Napo is a province that posses a unique geography. It starts at the Andean high wastelands and it goes all the way down to the jungle floor. As locals or foreigners go down the cordillera; rapids and cascades invite them to cold down a little bet. The exuberance of flora and fauna in the jungle of Tena-Napo’s provincial capital; allows the area to be consider as a protected natural region of Ecuador. The province of Napo has 5 counties: Tena, Archidona, Quijos, El Chaco, and Carlos Arosemena. Our team of volunteers went to the city of Tena to serve the community there. Tena is located on an altitude of 518 mts above the sea level; and it has a warm-humid weather that varies between 22 to 26 C degrees; and where the average water-precipitation level can oscillate from 3200 up to 4000 millimeters.  At the populous neighborhood of Tereré in Tena it was prepared the physical place for us to serve. This place belonged to a Christian-Indigenous order; and where the facilities were pretty comfortable considering what this order does in the area. We had the great chance to visit the Amazonia Park of “The Isle”; which is located in Tena’s downtown and where the Pano and Tena rivers gather together to create a sanctuary of about 24 hectares of natural and environmentalist conservation. For the current mission the Charity Anywhere Foundation-Ecuador moved several professionals and volunteers; and all of them under the direction of Dr. Washington Zambrano. The physicians were: Dr. Gloria Polo (Intern-Medicine specialty); and Dr. Alberto Vargas (Epidemiologist). The two dentists were Dr. Isabel Zambrano DDS (Esthetic specialty); Dr Elena Gutiérrez DDS (Endodontic specialty), Eng. Julio Zambrano (sterilization), Eng. Patricio Guzman (CAF Med-center coordinator), Ms. Anita Zambrano (medical student), Ms. Veronica Guarderas (dental student) and Mr. Carlos Celin (Technician). Our departure was around 2:30 pm and we arrived in Tena around 5:30 pm using a concrete highway on very good conditions; excepting for a few 15 kilometers where the road turned into a dusty road. The first day of attendance was at the neighborhood of Tereré; and our second day of our attendance was scheduled to be at the small indigenous village of Shiripuno; 45 minutes away from Tena’s downtown. This region is made of indigenous that live with the dilemma of either gathering to civilization or continuing with their ancestral customs and traditions. Many explorers, scientifics and tourists have found a way to exchange culture and traditions with the local tribes there in Tena. For these tribes the business of tourism has become a way to progress and relieve from poverty. It was very catching to us the capacity of organization the Shiripuno has. This community owns an ecological hotel where can be found a small workshop made of artesian works, handicrafts, presents, etc.  All the members of the community have a chance to show here their products. These families also do agriculture, fish farming, and cattle-livestock as a community business. The medical consult in Tena is shown at next:

he medical consult information was import for us; but we still could not get an accurate Epidemiologic profile of this Ecuadorian region. At least we got a brief idea of what to expect on future medical expeditions as far as pathologies go. Local women were very negative towards family planning. The same conduct was expressed by other women that live at the coast of Ecuador; this conduct obey to the fear some Ecuadorian women have to be rejected by their husbands for not having as many kids as they wish. Machismo and ignorance lead this situation into a social problem: Ecuadorian mothers with so many children to rise. This social problem keeps Machismo and its chain of poverty, very little or non education at all, illnesses and a lack of sexual education to prevent these social disasters.                    
The medical consult in Shiripuno is shown at next:

PATIENTS ATTENDED ON DENTISTRY:

Dental procedures accomplished in this mission:

Once this mission ended up on time and successfully in Tena; a sensation of complete satisfaction was brought to our volunteers’ spirit for being a useful tool at helping others. It is great that our NGO was there to help Tena and its surrenders. It was also signed a pilot covenant of technical and medical assistance between Charity Anywhere Ecuador and the Municipal Government of Tena.

Gualopuro is a small community that belongs to the jurisdiction of Otavalo-city. This tiny town is twenty minutes away from Otavalo´s downtown. Its inhabitants are poor but very hard workers; they also are generous and most of them leave out of agriculture. Although this village is relatively close to Otavalo; it was very notorious how much the Federal Government of Ecuador has completely forgotten this population. There are neither roads nor infrastructure at all. As far as Public Health is concerned; it was catching to see the great amount of malnutrition cases within the Child-population; situation that directly had to be with the ancestral customs and habits not minimizing the fact of a low income for the population.

• The medical clinic in Gualopuro acted this way:

• The dental clinic Gualopuro acted this way:

Monday, November 10th, 2008

Tuesday, November 11th, 2008

Our team of volunteers and health professionals worked in Gualapuro only for two days. We listened to the inhabitants of this community the reasons they had of happiness, frustration, questions and even respond some of their concerns they had for us. We could tell how united and organized they were by having a lovely kinder garden where any child is welcomed. Most of the parents in Gualopuro either do Agriculture or as workmen.
The following days our staff went to serve at the Otavalo City Health Center of: LA JOYA that Charity Anywhere Foundation helped endorse with all of the Medical and Dental equipment. This is the actual place where most of the Technical Assistance offered by Charity Anywhere will be offered from to the city of Otavalo thanks the COVENANT signed between both institutions. On a near by future this Center will be completely restored; and then on its full capacity the Charity Anywhere Foundation Representatives expect to officially inaugurate this Health Center. Having a model of a Communitarian Health Center for each municipal government where Charity Anywhere offers technical assistance is the ultimate goal. Charity Anywhere is convinced that is possible; especially considering how expensive and difficult becomes to low income families receive qualified medical care.

• The medical clinic in LA JOYA acted this way:

• The dental clinic at the ¨JOYA¨ Health Center acted this way:

Wednesday, November 12th, 2008

Thursday, November 13th, 2008

• The total of dental procedures offered in both clinics at next:

Dental procedures:	#
Fillings	175
Exodontias	88
Cleanings	91
Fluoride treatments	51
TOTAL	405

• On a graph, the percentage of Dental Procedures offered in both clinics:

The infrastructure at the Joya Health Center has improved to the point where is possible to have comfortable and spacious consults for the medical or dental professionals respectively. The area for hospital care will be soon dedicated, and then that will be a great blessing for the poor and needy of Otavalo and its small villages in the surrounding area. Helping the inhabitants of Otavalo is always satisfactory and they were as always thankful. Most of them wanted to know what they future of the JOYA Health Center will be like; and hopefully all for Charity Anywhere will work our in relationship to the Municipal Government of Otavalo in order to keep assisting this great people.