MMI in Peru

                                                                                                              MMI PERU TEAM

                                                                                                              MMI PERU TEAM

The work in Peru started in 1999 when MMI Director of Field Operations, Brian Piecuch, moved to Arequipa in the south of the country with his family. The first medical project team was held the next year. The work expanded quickly and now over 250 volunteers travel to Peru annually. Tania Catacora has been the MMI Peru National Director since 2010, and has been serving with this ministry since 2001. She continues to develop new projects and disciple local and international leadership.

 

MMI Peru was incorporated in Peru as a not-for-profit civil association in January 2010. This association provides a legal framework to all their activities. Our standing has allowed us to formally register with several government entities, allowing us to receive containers with donated equipment and material, and to provide staff with their social benefits according to Peruvian norms.

The association MMI Peru has developed a dedicated team of local staff that serves the Lord and the poor people in Peru. www.medicalmissionsperu.org

 

MMI Project Teams

One and two-week project teams are facilitated throughout Peru in Lima, Ayacucho, Puno, Cusco, Madre de Dios, Ica, Arequipa, and other locations. MMI seeks to serve those with the greatest need.

With the help of medical and non-medical volunteers from the United States, Canada and Peru; MMI Peru executes medical project teams to provide services in general medicine, dental, physical therapy, surgery and ophthalmology.

When general surgery is offered, the surgical component of the project will provide the patients with an opportunity to have access to a surgery in their own community. Patients will be asked to contribute up to $60.00 depending on the case, instead of the normal in-country price of $400.00 or more; the country price and difficulties with travel makes the service impossible to access for most of the people in the area.

Many projects also provide a training opportunity for the locals serving in the medical field. Our doctors and nurses will be lecturing on different topics related to the identified needs of the communities. In the past, these training opportunities have been well received by the medical personnel in the area.

MMI Peru ensures these projects are sustainable by partnering with Municipalities, Ministry of Health and local churches. Collaborative partners help to ensure the work of project teams has a long-term vision.  Through the Integrated Health Program we share the love of Christ with each patient who comes through our clinic as we teach the cause of disease and prevention.

Project Sites:

Arequipa


Arequipa is Peru’s second largest city with a population of 826, 859 persons. Although sitting in a valley, the elevation is quite high. Three snow-capped volcanoes, Misti, Chanchani and Pichu Pichu, dominate the city’s panorama. Of the three, only Misti remains active. Inhabitants of this city are involved in industrial and commercial production, including camelid wool products. The historic center of Arequipa spans an area of 332 hectares and is a UNESCO World Heritage Site. Arequipa is called the "White City" because many of its buildings are made of white volcanic rock called sillar.

The city has a large number of public and private health centers, however urban slum conditions mean that many still suffer from lack of access to basic services. “Pueblos Jovenes” (permanent squatter communities) completely ring the city. In these communities health care is not universally available and is often substandard. Many Peruvians living in “pueblos jovenes” are forced to resort to traditional remedies rather than seeking medical treatment.

Elevation
2328 m (7638 ft.)

Climate
Warm and dry
Days are warm, while nights and early morning are cold.
Dressing in layers is recommended.
Average min and max temperatures in Arequipa, Peru

Ayacucho


Ayacucho is the capital city of Huamanga Province, Ayacucho Region. It is a small town of colonial style with approximately 32,000 citizens, calm and quiet, with old streets full of charm. Ayacucho is 558 km from Lima (the capital city of Peru). Ayacucho was the capital of the last pre-Inca Empire and is located in the middle of the driest area of Peru. It was founded in 1539 by Francisco Pizarro. Now it is famous because of her religious celebrations.

The inhabitants of Ayacucho are involved in agriculture and light manufacturing: textiles, pottery, leather goods, and filigree wear. Ayacucho is famous for its 33 churches, which represent one for each year of Jesus' life, and was a key site for a major battle for Peruvian independence from the Spanish. There is a tradition in the city that all houses must have a little church on the roof of the house.

Elevation
2746 m (9007 ft.)

Climate
Warm and dry
Days are warm, while nights and early morning are cold.
Dressing in layers is recommended.
Average min and max temperatures in Machu Picchu, Peru

Cusco


Cusco the capital city of the Cusco Province in south-eastern Peru and has a population of 435,114 persons. A large proportion of the population is indigenous. Cusco is known as the heart of the Inca Empire and is the archaeological capital of the Americas. The famous Inca Citadel Machu Picchu and the Sacred Valley of the Incas are located nearby and was declared a World Heritage Site in 1983 by UNESCO. Tourism represents a very important source of revenue to the area. However, most inhabitants of this area are involved in agriculture and brewery. The economic benefits from tourism have failed to reach the majority of the population and so many of Cusco’s residents live in poverty..

Elevation
3400 m (11,200 ft.)

Climate
Dry and temperate.
Dry season: April - October. Sunny and cold.
Wet season: November - March. Wet and cold.
Average min and max temperatures in Cusco, Peru

Ica


The city of Ica is the capital of the Ica Region in southern Peru. While the area was long inhabited by varying cultures of indigenous peoples. As of 2005, it had an estimated population of over 219,856. The city suffered extensive damage and loss of life during the 2007 Peru earthquake.

The city is located on the Ica River about 300 km to the south of Lima, along the desert coast of southern Peru. Further south along the Pan-American Highway lies the city of Nazca. Ica can be reached from Lima by the Pan-American Highway. The distance is almost exactly 200 miles or 300 km. The trip takes about 4.5 hours by bus and 4 hours on motorcycle.

Ica's location in the desert provides unique opportunities for tourism, such as the nearby Huacachina oasis, located in the midst of sand dunes. Some young visitors try sandboarding; others travel the dunes in sand buggies.

Elevation
406 m (1,332 ft)

Climate
Dry and hot/warm desert.
Average min and max temperatures in Ica, Peru

Lima


Lima is the capital and the largest city of Peru. It is located in the central coastal part of the country, overlooking the Pacific Ocean. Together with the seaport of Callao, it forms a contiguous urban area known as the Lima Metropolitan Area. With a population of almost 10 million, Lima is the most populous metropolitan area of Peru, and the third largest city in the Americas (as defined by "city proper"). Lima was founded by Spanish conquistador Francisco Pizarro on January 18, 1535, as Ciudad de los Reyes. It became the capital and most important city in the Spanish Viceroyalty of Peru. Following the Peruvian War of Independence, it became the capital of the Republic of Peru. Today, around one-third of the Peruvian population lives in the metropolitan area.

Lima is also home to extreme poverty, especially in the densely populated settlements on its outskirts. These areas, known as “pueblos jovenes,” have grown rapidly in recent years, as people migrated from the rural sierra of Peru to Lima in search of economic opportunity and an escape from the instability and violence of the 1980s. People also continue to migrate to Lima from rural areas of Peru in search of better access to basic services -- such as health care, education, and work opportunities -- that are often limited or completely absent in their home communities. While some of the older settlements have in time become incorporated into the rest of Lima, the rapid and continued population growth in these areas has left many communities plagued by low wages, high unemployment, and a lack of attention from the state.

Elevation
0-1,550 m (0-5,090 ft)

Climate
Warm and humid, with little rainfall.
Average min and max temperatures in Lima, Peru

Madre De Rios


Madre de Dios is located in southeastern Peru, bordering Brazil, Bolivia and the Peruvian regions of Puno, Cusco and Ucayali in the Amazon Basin. Its capital is the city of Puerto Maldonado. It has a very small population with an extremely low density. A large proportion of the population is Indigenous, and human activity is confined to river banks. The inhabitants of this area rely on natural products, and are involved in agriculture, specifically: cotton, coffee, sugarcane, cacao beans, Brazil nuts, palm oil, and gold mining. Due to the vast size of the area and its low population density, rivers provide the best way of getting from one town to another. Human activity is invariably confined to riverbanks. A new road that opened in early 2011 through the area will connect Brazil and Peru for trade. It is part of the newly built Interoceanic Road between the Pacific and Atlantic Oceans. Flights between Cusco and Puerto Maldonado remain the most common and quicker method of transport between the two.

Deforestation is a significant problem in this area. Gold mining is the only other large industry of the region, confined mainly to alluvium adjacent to the Inambari and Madre de Dios rivers. In addition, techniques for gold mining have been described as resulting in both a major environmental and public health problem. Ecotourism is a major emerging industry in Madre de Dios. A number of lodges in Manu and Tambopata are becoming part of what is described as the Vilcabamba-Amboró Corridor. New legislation encourages private investors to create concessions for conservation or ecotourism. This is to extend the reaches of the public protected areas. This integration includes native communities, which are increasingly involved in ecotourism.

