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Aguayo: where we are now. (By Sandra)

I've been here three months now. Each month, Ruth, Jen and I have an update on the progress of the project in each of the 5 municipalities. There is much information to collect, we review our work plans, we plan our activities for the next month. The project is large, we work together, but we do have each our mandates.

A summary of mine:

- support the implementation of an intercultural team (doctors + traditional doctors / midwife) and a delivery room intercultural in each municipality.

- Capacity building through workshops and "intercambios" for medical staff, midwives, traditional doctors and municipal technicians.

- Assess and strengthen roles and responsibilities of the project technicians municipiaux A Aguayo. At

Curahuara of Carangas: we opened the new birthing center on Tuesday along with the Canadian delegation, the municipality, the municipal council, the original authorities, the Aymara Mancomunidad sin fronteras, the group of moms Curahuara, the traditional association of md and health team of the hospital. (Pictures coming soon)

In other municipalities, corqui, Belen de Andamarca, Huayllamarca and Totora, the delivery rooms intercultural (outside of the hospital or in hospital but with an entry independent) are under construction and should be completed in March. Previously, the project team conducted a study on the needs of women from each community. Women want a place that resembles their home, a warm, welcoming, with an independent entrance, space for their families, a kitchen and a mattress on the floor to give birth. They want to choose an advocate who will assist them, either the midwife or doctor. We motivate the troops So contractors, we see that the plans meet the needs of women (otherwise, it is letters and tons of shows), equipment is being purchased.

We are in the process of recruitment of traditional midwives. At Curahuara, Totora and Belen of Andamarca, interviews were conducted with families and midwives. A midwife was hired by municipality. The remaining interviews corqui. But it was difficult to reach the Director ® to plan our visit. Communications difficult here. At Huayllamarca, no traditional midwife ... health team has therefore opted to train in the humanized vision and intercultural.

We began to all municipalities except corqui a series of 6 workshops for developing skills for traditional doctors. Under the new policy of Evo Morales ssanté intercultural, each health center should have a traditional midwife and a traditional md. The idea is brilliant and innovative, but cons, how to not established on the salary (nothing is planned right now ... it's a case by case!), Integration The training ...

So, following 6 workshops, we will support groups md traditional in their recognition process with the health department of Oruro. So we are making lists md traditional facilitate the establishment of associations.

A new problem (of size) are just pointing the nose: our leaders, former Deputy Minister of md tradicional Andean and a nutritionist, just after we drop s' be canceled 3 times during the last 4 workshops planned! It's a shame, because Don Savino, former vice-minister, is really an excellent host and has very solid knowledge. But he was not motivated, it is not more reliable, because it wanted greater financial rewards ... Then there were three consecutive weekends of scheduled for these workshops ... but we have more animators! It is currently actively looking.

I will propose in the coming months for a redrafting municipal engineer-ing project. At this time, a person who works at the municipality is responsible for the project for its region. We offer a financial reward. By cons, these people are already busy with their work at the municipality, they have no time to put on the project and more knowledgeable bit healthy and maybe they are not interested not much either. In fact, it does not work at all. And according to me and the rest of the team, we definitely need a person on site at all times, which can monitor the progress (or not) of the project, motivate people, stay connected with families of the community. For us who travel a few days a month in the communities, it is impossible to get to be as effective, particularly on the follow. We meet, the municipality or the health team said they will do this or that ... but how to monitor? When in addition, communications are ineffective?? No internet and cell lines that shed all the time ... and that is when there is!

So that's where we are right now. There is a sixth municipality who enters the next this month, Santiago de Callapa. It was not idle here!