At WINGS, we believe the key to creating lasting change is empowering people at the local, community level. For this reason, we established our Voluntary Family Planning Promoter network back in 2006. Volunteer promoters are men and women who distribute low-cost short-term contraceptives and provide quality counseling and referrals to WINGS for additional services. As our promoters are locals, they have an intimate linguistic and cultural knowledge of the communities they serve. Currently, 60 women and men serve as WINGS´ volunteer promoters throughout 11 departments.
Lucy, 24 years old, was born in Santa María Cauqué, a small village located in southern Guatemala. She is one of five siblings, and her mother is a midwife. In Lucy´s community, health services are scarce, and as a result she helped with her first delivery when she was only 7. Though Lucy was exposed to reproductive health issues at a very early age, her family and teachers never taught her about her own reproductive and sexual health. When Lucy was sixteen, she had her first baby. She shared with us that at the time she felt like she was still a child herself, not ready to have a child of her own. With little to no money, Lucy worked hard as a farmer so she could make ends meet.
One day a staff member from WINGS came to Lucy’s village to offer counseling and sexual education talks. “It is like she came into my life like a mother, to talk to me about all the things I had never learned”. From there, Lucy became very interested in working with WINGS, and was trained to become a family planning promoter. She said at first only her cousin came to her for a contraceptive method, but slowly, word traveled throughout the community and more women started to arrive. Now, Lucy has been with WINGS for six years and provides counseling and contraceptives to more than 250 women each month.
Lucy explains that her role in her community is crucial to many poor people who cannot afford health care in a private health facility. Many pregnancies in her community are the result of lack of means to pay for contraception. When discussing her role, Lucy mentions that she sees about 60 women per week. She has a form that she fills out for each of the women, to keep track of when they are due for their contraceptive method.
“Without even reading my forms, I always know when each of my patients needs her contraceptive method. I know all the ladies by name!”
Personally, family planning has been challenging for Lucy. When she started working with WINGS, her husband and mother-in-law refused to accept that she only wanted to have two children. Her husband was raised in a family of many siblings, and he told her his mother had many kids, so she should do the same. At some point Lucy’s husband even told her that contraceptives were poisonous and that he would not give her permission to use them. Lucy’s mother-in-law said, “You are a woman; you have to keep as many children as God sends you”. Lucy bravely chose to use a Jadelle subdermal implant without her family knowing. She recalls what she felt making such a big decision; “I did it because I did not want to have the same life that my parents had, and for that I am proud. I can now say that I am in a much different situation than my parents were. There used to be so much ignorance, and now I feel like I’ve reached a very successful point.”
Lucy sees the change and successes in her community. Women never used to talk about family planning. Now, the majority of women ask Lucy when she’s coordinating the next mobile clinic, or when they can stop by for counseling. Now, many want to use long-acting reversible contraception, such as the IUD or the subdermal hormonal implant, which would have been unthinkable in the past.
When asked how working with WINGS has impacted her life, Lucy shared that before, she and her husband would not have been able to afford the most basic things such as water and electricity. That thanks to WINGS, she has an income of her own, which has empowered her in many ways. Together with her husband, she has saved up money to invest in the future of their children. Lucy is humbled by the trust her community places in her, but is most shocked by the change in her husband’s attitude. For a long time, he was reticent about anything that had to do with WINGS. Lucy shared with us that her husband apologized; “I am so sorry, because when you first wanted my support, I didn’t give you that. Now, you have been able to help yourself. You are free; you should do whatever you want to do. Support whomever you want to support. Fight.”
After six years with WINGS, Lucy is extremely happy to be making such a positive impact in her community and hopes to continue for years to come.
by Caroline Webb
Estela was born in 1994, one year my senior, and chose to undergo the surgical process of an elective tubal sterilization provided by WINGS. Already the mother of three children, Estela could not fathom having another pregnancy, birth, or child to feed, clothe, educate, and love.
As I sat by Estela’s side outside a pop-up surgical operations clinic in Chimaltenango, she breathed heavily through the nausea, a side effect of the voluntary surgical contraception (VSC), and I was humbled by her strength in the face of her decision to make a free, informed choice about her fertility and family.
Though the two of us have been circling the sun for roughly the same amount of time, our lives and responsibilities are miles apart; I have never known the weight of such a permanent, life altering choice, and due to the privileged world into which I was fortunate to be born, probably never will. Allow me to draw a comparison: as I face decisions of undergraduate majors at my fancy private school, consider potential careers, revise my resumé, or rationalize decisions because they build character and do things “for the experience,” Estela – and many of the women with whom WINGS works in Guatemala – faces decisions that ultimately determine her family’s future and reproductive path.
During my time interning with WINGS, I have been exposed to shocking truths and realities of many strong women like Estela. These will forever inspire and humble me.
