Traditional midwife Estela Ajtun (above) supported 20-year-old mother Deisy Ajca Abac. At 9 months pregnant, she was experiencing swollen feet, a headache and difficulty breathing. Deisy activated her family emergency plan created by midwife Estela, who accompanied her to the General Hospital where she delivered through a cesarean section. Estela is happy to report that mother and newborn are doing well!

Comadronas

Reinvesting in Maternal, Newborn, and Child Health (MNCH) in Guatemala: Supporting Indigenous Lives by Re-equipping Traditional Midwives in the Municipality of Momostenango

Partner:

Association for Health Promotion, Research, and Education (PIES de Occidente / PIES)

Location:

Momostenang, Department of Totonicapán, Guatemala

Themes:

Community Health; Violence against women & femicide

Start Date:

May 2024 – April 2027

Project Summary

Background: “Reinvesting in Maternal, Newborn, and Child Health (MNCH) in Guatemala: Supporting Indigenous Lives by Re-equipping Traditional Midwives in the Municipality of Momostenango” is a project which naturally follows our Maternal, Newborn and Child Health Project (MNCH) work in Guatemala. Our MNCH Project was implemented between 2016 and 2021 to address complex healthcare deficits for Guatemala’s Indigenous communities. It was a $13.2 million project implemented by Horizons and our partner PIES de Occidente and supported by Global Affairs Canada to improve maternal, newborn and child health in the entire Department of Totonicapán, Guatemala. This project focused on collaboration with existing structures of healthcare governance and service at the community, municipal, and department levels to increase the access to and utilization of health services for women and their children with the goal of decreasing maternal and newborn deaths in Totonicapán. It was completed with huge success, including a 20% reduction in maternal mortality and a 70% reduction in mortality of children under five years of age across the province of Totonicapán. Further, the project enhanced medical care and worked with adolescent girls and boys to comprehensively address the MNCH challenges in the province of Totonicapán.
 
The present project follows closely from our MNCH project success and responds to requests for support received from 175 traditional midwives in the Municipality of Momostenango. They have asked Horizons and PIES to support them by replenishing their equipment and supplies and providing training to refresh their skills and knowledge in the effective use of these items and related procedures.
 
By continuing to advance women’s equal participation in decisions that affect their health and the future of their children, and reducing gender inequalities in access to health resources, this project will continue the work started in our MNCH project to ensure women and their children have access to the essential, basic, health care they need and deserve.
In March 2025, 159 Comadronas participated in three-day workshops, promoting access to health services (above) and learning to create Family Emergency Plans for expectant mothers, including encouraging mothers to prepare a hospital bag in advance, gathering medical documents and health cards, and having caretakers for other children in place. May celebrated the National Day of the Midwife (below), celebrating, recognizing and dignifying the work of midwives in Guatemala.
To date, many workshops have been facilitated for the participating traditional midwives on topics including group prenatal care methodologies, introduction to the lifecycle of a fetus, warning signs to look out for during pregnancy, and the importance of proper nutrition during pregnancy.

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