The AHD Model

AHD is the only rural health provider in Latin America that delivers quality care based on a proven model of self-sufficiency and capacity building. AHD offers the only residency program that trains rural family physicians — where local faculty train Ecuadorian physicians to work in their own communities.

AHD has been operating Hospital PVM for 17 years and has served more than 150,000 people. PVM has been financially self-sustaining since 2007. In 2014, AHD constructed and opened a 60-bed facility, Hesburgh Hospital, in a different part of the country, Santo Domingo.

In addition to adding critically needed hospital care to an area where 400,000 mostly poor people live, this new hospital allowed AHD to expand its family medicine residency program from 6 doctors a year to 60, and to conduct meaningful public health research in the community. Both facilities are operated 100% by Ecuadorians.

Andean Health trains local doctors in Family Medicine through a 3-year residency program in partnership with the Catholic University of Ecuador. Graduates of the program train 50 doctors in a special program with Ecuador’s Ministry of Health. Those doctors learn AHD’s best medical and administrative practices and bring them out to their public places of employment.

Residents train in AHD’s state-of-the-art simulation lab located on Hesburgh Hospital’s campus, which was designed with Northwestern’s Feinberg School of Medicine and Jump Simulation in Peoria, Illinois.

AHD’s hospitals utilize a unique combination of local financing mechanisms and public-private partnerships in order to be financially self-sustaining: fees for service, payments from Ecuador’s Social Security Institute, contracts with local companies, and contributions from local municipalities.

This means that donations from the U.S. are used to expand the model and training programs, as opposed to paying for day-to-day operations at AHD’s hospitals.

  • Hospital Pedro Vicente Maldonado – 100% Sustainable
  • Hesburgh Hospital – 65% Sustainable
  • Residency Programs – 85% Sustainable
  • Research Initiatives – 100% Sustainable

Andean Health & Development’s hospitals are staffed with 100% local Ecuadorians. We work with and for the communities we serve. We do not operate a parallel system to the public one; instead we believe that working within the existing system is the only way to transform it.

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Hesburgh Hospital


The hospital’s campus includes:

  • a residency program that trains 60 doctors a year
  • a simulation lab contextualized for rural Ecuador
  • two operating rooms
  • a full ER
  • a pharmacy
  • a laboratory
  • isolation wards
  • a neonatal unit
  • dental services
  • an ultrasound machine
  • a CT scanner
  • an MRI
  • a dorm for physician residents
  • in- and out-patient wings

The hospital serves every patient who comes through the door and each day, moves closer to financial break-even.

Hesburgh Hospital opened in June 2014, but we still are raising funds to realize the dream of a full service, financially self-sustaining teaching hospital.

Our Vision


By 2020, AHD will be recognized as a significant leader in impacting the health of the Andean region through its Andean Health Institute whose focus will include the:

  • exportation of the AHD patient care and teaching model around Ecuador and to neighboring countries
  • training of health care professionals to be leaders in their communities
  • use of information technology for health care delivery
  • development of local and international partnerships to improve health care delivery.
Read our Strategic Plan


2017 Bike Ride

Join the Andean Health Cycling Team on the “LAKE MICHIGAN 500” in celebrating AHD’s 20th anniversary.

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