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Healthcare for Pregnant Women in Nicaragua

by Clinica Verde
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Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Healthcare for Pregnant Women in Nicaragua
Dr. Huete
Dr. Huete

In Nicaragua, the government continues to deny the magnitude of the pandemic, informing public health care facilities not to use PPE. They consider that personal protection such as masks may promote fear in the population during a time when they want to communicate that everything is “normal.”

Clinica Verde has always been a place of quality and good health services for the poor. Now more than ever, Clinica Verde continues to be that special place for our users.

It’s people like Dr. Huete who make Clinica Verde so special.

Since the beginning of the pandemic, Dr. Huete has asserted that her mission in life is to provide health care to those who need it, and now more than ever her mission is needed. Dr. Huete has a genuine concern for seniors and patients with chronic disease who are afraid of the risk of Covid-19 knowing that they are especially vulnerable. She has kept a backup cache of medication to provide complete treatment to patients who cannot afford it.

Dr. Huete is also concerned with taking care of each member of the CV team, giving advice, training, and correcting their use of PPE. She provides the team with a first look at their illnesses. She also has helped to develop and practice the COVID guide created for Clinica Verde, an essential step during the pandemic.

Each possible COVID-19 case has been served by Dr. Huete with the compassion and professionalism that are central to her character. It is a blessing for our patients who feel orphaned by the Nicaraguan health system.

Dr. Huete’s attitude during the pandemic has been one of exemplary leadership. She is a strong person with determination, wise, and compassionate not only with her patients but also with her workmates.

As executive director of CV, I thank Dr. Huete for this extraordinary service provided in the time of the pandemic.

Thank YOU for helping us improve lives – and stay well.


As always, we have the permission to include names of any subjects included in our stories.

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Dear Friends and Supporters,

We wanted to check in with you to let you know how we're doing at Clinica Verde as we face the COVID-19 pandemic. Currently, Nicaragua has reported only 2 cases of COVID-19, however, testing appears to be limited. As of today, neighboring Costa Rica has reported 201 cases and Honduras has reported 52 cases.

At Clinica Verde, we've put in place protocols to protect our staff, patients and the community. We've ceased all community outreach activities and non-essential services, including optometry. Our commitment to education, prevention and early detection is critical to our role as health care providers in the community. Clinica Verde staff leadership, Yolanda Paredes-Gaitan and Rafael Morales, are doing a great job addressing issues of safety while keeping foremost in mind our mission to care for the community. We'll assess the situation daily and consider the possibility of closing services if the situation worsens to the point where we feel we can't responsibly protect our team and patients.

Like most places, Personal Protective Equipment (PPE) is severely limited. Clinica Verde is in communication with the Ministry of Health of Nicaragua and will coordinate our response with local authorities, keeping this limitation in mind.

In times like this, we're reminded of the heroism of our staff and the value of each patient we have the privilege of serving. We're also reminded that you – our friends and supporters – have made everything we do possible. Thank you. To us, you are also heroes of humanity.

We send our heartfelt wishes to you, your families, and all of those who strengthen the weave of life and love in this world we share. 

Con amor,

The Board of Clinica Verde
Susan Dix Lyons, Chair
Jan Nissen, RN, Vice-Chair
David Davidovic, Treasurer
Paige Preston, Secretary
Alicia Hardy, LCSW
Nikhil Bumb
Doug Wilson, MD
Majd Zayzafoon, MD
Cristiana Chamorro

+ The Awesome Team at Clinica Verde in Nicaragua

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Dr. Daniel Amponsah
Dr. Daniel Amponsah

Today He’s a Doctor at Mass General

One of the things that makes us most proud is to see members of the Clinica Verde family move on to accomplish good and meaningful things in their lives. Daniel Amponsah is one such person. Daniel traveled to Clinica Verde in 2013 when he was a student in our HIGHER program – a hands-on education program for students interested in global health. Today, he’s a physician at Massachusetts General Hospital, the largest teaching hospital of Harvard Medical School. Our admiration goes to Daniel for his great accomplishments – and his big heart.

Where are you and what are you studying now?
I am currently an internal medicine resident at Massachusetts General Hospital in Boston, MA.

What got you interested in participating in the Clinica Verde  HIGHER program?
Missionary work has always been a passion of mine. When (HIGHER Director and CV Founding Board member) Dr. Mary Huber came to Pacific Union College (in California) to talk about traveling with a group of students, nurses and doctors to Clinica Verde, I jumped at the opportunity to join. At the time, I was becoming interested in the medical field and I believed that this would be a great experience for me to explore the field more.

What was the experience at CV like for you?
My experience was educational, fun, and eye opening. It was surprising to see how close the community seemed with the clinic. The minimum payment model and access to health care provided by Clinica Verde showed me how compassionate a business could be in order to care for those in their community. I loved rounding with the different physicians, especially with the OB/Gyn doctor.

Is there a patient or two from your time at CV that stands out to you? 
One experience I enjoyed was when we went to the villages and were able to examine the children and teach them how to use stethoscopes on each other. Another, although non-medical, is when our group went to visit an elderly group home and keep them company. Although there was a language barrier, I ended up dancing with this older lady who tried to teach me the steps to a common dance in Nicaragua.

