Indigenous community health workers take an elderly woman's blood pressure during a Phalarope community health visit in Guatemala.

Health · Equity · Opportunity — Guatemala & Panama

When communities lead, families thrive.

Phalarope works alongside Indigenous and rural communities, local leaders and institutional partners to strengthen health, develop leadership, improve food security and economic opportunity, and build sustainable community and health-system capacity. Our work combines community knowledge, intercultural approaches and technical expertise to develop solutions that can be sustained locally.

Action for Women's Health awardee

Phalarope has been selected as one of 80+ global awardees of Action for Women's Health — recognizing Phalarope's community-led work in maternal health, Indigenous community navigation, women's leadership and sustainable opportunity.

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Who We Are

Elevating community leadership in health, equity & opportunity

Phalarope is a nonprofit organization working with Indigenous and rural communities in Guatemala and Panama. Our work spans maternal and child health; community health and disease prevention; youth leadership and development; agriculture, food security and economic opportunity; and health systems and intercultural capacity building.

Our work brings together Indigenous and community knowledge, public health science and local leadership to co-create solutions that are culturally grounded, evidence-informed and locally sustainable.

Explore Our Programs
Indigenous Mayan women in traditional huipiles celebrate completing a Phalarope community health training in Guatemala.
A young Ngäbe mother holds her healthy baby in a rural community served by Phalarope.

Our Story

From one maternal-health program to an integrated community-led model across two countries

In 2019, Phalarope launched Ixchel in Guatemala, funded by Rotary International, working with traditional midwives and community leaders to strengthen maternal and newborn health, prenatal follow-up, early recognition of risk and timely referral. The approach later expanded to Panama through Manchichi, adapting the same community-based model with Indigenous communities in the Ngäbe-Buglé region.

During the COVID-19 pandemic, maternal deaths increased and already fragile health systems faced additional strain. Phalarope continued strengthening trusted community networks and the connection between families and health services.

Today, this approach is evolving into an adaptable Intercultural Community Care Navigation platform. In Camotán, Guatemala, it is being expanded to coordinate community identification, referral, transport and multiple levels of health care; in Panama, the same trusted network is being prepared to support additional public-health priorities, including HIV beginning in 2027.

See the Impact

From the Field

“By strengthening the knowledge, tools and connections available to traditional midwives, healers and community leaders, the program supports safer care, earlier recognition of risk and stronger links between families and health services.”

Ixchel · Manchichi — Maternal and Child Health

Impact at Scale

Building community capacity across Guatemala & Panama

Trusted community networks strengthening health knowledge, access, referral, prevention and continuity of care across Guatemala and Panama.

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Intercultural Health Navigators
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Indigenous Communities
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Pregnant Women Supported
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Prenatal Visits
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High-Risk Referrals
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Health Education Sessions
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Youth Across 9 Countries
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Women Trained in Hydroponics

Cumulative program results through January 2026

Intercultural Health Navigators trained to date: 225 traditional midwives and 18 traditional healers, supported by 9 trainers — strengthening community capacity and contributing to improved maternal-health outcomes.

Our Work

Five interconnected areas of work

Phalarope works alongside women, men, children, youth, elders, traditional midwives, community leaders, health workers and local institutions. Together, these partnerships connect health, leadership, food security, economic opportunity and stronger community and health-system capacity.

A Phalarope clinician demonstrates newborn resuscitation on a training manikin during a maternal and newborn health course.
Area 01

Maternal and Child Health

Strengthening prenatal care, early recognition of risk, timely referral and continuity of care through traditional midwives, Intercultural Health Navigators and stronger connections with health services.

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Community health education graduates in traditional dress hold their certificates at a Phalarope ceremony in Guatemala.
Area 02

Community Health and Disease Prevention

Providing culturally relevant community health education on maternal and child health, vaccines, nutrition, childhood development, diarrheal and respiratory diseases, cervical and breast cancer, HPV and other priority health topics. Beginning in 2027, this work will expand in Panama to include HIV prevention, testing and linkage to care with AHF.

Explore this work →
A young Indigenous woman in traditional Ngäbe dress at a Phalarope youth leadership gathering in Panama.
Area 03

Youth Leadership and Development

Supporting children and young people to build self-awareness, confidence, communication, leadership and meaningful participation through Children's Self-Awareness and Leadership and Youth Dialogues.

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A farmer measures a young tree in a Phalarope reforestation and food-security plot at dusk in the Guatemalan highlands.
Area 04

Agriculture, Food Security and Economic Opportunity

Strengthening food security and economic opportunity through hydroponics, regenerative agriculture, financial literacy and entrepreneurship.

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Health workers and community members fill a hospital auditorium in Panama for a Phalarope intercultural capacity-building session.
Area 05

Health Systems and Intercultural Capacity Building

Strengthening health institutions and professionals through intercultural competency, professional development, stronger community and health-system coordination and practical capacity building.

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Technical Capabilities

Technical capabilities that strengthen every program

Across all five areas, Phalarope brings expertise in program design, monitoring and evaluation, data systems, intercultural competency, professional training, implementation research and systems strengthening.

Explore Our Technical Capabilities
A Phalarope team member reviews community health monitoring charts posted on a health-post wall with staff and community members in Guatemala.

Our Approach

“We combine community and Indigenous knowledge, public health science and local leadership to build solutions that are culturally grounded, evidence-informed and locally sustainable.”

Intercultural humility · Scientific rigor · Community leadership

Where We Work

Working alongside communities in Guatemala and Panama

Phalarope works alongside Indigenous and rural communities, local governments, health systems and partner organizations in Guatemala and Panama, adapting each program to local priorities, culture and existing systems.

Volcanic peaks rising over the terraced highlands of Guatemala, where Phalarope works with agricultural cooperatives and traditional midwives.
Guatemala

In Guatemala, Phalarope works with traditional midwives, community leaders, health services, schools and agricultural partners across maternal and newborn health, community health education, youth development, agriculture and food security, economic opportunity, and coordinated referral systems.

Highlands · Dry Corridor · Quetzaltenango, Sololá & beyond
Volcanic landscape and forested hills of the Comarca Ngäbe-Buglé region of Panama, where Phalarope supports maternal and child health.
Panama

In Panama, Phalarope works with Indigenous communities in the Ngäbe-Buglé region through maternal and child health, community health education, care navigation, youth leadership and data-informed community systems. Beginning in 2027, the community-health platform will expand to include HIV prevention, testing and linkage to care in collaboration with AHF.

Comarca Ngäbe-Buglé

Partners & Collaborators

Collaborating for lasting change

Phalarope works through partnerships with community organizations, public institutions, technical partners, funders and Rotary clubs to strengthen local systems and extend the reach of community-led solutions.

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Help communities lead lasting change

Your support helps communities strengthen health, leadership, food security, economic opportunity and sustainable local systems. Together, we can expand community-led solutions that are culturally relevant, practical and built to last.

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