World Diabetes Foundation, Hospitalito Atitlán
How women of Sololá bring change for healthier indigenous communities
Health Literacy Development
08 Jun 2023
World Diabetes Foundation | 20 May 2021
Guatemala’s Sololá region, with its sparkling lake ringed by volcanoes, is exceptionally beautiful. But a hidden danger stalks the Maya people who live there.
Glucose tests conducted by Hospitalito Atitlán, WDF’s partner in the region, found that 15% of people tested had diabetes and 11% were pre-diabetic. More than 23% of the hospital’s patients are obese, and 43% are overweight.
Many factors contribute to this, according to Lyn Dickey, Hospitalito Atitlán’s Director of Development. Poverty and food insecurity have long challenged the region. Most residents speak only their maternal language - Tz’utujil, Kaqchikel or K’iche’ – and don’t understand the Spanish spoken by government and health authorities.
“Also, in this culture (as in many others), diabetes and other chronic diseases are largely accepted as the inevitable, ‘unlucky’ results of normal living. People do not accept that they have the power to control certain kinds of health outcomes.”
New factors are making the situation worse, she says. For example:
“These are seen as the best foods, desired by rich and poor, young and old,” she says.
“Changing perceptions about what is desirable, healthy, and possible requires persistence and a multifaceted approach.”
Targeting decision-makers
WDF’s 2021 fundraiser project 'Healthy Habits for Prevention of Chronic Disease in Guatemala' will work to change these perceptions by targeting the community’s major decision makers regarding family diet and lifestyle: women.
“This project will educate women community leaders to be agents of change. It is the first systematic effort to spread understanding about diabetes prevention to Maya villagers, and a sensible and useful next step in our nine-year effort to reduce diabetes in the area,” Ms Dickey says.
The project will be managed by Asociación K’aslimaal, the non-profit organisation that manages Hospitalito Atitlán. It will be rolled out in six villages over a 2-year period (2021-22).
Its targets include: