is a fourth-year medical student at Mayo Medical School in Minnesota, and she will be with us through June 2014. Her focus is to build capacity for data collection and training with our midwives. When Nora arrived, she immediately began to learn Kaqchikel. Since then she has been working closely with the midwives to complete an evaluation of the midwives training curriculum, which is unique because of its respect for Mayan values—among other things, it is one of the country’s only traditional midwife training program conducted exclusively in an indigenous language.

After several months in Guatemala, Nora has gained a better understanding of the midwives’ work and role in their communities and she is currently working with them on their program’s efficacy and acceptability, to set the stage for future internal evaluation.

Below is a Field Report from Nora

Yesterday, I met up with Elvia, one of the lead midwives, and we went to a larger outlying community or aldea about half an hour away. 

In the aldea, we met up with Romina, an elderly and smile-filled midwife. She speaks mostly Kaqchikel, so we were able to chat a little and work on my Kaqchikel. We saw four patients in their homes, spending nearly an hour with each. I mostly observed and listened to the rapid-fire, real-world Kaqchikel. 

At one point, we saw a patient whose baby was in transverse lie (which likely won’t be a problem, since she was only about 32 weeks along). I asked Romina for the word for transverse lie in Kaqchikel. 

“Kotz’ol,” she said, which literally means lying down. Logical!

“Chuqa’ ke ri’?” I asked, motioning breech position

“Tzuyül!” she smliled, which means sitting. Also logical!

“Chuqa’ wi rujolom wawe?” I motioned vertex.

“Ütz!”–which is simply “good!”

Looking forward to another day. 

Romina, Midwife
Romina, Midwife

Links:

Sep 9, 2013

Improving diet diversity through education

Nutrition focus group in session
Nutrition focus group in session

Dear friends, as I've written to you frequently over the last few years, we've been working hard to complement the core activities of this program, which include medical care and nutritional supplementation, with additional educational and support activities for mothers and fathers of young children. 

Although education can't solve all problems, it is an important part of a comprehensive solution. For example, in a report we recently published (see the link below), we discovered that many parents struggled to understand the manifestations of chronic malnutrition in their children and, therefore, tended to present late for medical evaluation. Similarly, although most parents understood the need to feed their toddlers complementary foods starting at 6 months of age, they were less likely to appreciate the importance of meal frequency and a diverse range of food groups for their children's health. 

Therefore, this year, our health promotion staff have launched an exciting range of new educational activities, which include dynamic small group classes and also individualized home visits. We've seen really positive changes in health behaviors and knowledge as a result. For example, when we tested parents knowledge before and after their participation, we discovered that, before participation, only 45% of parents felt well prepared to care for children with an episode of acute diarrhea. After participation, that number increased to 71%. As another example, before participation, only 52% of parents had a good sense of how frequently a young child should consume solid foods; after participation, this number increased to 81%. 

Most importantly, our staff have been conducting followup evaluations of dietary quality in the children of participants. We are seeing that, after participations, children are consuming more food and more diverse foods as a result of their parents' new knowledge!

In conjunction with our ongoing medical care programs, growth monitoring, and nutritional supplement, we are really excited to see the additional accrued benefit of education to our communities as these programs continue to unfold this year. 

House based nutrition visit
House based nutrition visit
Individualized nutrition assessment
Individualized nutrition assessment

Links:

Sep 9, 2013

Health for all Women

Women
Women's education class in session

Even though our work with women's health in Guatemala began with our efforts to support midwives and expand services for women during pregnancy and delivery, we recognize that this is not enough. Focusing only on the needs of women during pregnancy - or during their reproductive years - has the unfortunate side effect of neglecting the health care needs that women have across the age spectrum. 

This is why, while continuing our programs focused on improving the quality of pregnancy care, we've also been broadening our initiatives. Over the last two years, in particular, we've worked hard to augment cervical cancer screening in all the communities where our midwives work and live. This has been a tremendously well-received and much-needed initiative. As a result of the screening activities, we've picked up a number of new cervical cancer cases, which have required immediate treatment. Fortunately, at the same time that we've been developing the capacity of our community health workers to conduct screening activities, we've also been strengthening our network for cancer treatment. As a result, we are able to provide comprehensive cervical cancer treatment to any patients who are picked up during screening.

Another important benefit of the new screening programs has been the increased detection of sexually transmitted infections. Common sexually transmitted infections, especially chlamydia and gonorrhea, are very prevalent in rural Guatemala, and they are not usually diagnosed, leading to sometimes severe health problems down the road. Our cervical cancer screening staff have been also trained in the management of these conditions, and they are able to use the cervical cancer screening encounter also as an opportunity to increase detection and awareness of these other problems.

Thanks for your ongoing support of our work! 

Links:

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