Elevation
183 m (600 ft.)

Climate
Warm and humid tropical rainforest.
Average min and max temperatures in Puerto Maldonado, Peru

Puno


Puno is a city in southeastern Peru and is the capital city of the Puno Province, Puno Region, and has a population of 149,064 persons. A large proportion of the population is Indigenous, and the city is a hub for their migration through the Andes. The inhabitants of the region are involved in agriculture, specifically livestock: llamas and alpacas. Musical instruments such as the siku and charango are also made, as well as textiles and ceramics. Puno is located on the shore of Lake Titicaca, which is the highest navigable lake in the world.

Puno has been named the “Capital folklorica del Peru” (folklore capital of Peru) from its wealth of artistic and cultural expressions, particulary dance.

Elevation
3830 m (12,556 ft.)

Climate
Cool and dry
Bring sunscreen as sun is very strong at high elevation.
Average min and max temperatures in Puno, Peru

                                                                                               Dr. John Jeanmarie - Serving in Peru

                                                                                               Dr. John Jeanmarie - Serving in Peru

Travelling on a Project

Entry & Exit Requirements


To enter and depart Peru, you are required to have a valid passport for at least six months beyond the date of expected departure. Travel visa is not required and all travellers are given an Andean immigration card upon arrival.

• Americans: Tourists must also provide evidence of return or onward travel. For more information see the US State Department website:
http://travel.state.gov/content/passports/english/country/peru.html

• Canadians: Please check the following website for the most current entry/exit requirements:
http://travel.gc.ca/destinations/peru

• International: Please contact MMI office or Raptim Humanitarian Travel for visa requirement if needed.

Application Requirements


Please email ALL CREDENTIALS upon application.

• For everyone, we need:
- Colour Scan / Photocopy of Passport (photo page)
- Colour photo for your name badge (any good photo, we can adjust size)
- Travel Itinerary
- Supply Lists

• Medical Professionals, we also need your:
- Current License (through time of project)
- Diploma (Techs, Nursing, Dental, MD and Board Certifications)
- Curriculum Vitae or Resume (this also will help the Project Director know your skills & experience to assign you a task on the project, especially for 1st time participants)

• Health Care Students: Letter of Good Standing from your school (including year of study and graduation date).

• All MINORS travelling with only one parent, or without their parents, will need a letter from BOTH parents stating that it is OK for the child to travel with one parent or an appointed guardian. The letter should be signed and notarized. MMI needs a copy of this letter, and the parent or guardian should carry the orignial letter while travelling.

Travel


Once you have been accepted on the project, you can contact our designated travel agency to arrange your travel and coordinate your arrival with the team.

Raptim Humanitarian Travel: www.raptim.org

• US Applicants: Travel costs are arranged directly with the travel agent and are in addition to the Participant Project Donation.
Contact our “Serve Team 2”: ServeTeam2.us@raptim.org
Direct Toll Free: 1-844-882-3233 and ask for the agents by name or extension.
Lead Agents – Claudia (ext. 13302), or Michael (ext. 15004).

• Canadian Applicants: Donations to MMI for travel are in addition to the Participant Project Donation.
Contact our “We Partner” team: wepartner.na@raptim.org
905-465-4300 or Toll Free: 1-844-442-6978 & ask for the agents by name.
Lead Agents - Anca (ext. 32327), or Connie.

• International Applicants: Travel arrangement can be procured locally or following the Canadian instruction above.

• Airport: Jorge Chavez International Airport (LIM), Lima Many project locations require a domestic charter flight.

Lodging and Accomodations


MMI will arrange local accomodations for the team.
• Laundry Service: usually available for additional fee
• AC/Heating: no
• Phone Service: check with your cell phone provider, roaming is very expensive
• Wifi/Internet: dependent on locations
• Voltage: 220V (transformers and adaptors required)
• Meals: MMI will provide meals for the team. Dietary restrictions can be indicated on your application and we will do our best to accommodate your needs. Be sure to bring your own re-usable water bottle with a wide mouth for refilling. Purified water is supplied.

Culture

• Language: Spanish Quecha and Aymara
• Religion:
- Catholic: 81.3%
- Protestant: 12.5%
- Other: 6.2%
• Government: Democratic Republic

Currency


Currency is the Peruvian nuevo sol. US Dollars are widely accepted, but local currency is best for small purchases.

