Guatemala April 9-15, 2023

A long awaited, and very successful trip to Santiago Atitlan in Guatemala finally occurred in April 2023. Santiago is home to close to 50,000 indigenous Tzutujil Maya, most of whom cannot afford medical care. Due to the COVID pandemic, the CHIMPS group had to cancel their first trip to Guatemala scheduled for April 2020. CHIMPS donated the funds it raised for the 2020 trip and shipped the medical supplies group members collected to Hospitalito Atitlan, the small non governmental, non profit hospital in the area.

The April 2023 group was comprised of nine medical volunteers, including four general pediatricians, a pediatric pulmonologist, a pediatric resident, an urgent care pediatrician/internist, a family practitioner, and a pediatric nurse practitioner. We worked alongside staff and community members to augment the relatively scarce pediatric services to close to 400 children in the week we were in Santiago and neighboring communities. We helped staff outpatient clinics at Hospitalito Atitlan, Hospital Greg Schaefer in San Lucas, village clinics in Cerro de Oro, Chacaya, a local governmental health center, CAIMI, and the coffee Finca de Olas Moca. We also saw patients at ADISA, a center for children with developmental disabilities in the region. In all of these sites, pediatricians are needed to treat and identify children who need follow up and specialty care.

Hospitalito Atitlan is a new CHIMPS partner, and was chosen because of the need for pediatric services in the area, the ability to collaborate with a community institution that knows the needs of the Mayan patient population well, and the ability to provide continuity of care.

We will be making another trip to Santiago Atitlan in 2024.

Success in Liberia

CHIMPS continues to explore partnerships with organizations doing work with underserved communities in developing countries. CHIMPS was founded on partnerships with groups in El Salvador, but instability of local NGO partners and increasing violence resulted in terminating that work in 2015. In addition to some members starting to work in Guatemala, others shifted their work to Liberia where they have worked with Liberian pediatricians to develop a social and health support program for teen mothers and their infants that is currently operational at two sites in Liberia. With support from US pediatricians Dr's Elinor Graham, Maggie Wheeler and Patricia McQuilkin, Liberia's Enhanced Well Child Care (EWCC) Staff has put together a manual about how to establish an enhanced well child care program for teen parents and their infants which is found in the Resources section. CHIMPS has also functioned as the US fiscal agent to raise funding to expand this project to additional sites in Liberia. An overview of this project is found in this presentation that the Liberian staff gave to the International Pediatric Association. The CHIMPS-supported programs have continued through the pandemic at two main teaching hospitals for Pediatrics in Liberia and a similar program has been started at a third teaching hospital that hosts Liberian physicians who are training to become specialists in Family Medicine. The economy in Liberia has taken a downward spiral from the global impact of the pandemic and the EWCC staff report marked increases in malnutrition in the infants of teen mothers.

Developing Sustainable Programs to Support Liberian Teen Mothers and Their Infants

Current Activities

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CHIMPS is sending six pediatricians to El Hospitalito in Santiago Atitlan (https://hospitalitoatitlan.org/ ) in April 2020. This will be our first formal activity at this site although CHIMPS members have gone there to do a site visit and to work individually for the past 2 years. Hospitalito Atitlán is a small private nonprofit hospital serving 75,000 Maya living on the southern shore of beautiful Lake Atitlán in the Guatemalan highlands. The hospital provides a full-range of preventive and clinical health services with an emphasis on women and children and has the only 24/7 emergency and surgical obstetrical care for patients within a two hour travel radius as well as a 24-hour lab, orthopedic services, and general surgery and anesthesia. Many of their patients cannot afford care. In 2018, the hospital provided $205,305.00 in free and discounted medical care in the hospital and in community outreach clinics. It receives donations of money and equipment from a range of NGOs, and relies on teams of volunteer specialists many of whom come from the US to help deliver health care.

Dr. Sarah Bergman Lewis, a pediatrician from Seattle has worked there as a volunteer during the past 2 years and focused on community outreach to very poor families some with medically complex children and all with little access to health care. Our team will continue this work as well as do in-service trainings for hospital staff. Here is an article in their newsletter about Dr. Bergman’s work:

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