1. Apatug THV 50-40-10®
THV
50 | 40 | 10®
promote. prevent. provide.
Total Health Village | Apatug | Ecuador | Latin America
A program of mapInternational
OVERVIEW
MAP’s ministry is grounded in a broad vision and understanding of health. MAP’s guiding principles state that among the many
human needs, it is called to focus on the ministry of Total Health. Total Health doesn’t describe the state of someone’s health but
rather the ways that individuals, families and communities can take responsible action to improve their well-being. Self-
empowerment and holism are therefore important dimensions of the THV.
The THV is a ‘low-input, high-impact strategy for achieving the Millennium Development Goals’.
It is a cost effective community development strategy that leads to Total Well Being; a way to impact a whole village of close to a
thousand people through a facilitative and low input cost strategy.
It is a completely participatory strategy where communities identify needs, analyze their situation, plan a response strategy, ac-
tively work with the CORP (Community’s Own Resource Persons) and ENGAGE actively in solving their own problems.
PURPOSE
In a growingly economically challenged world where health care resources are in short supply, costly and inadequate to meet the
demand; there is a need for communities to take ongoing, comprehensive action to improve their health and well being. The fol-
lowing are some critical features of the Apatug THV:
one: Operates in a clearly definable community (Apatug)
two: Program focus is on self empowerment strategies
three: The project has a well defined life cycle of 5-7 yrs
four: The holistic approach focuses on children
five: MAP works in active partnerships with other
organizations
six: Impacts are measurable and results are relevant to
community needs
seven: Interventions are cost-effective [$15/person/yr]
AREA OF INFLUENCE
Apatug is located in the Napo region of Ecuador, near the Tungura-
hua volcano. It is a rural community in the Andes Mountains, and they face issues
related to a lack of clean water, poor livelihood security, and live in fear of volcanic
eruptions.
Population of Apatug: 3,500
ALIGNMENT WITH MDGs, NATIONAL PRIORITY, AND MAP INTERNATIONAL’S STRATEGIC PRIORITIES
The THV’s development program is in alignment with the with the National priority of Ecuador, the MDGs (1,2,4,5,7, & 8), and
MAP’s strategy to promote, prevent, and provide essential medicines.
OBJECTIVES
The THV seeks to address personal and social health determinants so that individuals and communities may experience Total Health and wellbeing.
1. To develop local capacity for socioeconomic health determinants related to issues of livelihood security and com-
munity organization through strategies such as agriculture, animal husbandry, and trade development leading to
holistic well-being (50% of the effort)
2. To develop local capacity for the prevention of common diseases managing issues such as access to safe water,
sanitation, and other prevention leading to holistic health (40% of the effort)
3. To develop local capacity for treatment of those diseases that cannot be prevented, such as gastro-intestinal, respira-
tory, & systemic disorders so that disease incidence is drastically reduced (10% of the effort)

2. THV-001/Apatug/2011
This program uses modern participa- APATUG’S DEVELOPMENT PRIORITIES
tory techniques such as the Rapid The numbers on the HWVA diagram at left correspond with the
Household Foodsecurity Status As- numbers below. They are prioritized by the community, begin-
sessment tool (RFSA) and the Holistic ning with 1. Note how the distribution of priorities fits into the
Worldview Analysis tool (HWVA), to THV 50-40-10® model:
closely involve the community in de-
termining the activities that would Promote health:
address their contextual problems. 1. Implement micro watershed development
This therefore results in high impact
that is manifested as a strong sense of 2. Increase agricultural production
ownership and ongoing sustainability 6. Improve marketing of animals for sale
of the program. 7. Improve cattle rearing and care practices
8. Conduct a market study for improved trade
10. Study the education system in order to improve it
Holistic Worldview Analysis of Apatug 13. Improve agricultural practices including intro-
duction of new products
Prevent disease:
3. Improve efficiency of existing water sources
4a. Identify and control pollution spots
5. Prepare for disaster through volcano awareness
and mitigation
9. Develop a sewage system
11. Identify areas of water contamination and imple-
ment preventative measures, such as water filters
12. analyze existing practices and introduce CLTS
(community-led total sanitation)
Provide essential medicines:
4b. Research diseases (potential link with research
PROGRAM GOAL Facilitating partners)
The program goal is: self-empowerment 14. Identify diseases, educate, and find ways of pre-
so that communities vention and treatment
are able to
solve most of their RESOURCES NEEDED per annum (approximate)
own problems No Program Amount
1 Community organization & capacity building for pro- 5000
POINT OF ENTRY posal development
The strategy or framework for operation consists of finding a 2 Village profiling and needs assessment 3000
‘point of entry’ into the village. In Apatug, we gained trust with
the community through a relief response to the eruption of the 3 Community initiated program in livelihood and food 8000
Tungurahua volcano., thereby establishing credibility with the security
community.
4 Community initiated program production 6000
LENGTH OF PROJECT 5 Medicines and treatment support 2000
This project, which commenced in the summer of 2010, is ex- 6 Facilitation support 4500
pected to last 5-7 years. In order to achieve sustainability and
avoid dependence, the CORP (Community’s Own Resource Per- 7 Transport 1200
sons) will take over greater leadership around the third year of 8 Office space and dispensary 2000
the project, so that they will be able to access local and other
9 Administration and supervisory support 4000
development funds, functioning like an NGO.
10 Technical backstopping 2000
TOTAL 37,700
CONTACT DETAILS
For more details on the Dr. Ravi Jayakaran, Vice President, Global Programs rjayakaran@map.org | office: 404.492.6588
Apatug THV, please contact: Maggy Martinez, Ecuador Team Leader mmartinez@map.org | office: 593-2.2432580
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