Reducing Gaps for Indigenous Peoples 2016-2020

Reporting Organization:Horizons of Friendship
Total Budget ($CAD):$ 13,336,153
Timeframe: March 22, 2016 - September 30, 2021
Status: Completion
Contact Information: Laura Gamez
[email protected]

Partner & Funder Profiles

Reporting Organization

Horizons of Friendship

Participating Organizations

  • Government and Public Sector

  • NGOs

    • Association for Health Promotion, Research and Education (PIES)

Funders (Total Budget Contribution)

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Country - Total Budget Allocation

Guatemala - $ 13,202,791.59 (99.00%)

Canada - $ 133,361.53 (1.00%)

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Areas of Focus

Health - Total Budget Allocation

Reproductive Health & Rights incl. Maternal Health (50 %)

Health Systems, Training & Infrastructure (25 %)

Primary Health Care (25 %)

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The Reducing Gaps for Indigenous Peoples initiative aims to reduce maternal and child mortality in Guatemala’s predominantly Indigenous Department of Totonicapan. It will help improve the delivery of health services through increasing service coverage, especially in remote areas; training, monitoring and equipping indigenous midwives; and improving the collection and submission of data on vital events. It will also help increase the utilization of essential health services by mothers, pregnant women, newborns and children under the age of five. This includes increasing family access to personalized counselling on family planning, exclusive breastfeeding and full immunization.

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Target Population

Gender and age: Adult women Adolescent females Adolescent males Under-5 children Newborns
Descriptors: Rural Other Indigenous Maya-K'iche Communities
Total Direct Population: 303,836
Total Indirect Population: 243,306
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904 Training & Equipment
25,292 MNCH counselling
35 Equipment
52,000 Nutrition
5,810 Training
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Results & Indicators

Expected Results

The expected intermediate outcomes for this project include: (1) improved delivery of essential health services to mothers, pregnant women, newborns, and children under five; (2) improved utilisation of essential health services by mothers, pregnant women, newborns and children under five; and (3) increased understanding and technical cooperation between Canada and Guatemala for improving maternal, newborn and child health

Achieved Results

Results achieved by the end of the project include: (1) 14,091 births have been attended by skilled health personnel; (2) 24,446 women have received antenatal care at least four times during pregnancy representing an increase of 34% since the beginning of the project; (3) 32 traditional Indigenous midwives are trained as trainers in upgraded maternal and child health practices; (4) 904 additional traditional Indigenous midwives have been trained to deliver ancestral and updated maternal and child health practices; (5) 102,884 women were reached on favourable maternal, newborn and child health practices through 551 focus group discussions, an additional 33,099 women and 4,473 men were reached through home visits providing personalized counselling in nutrition and maternal care; and (6) 3,989 traditional community leaders have increased their knowledge of maternal, newborn, and child health. These results contributed to improved delivery and utilization of essential health services for mothers, pregnant women, newborns and children, resulting in a 20% decrease in maternal mortality ratio and 70% decrease in mortality ratio for children under five in in Totonicapán.


MNCH-related indicators
  • %/total of women attended at least four times during pregnancy by any provider for reasons related to the pregnancy
SDG Goal 3. Ensure healthy lives and promote well-being for all at all ages
  • SDG 3.1.1 Maternal mortality ratio
  • SDG 3.1.2 Proportion of births attended by skilled health personnel
  • SDG 3.2.1 Under‑5 mortality rate
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Associated Projects (If applicable)

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