Bring US/Canadian dollars that are in excellent condition to exchange. Peruvians will not accept torn or worn bills for whatever reason. When exchanging money try to get Peruvian bills of smaller denominations such as 20 soles or less since larger bills of 50 or 100 soles are sometimes not accepted because of inability to make change.

MMI Peru Health Center

As a result of our years of service in the country we have been able to develop permanent services. The Peruvian government provides basic health care in rural as well as in urban areas throughout the country. However, it does not provide enough specialized services.

MMI - Peru fills this by hosting specialized services. 

In 2010, physical therapy and optical programs were initiated. Both programs are currently housed in temporary premises in Arequipa, along with services in dentistry and OB-GYN.

We keep growing and we currently have added services in dentistry and OB-GYN.

MMI Peru is planning for a new health centre to consolidate the office, optometry, physical therapy, dental and OB- GYN programs in one building. 

 

                Permanent Program Team: Physical Therapy, Optometry,                                                     Dental, & OB-GYN

                Permanent Program Team: Physical Therapy, Optometry,                                                     Dental, & OB-GYN

                        Jodee Fortner, Physiotherapist with MMI - Peru

                        Jodee Fortner, Physiotherapist with MMI - Peru

Milagros Scholarship & Local Training

Yeny Pocori, Optometrist

Yeny Pocori, Optometrist

Thanks to the Milagros Scholarship Fund, a program that helps fund the university studies of disadvantaged youth who are committed to working in Christian ministries, MMI Peru has trained three staffs since 2007. New young leaders are being developed.

Yeny Pocori is a Peruvian ophthalmic technician who trained at Hospital Centro Cristiano de Servicios Medicos – Milagros Ecuador, and continued her studies at the Instituto de Optometria y Ciencias Eurohispano en Lima, graduating from optometry. She now works for the MMI - Peru Vision Center with the project teams.

[From X-X], Jodee Fortner, a physiotherapist from Pennsylvania, led annual courses in physical therapy to Peruvian physiotherapists . Local university students participate in a 6-month internship with MMI Peru during their final year of studies. 

About Peru

COuntry background

Peru is the third largest country in South America with over 5000 years of history, one of the most diverse nations on the planet. It is made up of a variety of landscapes, from mountains and beaches to deserts and rain forests. Peru is known as a tourist destination, it is famous for its diverse gastronomy and historic cultural sites. There is a Peru for everyone and we invite you to find out.

Ancient Peru was the seat of several prominent Andean civilizations, most notably that of the Incas whose empire was captured by Spanish conquistadors in 1533. Peru declared its independence in 1821, and remaining Spanish forces were defeated in 1824. After a dozen years of military rule, Peru returned to democratic leadership in 1980, but experienced economic problems and the growth of a violent insurgency. President Alberto FUJIMORI's election in 1990 ushered in a decade that saw a dramatic turnaround in the economy and significant progress in curtailing guerrilla activity. Nevertheless, the president's increasing reliance on authoritarian measures and an economic slump in the late 1990s generated mounting dissatisfaction with his regime, which led to his resignation in 2000. A caretaker government oversaw a new election in the spring of 2001, which installed Alejandro TOLEDO Manrique as the new head of government - Peru's first democratically elected president of indigenous ethnicity.

GEOGRAPHY

LOCATION:

Western South America, bordering the South Pacific Ocean, between Chile and Ecuador

GEOGRAPHIC COORDINATES:

10 00 S, 76 00 W

MAP REFERENCES:

South America

LAND BOUNDARIES:

TOTAL:

7,461 km

BORDER COUNTRIES:

Bolivia 1,075 km
Brazil 2,995 km
Chile 171 km
Colombia 1,800 km
Ecuador 1,420 km

COASTLINE:

2,414 km

MARITIME CLAIMS:

200 nautical miles

TERRAIN:

Western coastal plain (costa), high and rugged Andes in center (sierra), eastern lowland jungle of Amazon Basin (selva)

 

CLIMATE:

Varies from tropical in east to dry desert in west; temperate to frigid in Andes

In the Southern Hemisphere, the temperatures are “reversed”. The typical seasons are:
Summer: December 22 –March 21
Autumn/Fall: March 22 –June 21                             
Winter: June 22 – September 22
Spring: September 23 – December 21  

ELEVATION EXTREMES:

LOWEST POINT:

Pacific Ocean 0 m

HIGHEST POINT:

Nevado Huascaran 6,768 m

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