No public or environmental health program will experience long-term success and sustainability unless it includes a strong educational component for the indigenous population.

Public Health International developed a village training program in public and environmental health in Ecuador called “Salud Para el Pueblo,” which has been successfully duplicated in Peru, Nicaragua and most recently, Honduras.


A few of the direct results of PHI’s Salud Para el Pueblo model projects are:

  1. A reduction in the incidence rate of diarrheal diseases in project villages from approximately 25% to one%.
  2. A reduction in the rate of cholera in project villages from approximately 40% to zero.
  3. A reduction of the rate of malaria in project villages from as high as 80% to zero.
  4. A reduction of the rate of dengue fever in project villages from as high as 60% to zero.
  5. Change obtaining house-hold water from unprotected surface sources to properly operated safe domestic water systems.
  6. The change from having no household latrines in a project village to having one latrine per household, inspected weekly.
  7. Change the random disposal of household garbage in a village to weekly collection and disposal at centrally located sanitary landfills.
  8. Change allowing domes-ticated animals like goats, pigs and chickens to roam freely throughout a village to villages with loose animal control programs
  9. The introduction of basic public health programs in the lower grades of all project schools.