As a Development Intern with WINGS, I worked primarily in the Antigua office, but was also able to assist in the field: I accompanied the incredible unidad movil to assist in a pop-up mobile cervical cancer screening/STI testing/method distribution clinic in a rural highland community, the VSC operations clinic where I met Estela, and a women’s health conference at a community hospital in Mazatenango. I assisted WINGS’ youth educator in a taller at a local school presenting to male adolescents the reality of pregnancy (complete with realistic pregnancy simulators!) and the misconceptions of gender roles. Another field experience took me to Escuintla, a region in Guatemala with high rates of AIDS and HIV, to assist in a unique charla with female sex workers, teaching about cervical cancer, HPV, different methods of contraception, and the accessibility of these options through WINGS’ services.
During these trips – replete with rutted rural roads, sunrise departures, surprise traffic obstacles (a camioneta accident ahead is not a valid excuse to arrive late to meet women waiting to take control of their reproductive health), and mara extortion – I met incredible women working toward a better future for themselves, their families and Guatemala, and witnessed firsthand the incredibly valiant yet tiring work the empathetic nurses, promotoras, and educators do to manifest WINGS’ mission.
WINGS’ vision of creating a future where all Guatemalans are capable of exercising their sexual and reproductive rights is already becoming a reality. One by one, with each IUD or subdermal implant distributed, cervical cancer screening or tubal ligation performed, and each woman, man, and youth learning and talking about sexual health and their reproductive rights, WINGS enables individuals to be their own agents of change.
Estela, like so many women I have had the privilege of knowing through WINGS, inspires me through exercising her agency to choose her fate, plan her family, and be the dueña of her body. By taking advantage of WINGS’ tubal ligation service, Estela will never again need to consider contraceptives nor worry about an expanding family to support. Thanks to WINGS’ services, Estela’s three young children may now have a better chance of transcending the vicious cycle of poverty by having access to more education, nourishing meals, better resources and special attention from their mother.
When we think of adolescence, we tend to associate it with a period of discovery and change: growing closer to certain friends, becoming interested in different hobbies, hitting puberty, and transitioning from childhood to adulthood. In Guatemala however, the reality for many teenage girls is sadly very different. Due to lack of sexual education, sociocultural norms, and limited access to birth control, 22% of girls in Guatemala give birth before the age of 18, forcing them into adulthood too quickly. Guatemala has one of the highest teenage pregnancy rates in Latin America and the Caribbean and is the only country in Central America where teenage pregnancy is actually on the rise.
Through its Youth Program, WINGS seeks to prevent teenage pregnancies in Guatemala and enable girls and boys to decide about their health and futures. Our program combines youth led sexual education with free sexual and reproductive health services in remote communities.
In a recent mobile clinic in San Francisco Zapotitlán, on the country’s Pacific coast, we met 21-year-old Fabiola.
Born in San Francisco Zapotitlán, Fabiola is one of seven siblings. Her mother sold vegetables and fruit in the local market to provide for her children. While her mother was working, Fabiola was in charge of the house, taking care of her younger brothers and sisters, despite being a child herself. As in many Guatemalan families, nobody ever told Fabiola about birth control. When she was 18, Fabiola had her first child. She struggled because on top of looking out for her younger siblings, she now had her own baby to take care of. At 19, Fabiola had her second child. Today, Fabiola is 21 years old and has three children. Raising her three children has not been easy: “Being a mother is a beautiful thing, but sometimes I feel like I can barely manage. I can’t afford to provide my children with everything I’d like to give them, and when they get sick, I can’t sleep because I’m worried about their well-being”.
Days before the mobile clinic, our Field Supervisor Mylin visited women in San Francisco Zapotitlán to talk about their family planning options and encourage them to attend our mobile clinic. Although Fabiola showed up, she was very scared about using birth control. In San Francisco as in many Guatemalan communities, birth control is highly stigmatized. While she was afraid that her community would judge her, Fabiola knew that she could not afford to have more children. After discussing which contraceptive options we could offer her, Fabiola chose the subdermal hormonal implant, which provides up to 5 years of protection. Fabiola said she is grateful to WINGS because now she does not have to worry about becoming pregnant again and she is ready to dedicate all her time to raising her three boys. “WINGS is one of the few organizations that has reached out to women in my community. Many of us do not have enough money to go to a big hospital and pay for expensive services. Once I told the nurses I did not have enough money for the implant, they gave it to me for free!”
