We also gladly accept donations of non-expired medicines and lab tests to use in these programs! Ask for details.
About the Health Care Venture:
| "It is one of the most rewarding things you will ever do, and you will have the chance to use all your skills in a creative way. . . . You will also make friends with some of the most gracious people you will ever meet, and their gratitude will overwhelm you."-- Judi, volunteer from Montana |
Experience life in the highlands of Ecuador while sharing your skills with community members. Be part of a team that provides medical care for schoolchildren and adult community members. After a lunch provided by the community, learn more about local culture through a cooking class or a visit with a traditional healer. A delicious dinner and time to socialize with a great group of volunteers in a comfortable inn will cap off your day. Short, but so much deeper than a tour, this opportunity is unique in its ability to connect you with people. You will give to the community and receive much in return.
Cost: $1,689 for one week or $2,967 for two weeks does not include airfare but does include food, lodging, transportation within Ecuador, and all planned activities (based on double occupancy. For single occupancy add $153 per week.) Discount available if paid in full by check at least 6 weeks prior to program start: $1,650 for one week or $2,900 for two weeks; for single occupancy add $150. We provide one airport pickup on the first Saturday evening, and two options for transportation back to the airport, on the last Saturday night or Sunday morning. If your plans require different pickups or drop-offs, you will need to cover those on your own.
Did you know that your trip with Tandana is a net zero emission trip? Click 
here for more details.
Fly to Quito. We will send a bus to pick up participants at the airport on Saturday evening. Most flights arrive very late in the evening.
(We can no longer provide pickups at other locations or times.)
Welcome and orientation, learn your role and prepare for the week's work. Participate in a language class and learn about local culture.
Care for patients from about 9 am to 2 pm in elementary schools or rural health centers; eat lunch with community members; then enjoy afternoon activities such as a hike to a sacred site, a visit with a traditional healer, or a cooking class.
Shop in the world-renowned Otavalo market, enjoy a fun outing together as a group, such as to Mojanda Lakes or the Lechero tree. New volunteers fly into Quito, where you will be met by a bus or van that will carry you two hours to Otavalo. Departing volunteers may fly out on late night flights or spend one more night at the hotel.
Orientation, training, and language class for newly-arrived volunteers.
Departing volunteers head to the airport early in the morning.
Care for patients from about 9 am to 2 pm in elementary schools or community centers; eat lunch with community members; then enjoy afternoon activities such as hikes to beautiful sites or cooking class with local friends.
Shop in the world-renowned Otavalo market, enjoy an outing together as a group. Final dinner to celebrate. You may fly out on late night flights or spend one more night at the hotel.
Return to the airport for morning flights.
Through our health care program in Ecuador, The Tandana Foundation aims to improve rural community members’ access to basic health care and support local rural health professionals in caring for their population. Tandana’s health care work has two stages: community visits by groups that include North American health care providers and extensive follow up after these visits. We also support the local health centers with particular needs.
Our community visits are made possible through our Health Care Volunteer Venture program twice a year and by custom programs we coordinate for hospitals or medical schools when possible. Volunteers including doctors, P.A.s, dentists, nurses, physical therapists, and willing assistants sign up for these programs and spend one or two weeks in Ecuador. Together with Tandana staff and local professionals including staff from the local health centers and interpreters, these groups visit various communities in the canton of Otavalo. We coordinate with the Ecuadorian Consulates in the United States, the Ministry of Public Health, the Quinchinche and Gualsaqui Subcentros, the Mojandita Health Center, and the Union of Indigenous Communities of Quichinche. We have provided over 8,000 patient visits since we began the program in 2007.
Our Health Care Volunteer Venture groups work mostly in communities pertaining to the Quichinche and Gualsaqui Subcentros (rural health centers). We collaborate with Subcentro staff to visit the more distant communities that are served by their center. The Subcentro staff are mandated to visit these communities regularly, but are given no funding to do so and have very limited supplies of medications. With Tandana’s help, they are able to fulfill their mission of providing care in these distant communities, from which access to the Subcentro is difficult.
When patients arrive at the school, community center, or health center where we are working, Tandana staff and volunteers take their names, ask basic questions, and take vitals, preparing them to see the health care providers. Working with interpreters, the providers examine the patients, make diagnoses, and prescribe medications from our portable pharmacy. We ask for a contribution of 50 cents per family for the medications in order to encourage patients to take responsibility for their health and to promote the valuation of the medicines. Following our providers' recommendations, a nurse or other volunteer performs basic laboratory tests, such as those for H. pylori, urinalysis, pregnancy, and streptococcus, on the spot and does ear cleanings as necessary. We are also able to do ultrasounds during our visits. Our providers fill out referral forms for any patients they feel need additional care, tests, or specialists.
