Esperança has been working in Nicaragua with our partner Association of Volunteers for Community Development (AVODEC) since 2001 in the northern Department of Jinotega. In this Central American nation, an area ravaged by civil war some 20 years ago, we work to improve the health of Nicaraguan families through various public health programs including: water filtration systems, community gardens, improved housing, latrines, wells, micro-loans, and health education.
Esperança’s work is accomplished through a community network made up of hundreds of volunteers. Volunteers from surrounding villages who go through Esperança's programs provide health education and training to their own communities. Members of the volunteer network identify participating families in need of services and the group collectively works to make these changes.
Nicaragua is one of the poorest countries in Latin America. Jinotega, being a mountainous region, is isolated from resources. The land is lush and tropical, and farmers have grown crops for years in the fertile fields. However, with limited infrastructure, increasing populations, and stagnant land available, families struggle to meet their family’s nutrition and health care needs. Some 46% of these children suffer from malnutrition which accounts for 54% of all deaths of children under the age of 5. Agriculture, the most common form of employment in Jinotega, is also the lowest paying, causing families to live in extreme poverty. With development, water sources in the region have also become increasingly polluted with silt, sewage, and bacteria.
In 2019, due to an increasingly violent political climate, Esperança launched its medical brigade program, sending one team per week to different Nicaraguan communities, offering free primary, dental, and pediatric care.
