More than 25 years ago I was standing in our makeshift outpatient room in the small, rural town of Pedro Vicente Maldonado (PVM) staring at Alfredo, a young boy with a snakebite, wondering what exactly could be done for him.
Fall 2025 News
More than 25 years ago I was standing in our makeshift outpatient room in the small, rural town of Pedro Vicente Maldonado (PVM) staring at Alfredo, a young boy with a snakebite, wondering what exactly could be done for him.
While I only joined the AHD team in the US earlier this year, I am not new to Ecuador or AHD. I was born in Ecuador, where much of my extended family still lives. I have been spending time there during my whole life, and have traveled extensively throughout the country.
Ecuador is a tropical country. Much emphasis from the global community on how to diagnose and treat diseases revolves around those conditions that we are not accustomed to seeing in the US, such as malaria, dengue, worms, and other parasitic infections.
As you put together your complex holiday menu on a chilly winter day, I would like to share with you another complexity we face beyond the already challenging landscape of health care delivery: energy shortage.
In 2010, I spent some time at our hospital in Pedro Vicente Maldonado (PVM), the only one we had at the time. The hospital administrator told me she needed to take a trip to the coast for a meeting at a public hospital. Would I like to come along? We arrived at a rundown clinic
55-year-old Marta has chronic kidney disease related to diabetes and hypertension. She has received hemodialysis a few times a week for the past year but missed a week of dialysis. Short of breath, she went to one of Ecuador’s public health centers outside of the small, coastal town of Quevedo.
Having been “in the field” now for more than 25 years, Andean Health & Development (AHD) has seen a very interesting and positive evolution of the “small hospital” and how it connects with primary health care services in the community.
How can a hospital – with all its complex patient care flows, inventories, purchasing, billing, and production monitoring – do it all in an effective, meaningful way, while making sure every dollar is spent wisely? This is a challenge faced by virtually all hospitals.
Medicine is constantly evolving. As we gain knowledge and learn new skills, patient care improves. That’s why professional academies and hospitals in the U.S. provide—and demand—regular professional development.
More than 25 years have passed since Andean Health & Development began. Like any organization, it has faced multiple challenges: human, financial, social and even political.