Universal access to reproductive health


The combined indigenous population of 6.4 million from Nicaragua, Honduras, El Salvador and Guatemala, have the poorest levels of sexual and reproductive health in the region of Latin America and the Caribbean, surpassed only by a few fragile countries elsewhere in the Global South.

With many of these indigenous groups living in rural areas, inequality indicators are also stark – people living in urban areas are between 2-5 times better off than those living in rural areas.

In our commitment to strive for universal access to reproductive health, Health Poverty Action has begun an exciting regional project spanning Nicaragua, Guatemala, Honduras and El Salvador, which focuses on promoting the sexual and reproductive health rights of indigenous and marginalised women.

We are working with our experienced local partners Asociación Movimiento de Mujeres Nidia White and Asociación Nuevos Horizontes to help deliver this project in the North Caribbean Coast Autonomous Region of Nicaragua and the departments of Totonicapán and Quetzaltenango in Guatemala.

In Honduras and El Salvador, we have partnered with Christian Aid who are delivering this project through their local partners, Asociación Organismo Cristiano de Desarrollo Integral de Honduras (OCDIH) and Asociación Organización de Mujeres Salvadoreñas por la Paz.

Health Poverty Action has over 20 years experience working with indigenous communities in Latin America, and our rights-based approach has already improved the health of indigenous peoples in Peru and Nicaragua. Our tried and tested method works by improving community access to, and ownership of, health services, and ensuring these are culturally appropriate to the differentiated needs and practices of indigenous people.

Through this project we will seek to:

  • Improve local organisations’ capacity to empower and mobilise communities to hold health service providers to account and realise their right to sexual reductive health services, including those relating to gender based violence (GBV) and HIV.
  • Improve community access to and ownership of quality and equitable health services.
  • Improve community knowledge of sexual and reductive health services including HIV avoidance strategies, family planning and GBV.
  • Develop evidence-based advocacy for culturally appropriate interventions to help improve the sexual and reproductive health right status.

Poor health is not solved by just making health services available and free – people need to know they have the right to them, and demand them when that right is denied. Together with our local partners, this is exactly what we are supporting indigenous communities across Central America to do.

This project is funded by the European Union


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