The Health and Risk Management project, executed from 2018 to 2020, worked on the northern border and northern Amazon of Ecuador. He worked with the organizations FONAKISE, OCKIL, REDDESC, FCAE, NAWE, AVV.   Agreements were reached with the Ministry of Public Health of Ecuador, the National Secretariat for Risk Management and the CRE for the implementation of their actions and worked under the methodological and social umbrella of inter-institutional participation to enhance the lines of work that were legitimately planned by community organizations and representations.

In Community Health, the implementation of the Comprehensive Care Model of the Ministry of Health (MAIS) was facilitated through (i) the formation of inter-institutional networks to generate local agendas  in health under the leadership of the Ministry of Public Health (MSP), (ii) community health agents were trained to improve their skills, (iii) comprehensive health brigades were supported to facilitate their arrival in the most vulnerable areas, and (iv) coordination for the exchange of ancestral knowledge with Western medicine, (v) An entire communication process was developed in Covid for peoples and nationalities.

Health coverage was expanded to the most remote communities, health units were equipped and a fundamental contribution was made to clinical care in these remote areas with the provision of two ambulances.   Work was carried out with the role of community health agents and community surveillance was strengthened, especially when the pandemic arrived in the country.

The Disaster Risk Management (DRM) component sought to improve the capacity of organizations and communities to face and mitigate environmental risks in order to save lives, protect livelihoods, and strengthen recovery from disasters and crises. This was done through (i) support for inter-institutional networks to generate local Risk Management agendas under the leadership of the National Risk Management Service , and (ii) with the formation of community risk management committees so that they are equipped, trained, linked, recognized and active.

Finally, the program was oriented towards Organizational Strengthening for the partners (indigenous and Afro-Ecuadorian organizations), contributing with processes that develop their managerial, technical, financial and strategic alliance skills aimed at generating sustainability and autonomy.