Project #10750

Better Maternal Care for Adolescent Tarahumaras

by One Heart World-Wide
Apr 24, 2013

Guachochi April 2013

Carlos Tapadera, Master Trainer
Carlos Tapadera, Master Trainer

We have started the year in good spirits and with a lot of optimism. One Heart has been working hard to train as many people from rural communities as possible in order to reach out to pregnant women residing in the remote areas of the Canyon.

In January, health workers from the state of Chihuahua received a Cultural Sensitivity training for the first time. The idea behind this, is the need to bring deeper awareness to health care providers about  the cultural beliefs that the Tarahumara women hold in order to communicate more clearly, effectively, and in a manner that is respectful of their cultural differences. The majority of the health staff that work in rural communities, we have realized, are mestizos, meaning they do not consider themselves indigenous. Due to the differing perspectives and practices held by the mestizos and the Tarahumaras, we believe it is important for health workers to be more open to the cultural beliefs of the many indigenous groups within Mexico, in order to provide improved, client-centered care to the indigenous women that are at risk of dying in childbirth.

We have set a goal to train at least 200 community health volunteers in two municipalities, Urique and Guachochi. To date, we are pleased to report that we have already trained 90 of them. Community health volunteers are such an essential part of the "Network of Safety" model, functioning as our Foot Soldiers of Change to provide outreach to the remote communities of the Canyon. We are increasing the number of community health volunteers we train because the more we train, the greater number of women we will reach. These Foot Soldiers are trained in basic life saving skills, basic prenatal care and emergency evacuation and stabilization. All of the 90 people that have been trained take the responsibility to spread messages about the benefits of receiving adequate maternal health care to their communities. It is because of this, that more women are now accessing care on time, have increased their visits to a doctor in a clinic, and feel more comfortable delivering in a clinic near their home. 

In addition to having made a requirement for health staff to receive a Cultural Sensitivity training, we are also providing doctors and nurses with receiving training in emergency obstetrics and neonatal resuscitation. So far this year, we have trained 44 nurses and doctors, and are expecting to train another 40 in May. We make sure that all staff that is trained has direct contact with rural areas of the Copper Canyon to ensure that pregnant women in the greatest need receive most of the benefits from these of trainings, which are designed specifically for high risk areas. 

We are proud to also announce that for the first time since we arrived to Mexico, we were able to bring some of our supporters to visit the Copper Canyon and to get a first hand look at how we develop and implement our programs for the safety of mothers and newborns. We must say that it was an unforgettable experience and are hoping to do it again next year.

Community health volunteer training
Community health volunteer training
Emergency Obstetrics training
Emergency Obstetrics training
First hand look at the Copper Canyon
First hand look at the Copper Canyon
Basic Prenatal care training
Basic Prenatal care training
Basic Prenatal Care Training
Basic Prenatal Care Training



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Organization Information

One Heart World-Wide

Location: San Francisco, California - USA
Website: http:/​/​
Project Leader:
Arlene Samen
San Francisco, CA United States

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