Paraguay has a long history of insecurity in various forms, particularly within Indigenous communities. About 88% of the Indigenous population lives in rural areas that are difficult to access. Due to poor living conditions, such as dirt floors and a lack of running or clean water, diseases like tuberculosis (TB) and other non-communicable diseases are extremely common.

Poverty Leads to Sickness

TB is a disease that is highly concentrated among Indigenous communities, who face a greater risk of contracting it due to ongoing displacement and exclusion from health care and other essential services. These issues are further worsened by food insecurity, inadequate housing and limited access to health care. More than a quarter of Paraguay’s population falls under the national poverty line, which puts people at a greater risk of TB, as well as many other infectious and non-communicable diseases.

Expanding Access to Health Care

In 2023, Paraguay’s Ministry of Health launched a partnership with the Pan American Health Organization (PAHO) and World Health Organization (WHO) to improve access to health care for Indigenous communities. PAHO and WHO made progress through their initiative, Expanding Access to and Quality of Primary Health Care and Integrated Health Services in the XIV Health Region, aimed at enhancing health services and increasing access for Indigenous People in Paraguay.

An outpatient care day event was held to encourage dialogue between health care providers and Indigenous People in Paraguay about the range of available health services through “outreach activities”. The program has also incorporated safeguards and adaptations for certain ancestral practices, such as “horizontal birthing”, to provide more culturally appropriate care. Home births remain the most common among pregnant women, typically with a midwife rather than in a hospital, which raises health concerns and increases the risk of infection.

Technological Innovations

The PAHO/WHO initiative helped to support a “geospatial analysis” device, used to “monitor and manage health services”. This tool has been installed and used in more than 900 Family Health facilities in rural areas of Paraguay. It has improved “service management” by recognizing areas with poor access to health services and locations of at-risk populations. It combines geographical data with “health-service planning,” which in turn helps to distribute resources more effectively.

Health Care Education

Public health training courses held by the Ministry of Public Health, with support from PAHO/WHO, helped improve health care workers’ response to epidemic outbreaks such as TB. The training enabled workers to recognize symptoms quickly, respond appropriately and treat cases effectively, helping to control the spread of these diseases. As a result, preventive actions for various illnesses have greatly improved.

Progress in Motion

The partnership between PAHO/WHO and Paraguay’s Ministry of Health has greatly improved not only the presence of health care and made it more accessible, but also visibility for the indigenous communities. Additionally, it has allowed the Indigenous People in Paraguay to become aware of the facilities that have become accessible to them. Overall, the health system is becoming increasingly supported and reinforced by these improvements and continues to get better each day.

– Bowie Aldrich

Bowie is based in North Syracuse, NY, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr