1. Tambayacu | Ecuador | Latin America
Total Health Village
50 | 40 | 10®
promote. prevent. provide.
A program of mapInternational
OVERVIEW———————————————————————————————————————————————————
In an increasingly economically challenged world where health care resources are in short supply, costly and inade-
quate to meet the demand there is a need for communities to take ongoing, comprehensive action to improve their
health and well-being. MAP’s guiding principles state that among the many human needs, it is called to focus on the
ministry of Total Health. Total Health doesn’t describe the state of someone’s health, but rather the ways that individu-
als, families, and communities can take responsible action to improve their well-being. Self-empowerment and holism
are therefore important in this process.
The Total Health Village is an innovative project that facilitates self-empowerment so that communities are able to
solve most of their own problems. The program is designed to be completely participatory in nature including the initial
assessments, the planning process, the implementation, and even monitoring and evaluation. All aspects of the pro-
gram have been carefully planned to safeguard against dependency, create sustainability, and facilitate self-
empowerment.
STRATEGY—————————————————————
MAP International’s Total Health Village is remarkably innova-
tive because it does not relate to the community as a service
provider, but rather as a facilitator that guides the community
to identify needs, analyze their situation, plan a response strat-
egy, actively work with the CORP (Community’s Own Resource
Persons) and engage in solving their own problems. It is a
therefore a cost effective community development strategy
that leads to Total Well-Being; a way to impact a village or
cluster of villages of close to a thousand people through a fa-
cilitative and low input cost strategy.
LOCATION—————————————————–———
Located 30 minutes outside of Tena, Tambayacu is a Quechua and Spanish speaking community that relies on agricul-
ture and manual labor for income. Typically, men go to find work in the city as carpenters or handymen while the
women take responsibility for growing crops at home. The community has been served by two MAP-trained health pro-
moters who have managed a community pharmacy and served the community for several years. This gradually grow-
ing relationship between MAP and the community has created trust, responsibility, and enthusiasm to widen programs
to a Total Health Village.
ALIGNMENT WITH MDGs, NATIONAL PRIORITY, AND MAP INTERNATIONAL’S STRATEGIC PRIORITIES
In addition to aligning with community priorities, special efforts are made to ensure that the THV’s development pro-
gram is in alignment with the National priority of the country, the Millennium Development Goals and MAP’s 3-P-
strategy (to promote health, prevent disease and disasters, and provide essential medicines.)
OBJECTIVES—————————————————————————————————————————————
The THV seeks to address personal and social health determinants so that individuals and communities may experience
Total Health and wellbeing.
1. To develop local capacity for socioeconomic health determinants related to issues of livelihood security
and community organization through strategies such as agriculture, animal husbandry, and trade develop-
ment leading to holistic well-being (50% of the effort)
2. To develop local capacity for the prevention of common diseases managing issues such as access to safe
water, sanitation, and other preventions leading to holistic health (40% of the effort)
3. To develop local capacity for treatment of those diseases that cannot be prevented, such as gastro-
intestinal, respiratory, & systemic disorders so that disease incidence is drastically reduced (10% of the effort)
Population: 700 Total Budget: $35,000 Cost/Person/Month: $4.16

2. ENTRY POINT PROGRAM——————————— ASSESSMENTS ————————————————
The strategy or framework for operation consists of finding a This program uses modern participatory techniques such
‘point of entry’ into the village. In the Tambayacu community, as the Rapid Household Foodsecurity Status Assessment
there was an urgent need for access to clean water, so the tool (RFSA) and the Holistic Worldview Analysis tool, (at
MAP team initiated a project whereby community members right) to closely involve the community in determining
could ‘buy’ a water filter through sweat equity. So far, 38 filters the activities that will address their contextual problems.
have been distributed. The community has seen the affects of
clean water on health, and are excited to pursue further pro-
This results in high impact that is manifested as a strong
jects with MAP. sense of ownership and ongoing sustainability of the pro-
gram.
Facilitating
self-
empowerment
so that
communities
are able to
solve most of
their own
problems.
LENGTH OF PROJECT————————————— DEVELOPMENT PRIORITIES—————————
This project, which commenced in the summer of 2010, is ex- The numbers on the HWVA diagram above correspond with
pected to last 5 years. In order to achieve sustainability and the numbers below. They have been prioritized by the com-
avoid dependence, the CORP (Community’s Own Resource munity, beginning with 1. Note how the distribution of priorities
Persons) will take over greater leadership around the third year fits into the THV 50-40-10® model:
of the project, so that they will be able to access local and
other development funds, functioning like an NGO. Promote holistic well-being:
2. Identify current agricultural practices and work towards
RESOURCES NEEDED————————————— improving them
4. Identify type of crimes that occur and develop neighbor-
No Program Amount hood watches
6. Identify types of salaried workers in the village and train for
1 Community organization & capacity building for pro- 2000 increased access to jobs
posal development
7. Identify people receiving welfare and ensure it is coming to
2 Village profiling and needs assessment 1500
them regularly
9. Identify period and type of power outages and find ways to
3 Profiling of medicinal plants in the village 1500 have alternate energy sources
10. Examine current educational facilities in the village and
4 Programs to improve business (identification, analysis, 2000
explore opportunities available for further education
and training)
11. Identify different types of income, and find ways to supple-
5 Education programs in abuse and violence prevention 1000 ment with additional income
12. Identify people who are receiving welfare through a credit
6 THV facilitator training (including THV facilitation, HIV/ 3500 bond and help them develop strategies for savings and invest-
AIDS prevention, sexual abuse prevention. etc.) ment
7 Programs to improve basic services, clean water and 8000 13. Explore opportunities and study the current housing of the
other community-led development activities community to avoid crowding
Prevent disease:
8 Facilitation Support 2500
1. Identify type of contamination of water and develop strate-
9 Office space and dispensary with basic medicines 2000 gies for cleanup
3. Identify pollution related diseases and find ways to over-
10 Travel 2000 come them
11 Administration and supervisory support 3500 5. Identify causes of family conflict and set up program to
foster peace through awareness, training, and change of be-
12 Technical Backstopping 2500 havior
14. Find out more details on type and purpose of compensa-
13 Documentation and developing a curriculum for 2500
tion paid by oil companies to residents
schools
Provide essential medicines:
TOTAL 35,000 Facilities for treatment of disease
CONTACT DETAILS Dr. Ravi Jayakaran, Vice President, Global Programs rjayakaran@map.org | office: 404.492.6588
Maggy Martinez, MAP Ecuador Team Leader mmartinez@map.org | office: 593-2.2432580
Visit our website at map.org | Read our blog at blog.map.org