During the mobile clinic, we also met Berta, a 19-year-old girl who carried her 10-month-old baby in her arms. Berta too had never learned about birth control – not even in school where teachers are legally required to provide sexual education. When Berta was 5 years old, her mother passed away. She was raised by her aunts and her father. Her family is very religious, and she was not allowed to ask any questions related to sexuality. She was very surprised when she got pregnant, as was all her family. A friend of her late mother told Berta about the mobile clinic, so Berta came in to get a subdermal hormonal implant. Berta may want to have one other child in the future, but she is happy that she now gets to choose when she is ready for that.
When asked whether she was excited about Mother’s Day, Berta’s face lit up and a huge smile spread across her face. “Yes! You know, once my own mother died, I lost all hope of ever being able to say ‘Happy Mother’s Day’ again. But now, for the first time in my life, people will be saying that to me. Even though I didn’t plan to be a mother this early, I love my son and I want to be the best mother in the world for him.”
This Mother’s Day, you can support women like Fabiola and Berta by donating to WINGS. Give a meaningful gift to a special mom today and save lives!
Visit www.wingsguate.org/mothers-day-2016 to learn more about our Mother’s Day Campaign.
Use the arrows above to look through the image gallery from WINGS Youth Leaders’ training.
WINGS’ Youth Leaders program trains young men and women from ages 14 to 19 so they can provide accurate reproductive health information and service referrals to their peers through community-based activities. Our methodology incorporates the topics of gender equality and power.
In Guatemala, many children do not finish their education; most only go up to third grade and then start working in order to support their families. Some sell fruits and vegetables in “mercados”, some work with crops in the fields, and others shine shoes for a living. In this environment with scarce opportunities or access to schooling, children grow up knowing little about their own rights and their health. For children who do continue their education in the public school system, the picture does not get much better. Though Guatemalan legislation states that public schools must teach family planning and reproductive health topics, the culture remains very conservative and sexual health is still taboo, hence in most schools, these topics are not even mentioned. Not knowing much about reproductive health or contraception options, many girls become pregnant at 15 or earlier.
Additionally, Guatemala is a very patriarchal society where women’s voices are frequently silenced, especially in rural areas, where traditional gender roles are still very prevalent. Sadly, violence against girls and women is common. There are many pregnancies that happen as a result of rape, sometimes by girls’ own relatives.
At WINGS we believe in promoting equal rights and we know it is imperative for youth to receive an education. Unintended adolescent pregnancies can be avoided through reproductive health education and access to contraceptive methods. By informing youth about their reproductive rights, we can reduce teen pregnancies, increasing girls likelihood to continue their education, and pursue their future goals.
Just in January, we have already held two Youth Leader training sessions, one in Cobán and the other in our Antigua office. In total, we trained sixty young men and women. Both sessions were a huge success; the adolescents asked great questions, gave important feedback, and were willing to participate in all our fun activities. Even those who were shy at first warmed up to the topics and to their peers. WINGS’ staff taught the youth about the contraceptive methods we offer. To make sure that the youth understood, they got into smaller groups to make presentations about each method, with banners and demonstrations about how to use each. To keep the activities fun and dynamic, we held rallies so that the youth could run outside and play while learning. In addition to talking about contraceptive methods and how to use them, we also talked about reproductive rights, gender equality, and sexual orientation. We are aware that Guatemala is still a very traditional society, so it is important that from a very young age, our youth learn to respect all types of diversity. It was great to see that despite having been brought up in a conservative culture, the youth readily accepted these topics.
This past year, we noticed some very important numbers. Out of all the 14-19 year old adolescents we work with, 81% chose short term contraception, while only 19% choose LARCs (long-acting reversible contraception), even though the latter are the most effective.
This year we implemented the LARCs First methodology. We explain all available birth control methods in terms of efficacy: beginning with the most effective (IUD and subdermal implant) and ending with the least effective method (condom). There are numerous misconceptions about LARCs in Guatemala: it is believed that they are only meant to be used by married women or women who have already had children, some think that they can make women infertile, or that they are permanent methods. For this reason, during our training program we strongly emphasize these contraceptive methods can be used by women regardless of whether they have had kids or not, and that they can be removed after 5 years (in case of the implant) or 10 (IUD), or earlier if the person decides to.
Our Youth Leaders program is made up of many intelligent, determined youth who bring such positive energy and hope to the work WINGS does.
* Click on the “CC” button to watch with English subtitles
Here is an interview with one of our newest Youth Leaders, Samuel. Samuel talks about why youth are embarrassed to talk about sex, why adolescent pregnancies are so frequent in Guatemala, and what his dreams for the future are.
It is thanks to your support that WINGS Youth Leaders Program became reality. Please continue empowering youth in Guatemala by making a tax-deductible contribution to WINGS.
In January 2015, WINGS launched a pilot of its youth peer education program (#WINGS4YOUTH). 144 young men and women from rural villages in the Alta Verapaz province received training in reproductive health and rights and are now active leaders in their communities.
