Project profile — Scaling Up Maternal and Child Health in Guatemala


2016-03-10 - 2021-06-30
Global Affairs Canada
KFM Intl Dev Partnerships & Operations

Country / region 

• Guatemala (100.00%)


• Health policy and administrative management:
Health policy and administrative management (12110) (34.99%)
Medical services (12191) (23.72%)
• Health: Health statistics and data (12196) (11.26%)
• Basic Health: Health personnel development (12281) (30.03%)

Policy marker 

• Gender equality (significant objective)
• Environmental sustainability (cross-cutting) (not targeted)
• Participatory development and good governance (not targeted)
• Trade development (not targeted)
• Biodiversity (not targeted)
• Climate change mitigation (not targeted)
• Climate Change Adaptation (not targeted)
• Urban issues (not targeted)
• Desertification (not targeted)
• Children's issues (significant objective)
• Youth Issues (significant objective)
• Indigenous Issues (significant objective)
• Disability (not targeted)
• ICT as a tool for development (principal objective)


The project aims to reduce maternal and child mortality by strengthening essential maternal, newborn and child health (MNCH) services in the Guatemala. Project activities include: (1) providing training and technical assistance to the Ministry of Health to develop and deploy distance education programs for health professionals and community healthcare workers, (2) providing training and technical assistance to health professional to use a community eHealth system for improving MNCH services to rural communities; and (3) providing technical assistance to health authorities at the national, district and community levels to use MNCH data from community eHealth system, and (4) proving technical assistance to increase the dissemination and use of vital events data. The project is expected to contribute directly the improved health of approximately two million people in the departments of Alta Verapaz, Huehuetenango, El Quiche and Sololá in Guatemala. Tula Foundation is implementing the project in collaboration with TulaSalud, McMaster University, Tigo Foundation, Alliance for Nutrition Foundation and the Guatemalan Ministry of Health.

Expected results 

The expected outcomes for the project include: (1) improved delivery of essential health services to mothers, pregnant women, newborns and children under five; and (2) increased collection, dissemination, and use of community-level maternal, newborn and child health and nutrition health data

Results achieved 

Results achieved by the Tula Foundation through the support of the Government of Canada as of the end of the project (December 2021) include: (1) contributed to the reduction of maternal mortality rate by an average of 23% in Alta Verapaz, El Quiché, Huehuetenango and Sololá; (2) reduced the number of deaths of children under the age of five by an average of 71% in target regions; (3) 29,637 health personnel and community health workers (16,989 women and 12,648 men, including 19,621 Indigenous persons) completed distance education programs to address maternal, newborn and child health and nutrition; (4) provided training for 4,981 community health workers and health personnel participants (2,775 women and 2,206 men) in Alta Verapaz, El Quiché, Huehuetenango, and Sololá and smartphone equipment to enhance their capacity to use a community eHealth system to improve the delivery of maternal, newborn and child health, nutrition health and COVID-19 services; (5) the registration of more than 1.8M calls for clinical support such as transport, follow-up, consultation and coordination; (6) contributed to an increased collection, dissemination and use of community-level maternal, newborn and child health and nutrition health data. Since the beginning of the project, (7) 7,694 health officials, health personnel and community health workers (4,301 women and 3,393 men) accessed community health information for decision-making support via the community eHealth system; (8) coordinated with the Ministry of Health in 2020 to update the eHealth system to allow users to register COVID-19 cases for monitoring, follow-up and resources planning; and (9) This improved the time required to access information. The average transfer time between collection and accessibility of health data by the community eHealth system records at approximately 21 minutes; significantly better than the project target of 24 hours.

Budget and spending 

Original budget $0
Planned disbursement $0
Country percentages by sector
Type of finance Aid grant excluding debt reorganisation
Collaboration type Bilateral
Type of aid Project-type interventions
Date modified: