Project #5585

Support Kaqchikel midwives in Guatemala

by Wuqu' Kawoq

Dear Friends, 

Over the last few months, I've been working with our midwife colleagues to develop a robust plan for evaluating the exciting work they are doing. Since we've been working with them on this project for more than 5 years, and seen many great successes along the way, now feels like the right time to help them build some deeper capacity for collecting and analyzing data, which is an important part of being an effective health care organization. We've taken as a starting point our very successful pilot project developing a protocol for the treatment of postpartum hemorrhage. Over the next few months, we'll be training the midwives to collect their own data on how this program is going - they'll be looking at things like adherence to treatment protocols among the organization's members, volume of patients treated, supply line problems related to medication distribution, and the like. We are hopeful that this will be the start of a new initiative in the program to improve self-reflection, evaluation, and quality improvement. 

While this capacity building work is going on, simultaneously our sexual health education classes and cervical cancer screening programs are really picking up momentum for the year. These programs are extremely popular and well attended. We are also fortunate to have a volunteer medical student with us for the year who has been sitting in on the classes and providing close feedback to our staff and facilitators. Consequently we're seeing that each round of classes gets better through continuous curriculum improvement. I've attached some photos of classes in session, which I'm sure you will all enjoy. 

Thanks for your support, and please do consider us this year also in your giving. 


Dear friends, 

In my last report I gave you some updates on our plans for 2013. I'm happy to announce that things are moving forward at a steady pace. 

As I let you know in October, a major goal for this project in 2013 will be to expand on our already successful sexual health trainings for women in our partner communities. At the same time, we are also looking at ways to improve our coverage of women's medical care. In our partner communities, we've always provided access to family planning methods, prenatal care, and screening and treatment for cervical cancer. However, the goal for this year is to increase the demand for those services significantly. 

To help with this, we've brought on new staff members and new volunteers, including educational specialists and health promoters. We had our first planning meets for the year at the beginning of January, and the enthusiasm and energy on the team is very encouraging! 

I'm returning to Guatemala next week to do more staff training and also to plan specific activities for the first half of the year. I'll keep you updated, and I hope to have some new pictures soon! 

In the meantime, thanks as always for your support!


Dear friends, 

As the end of the year draws close, we've been making plans for our midwifery and women's health programs  for 2013. This is always an exciting time of the year, because it gives us a chance to reflect back on the accomplishments of the past year and plan for any upcoming new goals.

For example, we've been helping to provide education to lay indigenous midwives in Guatemala for over 5 years now. This model has been very successful and has attracted a lot of attention around the region. As a result, in 2013, we'll be expanding the training to a third town, meaning that midwives will have more options in deciding which training event is closest to their home. We anticipate having around 120 different participating midwives this year. Collectively, these midwives represent 5 different municipalities and cover a population of over 150,000 with obstetrical services. 

Another goal for the coming year is continued expansion of our sexual health training curriculum for women. We've learned over the years that most rural indigenous women have very little exposure to basic health education and have no forum in which they can comfortably and safely have their questions about sexual health and family planning addressed. We plan to provide educational sessions to 400 women in 2013. What's more, each participant will have full access to our other health services, including free cervical cancer screening and access to family planning methods. 

As always, our work would not be possible without your support! Please consider continuing to support this exciting project in your holiday or year end giving! Don't forget that the Global Giving interface will allow you to donate in honor of a loved one - a great idea for alternative gift giving!



Wuqu' Kawoq is pleased to announce that one of our partner organizations in women's health, the midwifery cooperative of ACOTCHI (Asociacion de Comadronas Tradicionales de Chimaltenango), recently opened up its own dedicated birthing center in Chiq'a'l/San Juan Comalapa.  Wuqu' Kawoq has been collaborating with ACOTCHI for nearly a decade to support midwife training programs delivered in Kaqchikel, to assist with adult literacy classes, and to hold primary health care clinics.  Our relationships with many of ACOTCHI's midwives have facilitated not only improvement of prenatal care to many Kaqchikel women, but also nutrition and diabetes programming  in several rural communities of the Kaqchikel highlands.
During the inauguration of the new clinic, ACOTCHI's Director, Erika Yax, commented, "It has been very difficult to reach this point.  We began on the one has ever made sure that midwives have had an adequate or dignified space in which to work.  This is a dream, and it is just the beginning."  
As Wuqu' Kawoq continues to collaborate with ACOTCHI in this beautiful new clinical space, we will contribute to ACOTCHI's admirable efforts in lowering maternal mortality rates and providing high quality prenatal and post-partum care to Kaqchikel women.


Dear friends, thanks for your continued support of our work with women and midwives in Guatemala! So far 2012 has been a busy year. Training classes for midwives continue on track. Furthermore, women's health classes are being offered by our staff in multiple locations. As I mentioned in the last project update, some of our nursing staff recently received additional training in IUD insertion and in the management of other forms of contraception.

I wanted to use this project update to focus on this last issue for a few moments. In communities where we have medical programs, it is not uncommon for 70-80% of women to have no regular access to family planning methods. Serial pregnancies are a big problem for our participants, because they result in depletion of women's energy and health. Furthermore, they place enormous financial strain on families, who find themselves unable to provide sufficient food to their many children. For these reasons, providing access to high quality family planning services is an important step in breaking the cycle of poverty.

We have found that our engagement with women of all ages through health classes, as well as providing health care to pregnant women and their newly born babies, has created great opportunities to introduce family planning resources. This has been very successful. Participants are very appreciative, and uptake of various planning methods has been rapid. In one community, for example, we have noticed that the pregnancy rate has fallen about 75% over the last two years!

As always, thanks for your ongoing support. As a reminder, GlobalGiving is conducting a special Mother's Day campaign from May 1-13. All donations made to this project (or to our other projects, here or here) "in honor of" a loved one during this time will make us eligible for additional funds! 

Also, if you are interested in signing up for more regular updates on our work in Guatemala, click here.



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Organization Information

Wuqu' Kawoq

Location: Bethel, VT - USA
Website: http:/​/​
Project Leader:
Peter Rohloff
Executive Director
Bethel, VT United States

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