Last month, with support from our partner organizations, we organized a 3-day leadership camp to celebrate the accomplishments of our bright, young leaders. Through games, team-building activities, and thematic workshops, the 50 attending youth leaders demonstrated their sexual health knowledge, strengthened their leadership skills, and boosted their self-confidence.
During the camp, our youth leaders also had a chance to experience parenting – by looking after electronic babies! The electronically simulated babies which cry when they need to be held, changed, or fed, eventually calm down and coo when their needs are met. Nevertheless, their spontaneous crying day and night was a challenging experience for our youth leaders! Here’s what the parents for one day had to say:
On the last day of the camp, after having received their ‘diplomas’, our wonderful group of youth leaders posed for a photo:
We were thrilled to hear how happy the youth leaders are to be part of our program. For many of these young men and women, this has truly been a life-changing experience. They admit that their newly acquired knowledge of sexual and reproductive health and rights has not only impacted how they think about their personal lives, but has also had an important impact on the lives of their peers and community members. They feel proud and empowered to continue helping other young people avoid teenage pregnancies and build a healthier and stronger Guatemala.
To support WINGS’ youth program, please consider making a donation to WINGS.
We are thrilled to share a blog post written for CAMY and WINGS by our Youth Specialist in Cobán, Alta Verapaz, 23-year-old Fidelia Chub. Read on to learn about WINGS’ work with youth and the fight to engage local authorities in protecting young people and their rights.
To support WINGS’ work with youth, make a tax-deductible contribution to our #WINGS4YOUTH year-end campaign and change young lives!
On October 5th, Emily Barcklow, Central America & Mexico Youth Fund (CAMY) Program Officer and Gloria Diaz Jaso, CAMY Scholarship Recipient, joined WINGS on a visit to San José, a semi- urban community 10 minutes outside Cobán, Alta Verapaz. They were able to attend an informational talk for youth in the community given by Byron de La Cruz, a WINGS’ Youth leader. Byron began volunteering earlier this year as Youth Leader in our project supported by CAMY due to his desire to help his peers avoid teenage pregnancies.
By the time we arrived, 11 young women and men had showed up to listen to Byron’s talk. The topic for the workshop was, “Adolescent Pregnancy Prevention, Reproductive Risk and Family Planning.” Byron had asked a local family if he could host the talk in their backyard and they were more than happy to let the youth use the space. During the talk, the youth who arrived were very active and participative, asking questions when they had doubts.
Upon returning to the WINGS office, Emily, Gloria and I talked about several areas of improvement and plans to continue with the current project. Something that we recognized was the diversity of young people in the area because the ones who attended to the talk that day were completely different from the girls from a Tanchí village that CAMY visited in March: the girls from the village were timid and had trouble expressing themselves. We concluded that when you are close to the municipal capital, you have greater opportunities to receive information which makes youth in those areas more active. Thus, it’s necessary to make sure the same information and services exist at the community level to promote development not just for one group, but for all people.
We also talked about other project activities completed in the last few months. For example, in August and September we organized advocacy activities in various municipalities to celebrate International Youth Day and the Teenage Pregnancy Prevention Day.
In August, we also participated in the regional meeting for youth and teenagers called “Advocating for My Rights” in partnership with Plan International, the Network of Youth Organizations of Alta Verapaz (ROJAV), Youth Bureau of Cobán, Paz Jóven, and Social Cooperation Institute (ICOS). Several youth from the participating institutions joined WINGS’ youth leaders in the meeting. This two day event included a rally, artistic activities, and a forum with the local authorities and aspiring congressional deputies, to motivate young people and the invitees.
During the meeting, two forums were hosted – the first one with Ministry of Health and Municipal Youth Office representatives, and the second with four deputies participating in the October election. The youth were very engaged and asked the various representatives and aspiring politicians, “what have you done to prevent teenage pregnancies?” and “what will you do to support youth if you are elected to the Congress?” This was a productive space for the youth to advocate for their rights in front of local authorities and future congressional figures.
©Photo by CAMY Fund
Similarly, during September and October we hosted a roundtable discussion in San Cristobal Verapaz with local authorities. Although we had organized roundtable discussions in Santa Cruz Chisec, the local authorities did not arrive. Seeing the lack of interest from local authorities was extremely discouraging to the youth and teachers participating in the roundtables.
Some of our Youth Leaders expressed disappointment because some local leaders do not have any interest in young people and do not want to invest in youth. We realize how important it is to continue informing and sensitizing young people about the rights and existing laws that protect them. We agreed that next year, we will continue implement advocacy activities to show the authorities that now young people are demanding their rights.
Thanks to Nicole A. Otis and Clara Avila for helping with the translation!
Don’t forget to visit #WINGS4YOUTH campaign page and give a gift that gives back!