The principal character in the photo is Mariana Guasiruma, midwife and teacher in the art of midwifery for the village of Embera Chami, whose population includes 5,300 displaced indigenous people. To get to the closest district with health services and drivable roads it is necessary to walk more than 16 hours along paths with large cliffs.
The photo was taken during a safe motherhood intervention conducted by the Pan American Health Organization. The intervention emphasizes interculturalism and training of illiterate women using community techniques with simple adaptations to fit various customs and traditions, as well as the coordination for timely referrals to nearby health centers that use Western methods.
Photographer: María Cristina Lesmes, Colombia