During our community visits, we can also address dental, vision, pediatric, and preventative care needs. Volunteer North American and local dentists use our portable dental equipment to fill cavities, extract teeth, and do preventative treatments such as sealants and fluoride. For vision complaints, we conduct vision screening, provide reading glasses to those who need them, and refer those who require more specialized diagnosis and treatment to Fundacion Vista Para Todos. At schools, we weigh and measure the children, a nurse or doctor listens to their hearts and lungs, and we provide parasite medication if the children have not received it within 6 months of our visit. To round out our community visits, we also give educational talks on such topics as nutrition and family planning when time and human resources permit.
For all of these services, we keep records so that as patients return for subsequent community visits, we have their history available. Thanks to our Electronic Medical Record system, we no longer have to haul around boxes of paper files, which lightens our load both literally and figuratively.
The Tandana Foundation is committed to providing culturally- and individually- respectful care. Volunteers receive orientation including an introduction to the local culture and a discussion of the cross-cultural aspects of our work. Our team always includes at least one fluent Kichwa speaker, and we take the time to listen to patients fully even while trying to be efficient so that we can see more patients. We promote a spirit of collaboration with local health care options, including both professionals in Western medicine and traditional healers such as shamans, yachaks, and sabios. We see our work as complementary rather than contradictory to that of traditional healers, and we make efforts to meet with, discuss with, and learn from local individuals with these specialties.
The second phase of our health care work begins after the visits to the communities have taken place. Tandana's Community Health and Well-being Coordinator and interns review the referral forms and make a plan for where each of the patients needs to go. Staff communicate with the patients and advocate for them in the public health system. It is our goal that, through this process, patients learn how to use the system on their own.
Through many appointments, first at the rural health center, then at the hospital, and sometimes at specialized hospitals in the capital city of Quito or with other organizations such as Vista Para Todos or the Lions Club, patients access the care they need. Whether they need lab tests, specialists, surgeries, or eyeglasses, our Community Health and Well-being Program Coordinator works tirelessly to help them access the resources that are available. We work primarily with the Ministry of Health, and also with other foundations and private options when the public system does not offer what a patient needs.
Unfortunately, access to health services is very difficult for people living in rural communities for the following reasons:
Difficulties understanding the procedures to be followed
Transportation challenges
Communication gaps among the different levels of care
Difficulty scheduling appointments and long wait times
Cultural differences, language barriers, and racism
Our staff works with patients to navigate and overcome these challenges so that they can benefit from the services to which they are entitled as citizens of Ecuador and improve their health. Our goal is to ensure that once patients are on track and learn how to navigate the health system, from that point forward they are able to take advantage of its resources on their own.
Do volunteers need to have medical backgrounds (e.g., nurse, physician) or skills? What opportunities are there for people without medical training?
What type of health care services are provided by the volunteers?
Who seeks care for the services that are provided? What alternatives exist for people in the community/area?
What are the costs to the communities of participating/hosting the volunteers?
Typically how large is the group of volunteers?
Are volunteers required to speak Spanish? If not, how are interactions facilitated?
Do I need vaccinations to go on this trip?
The CDC recommends vaccinations against Hepatitis A, typhoid, tetanus-diphtheria and measles. Yellow fever is recommended for other parts of Ecuador but is not necessary in the mountains where we work. Vaccinations are up to your own discretion.
I've heard about the Zika virus. Should I be concerned for my health?
What are the accommodations?
Casa Latitud. Rooms all have private baths, comfortable beds, and have outlets using the same electricity as the U.S. Wi-fi is available in the common area. Breakfast each day is a treat that offers fresh local fruits and juices, excellent coffee and a selection of hot breakfast items to start your day off right. The garden and patio area are an oasis with a view of 2 inactive volcanos. And the location is perfect for market shopping just 4 blocks away.Will my electronic devices work in Ecuador?
Yes, Ecuador uses the same electrical currents and plugs as the United States does, so you don't need a special adapter.
We'll send you a "welcome" packet a month or so before your departure, which includes a suggested packing list.What should I pack to take on this trip?
What is the daily schedule like?
All of Tandana's volunteer programs are led by a team of Program Coordinators who have first-hand knowledge of the region, speak both Spanish and English, have expertise in experiential education and group leadership, hold WFA (Wilderness First Aid) or other certifications that have prepared them to handle emergencies, and are caring and capable individuals. Our permanent local staff is always on hand to help with translation, activities, logistics, and anything else to make sure the volunteers' experience is the best it can possibly be. See here for bios of some Program Coordinators.Who leads the groups of volunteers? Who do I turn to when I need help?
What percent of the trip fee goes to the community and for costs related to providing health care services?
What if I can't find the answer to my question on this FAQ page?
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