What is your hope and plan for your career now?
My career goal after the completion of my internal medicine residency is to complete a cardiology and interventional cardiology fellowship and work in an academic institution that would allow me to join mission groups for several weeks.

Congratulations, Daniel – and thanks to all of you who helped make Daniel’s experience possible by supporting our work in the world.

*Note: We have received permission from Daniel to use his full name.

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We are delighted to share that Clinica Verde's collaboration with Amanda Martocchio Architecture on a health clinic prototype for rural Nicaraguan communities has received an American Institute of Architects Design Award from AIA Connecticut! The project was fueled by the vision, passion and commitment of the team at Amanda Martocchio Architecture, Clinica Verde staff, and the communities we serve.

“We are thrilled that our architecture studio has received this design award for the design of the Las Lagunas puesto de salud," says architect Amanda Martocchio. "However, what makes the honor truly gratifying is that we think of it not as recognition of a product of our design so much as a recognition of the process involving many collaborators across many miles who helped to make the design a built reality. It took Las Lagunas community members sharing with us their concerns and dreams for the health post, and it took the amazing staff at Clinica Verde—Yolanda, Rafael, Mary Elizabeth, and others – working with Boaco’s Department of Construction and community members; it took the local construction team committed to 'green building,' and it took the leadership of the Board of Directors of Clinica Verde and Founder Susan Dix Lyons recognizing that design can tackle tough problems.”

We are humbled and honored.

The effort was supported by and in partnership with the Ministry of Health of Nicaragua. The project goal was to develop a replicable “puesto de salud” (health post) prototype based on local building materials and methods, with details that could be adapted to different rural sites in Nicaragua. The first implementation site was Las Lagunas, in the department of Boaco. The design team met with residents and listened to their input, which informed everything from programmatic layout to paint colors, bio-intensive community gardening, and incorporating local symbols into the design. You can see more here: Las Lagunas Puesto de Salud.

Congrats to all who contributed to this project. And a huge thanks to you, our supporters, who make everything possible.


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In 2012 Clinica Verde opened its doors to serve the rural poor in Boaco, Nicaragua and in 2013 we hired David to be our first Administrator – a critical support role for our Director and General Manager. David is often the first to arrive and the last to leave our clinic health hub. He's a class act, a dedicated worker, and a supremely decent human being. Here, David shares with you in his own words what the work means to him.

By David Narvaez

On the most personal level, Clinica Verde has represented a rebirth in my life, providing me the opportunity to work for my city and for my people. But on a larger level, Clinica Verde has also meant hope.

When I look at the past and where I was in 2013, knowing each of the members of our work team, I realize that Clinica Verde has represented the biggest challenge in my professional life because it has meant constant struggle, dedicated teamwork, union of purpose and a resurgence of personal meaning in my life.

Clinica Verde became our lives. Being part of this organization made me grow little by little – not only as a human being, but as a professional and as a member of a team. As the years progressed we have watched the baby that was a dream grow step by step, through challenges and difficult times that we always overcame together.

Getting to where we are today has meant a long road full of stones, of fighting for what we believe in, of undertaking new ideas, of supporting the ideas of our colleagues, of attracting attention throughout the country and abroad, of attending to those who call us to serve, to persevere, and to focus always on working for those in need.

There is nothing better than to see the satisfaction of the team when we have completed a job and when that job represents the well-being of a patient, of giving hope in a moment of distress. To be a light of hope has meant to open Anacleta's eyes for the first time, to see the fifth and last pregnancy of Doña Dina and the first steps of her little Jordan, to meet Maicol and his family as his vision was restored, to see every woman who has been a part of our Prenatal Nutrition Program, every teenager that we have reached through our Teen Club, knowing that we have surely marked others deeply and will be remembered as a clinic that has given the opportunities of a good life.

To talk about Clinica Verde is also to think of the young people who have graduated from university with their heads full of optimism and their hearts full of vitality to serve – like Olman, Juan Miguel, Celina, and Sugey; it's to face the diseases of our colleagues Alba and Catherin as a team; it's to accept and support the departures of excellent doctors like Dr. Miranda and Dr. Varela so they can undertake new projects; it is to see Dr. Paredes arrive with a renewal of ideas; to see Rafael Morales share with the team; and to see the children of each of us grow, and watch as many have become adolescents over the past years that we have spent working at Clinica Verde together.  

And for my community of Boaco it has been the opportunity for social and economic development, as Clinica Verde has provided a place of dignity and quality to care for people who come to us in search of answers. Little by little, we have gained the trust and recognition of the people we serve, and we have earned the empathy and admiration of other organizations that have sought alliances with us so that we can continue to grow, reaching more people in more communities – including some that had never before seen a doctor or received professional medical attention.

Clínica Verde was the dream of its Founder and Board of Directors, but that dream has taken root and materialized in each of the team members who work here each day for our community. Thank you to our supporters for making this work possible, for providing opportunity and hope for so many who would otherwise not have it. You have changed lives.


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Organization Information

Clinica Verde

Location: Angwin, CA - USA
Facebook: Facebook Page
Twitter: @ClinicaVerde
Project Leader:
Susan Dix Lyons
Staff member
Angwin, CA United States
$37,598 raised of $50,000 goal
663 donations
$12,402 to go
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