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Simply Smiles provides bright futures for children, families, and communities. The organization partners with populations in need to create physical and emotional environments where suffering is alleviated and from which local leaders can emerge.

Field Notes from Oaxaca: Health promotion in action

Simply Smiles blog

Follow our blog and read insights from Simply Smiles staff, volunteers and other individuals whose lives are affected by our work!

Field Notes from Oaxaca: Health promotion in action

Alex Gross

The latest Field Note is from Colleen Travers, a critical care nurse who has traveled with Simply Smiles on two of our medical clinics and food distributions in the village of Santa María Tepexipana (SMT) in Oaxaca, Mexico. In her thoughtful post, Colleen talks about putting her professional skills to use in a different capacity and witnessing the Simply Smiles approach in action. Read more:


Twice in the last three years, I have been fortunate enough to visit Santa María Tepexipana (SMT), a remote village in Oaxaca, Mexico. Each time, I have left a little piece of my heart with the people and the community there. This past December, after three successful days of a food distribution and medical clinic, as we drove through the winding dirt roads on our way out of town, I felt a sense of fulfillment, satisfaction, and overall purpose. Simply Smiles has allowed me to take part in its parasite eradication efforts and medical clinics, and it has turned out to be an experience far beyond administering medication.

Volunteer and nurse Colleen at the medical clinic and food distribution in Oaxaca in December 2018.

Volunteer and nurse Colleen at the medical clinic and food distribution in Oaxaca in December 2018.

I chose to leave my liberal arts career over a decade ago and pursue nursing, which has given me the opportunity to connect with people and communities. As a pediatric intensive care unit nurse, I have been privileged to care for families and patients in some of the most heartbreaking, as well as some of the most wondrous, parts of their lives. Aside from medical intervention and critical care knowledge, nursing is a gateway to connect with people in times of need and to provide care, education, and assistance when and wherever needed. Simply Smiles has been another path in allowing me to practice nursing in ways that are unconventional to that of my bedside career.

Global health and community health have always been passions of mine. Having been involved in educating nurses in Haiti, and my previous trip to Oaxaca with Simply Smiles, I knew I wanted to get involved again. Simply Smiles’ parasite eradication efforts encapsulate what community health nursing means to me. In community health, medical professionals look to focus on maintaining health, locations where healthcare can be improved, and providing protection in areas that appear vulnerable. Health promotion and disease prevention are key. Simply Smiles’ deworming initiative ties all of these ideas and values together. Simply put, if distributing medication was Simply Smiles’ sole role in intervention, there would be less of an impact on the village community; it would simply function as a band-aid to a much larger problem.

Simply Smiles works to take this to the next level by identifying the needs in Santa María Tepexipana and the surrounding villages, evaluating what can be done, and executing a plan. This has allowed for great success in the prevention and eradication of parasitic infection.

Sustainability is crucial in community health initiatives. In addition to medication administration, Simply Smiles provides long-term support and the resources that allow for eradication efforts to be successful. In addition to giving medicine to treat intestinal parasites, Simply Smiles promotes educating the community to reduce the spread of infection through proper hand-washing and footwear. It has also successfully built 137 latrines that are maintained by local families in remote areas of southern Oaxaca over the last few years.

As a nurse, I greatly appreciate working with an organization like Simply Smiles. In addition to practicing and providing reliable resources, there is a connection with the community in SMT that shines through. The smiles, the excitement, and the warm greetings from the SMT community stand out above all. Upon entering the community we were greeted with open arms. The children were smiling — eager to play and quick to correct my less-than-ideal Spanish grammar. As a returning volunteer, it was fulfilling to see familiar faces and how much the children had grown. The community connects with Simply Smiles and its volunteers and involves us like we are part of their family. This is the thing that stands out the most. When there is already a bond between communities, healthcare providers and relative outsiders like myself are have able to assist and make an impact.

Volunteer and nurse Colleen at the medical clinic and food distribution in Oaxaca in December 2018.

Volunteer and nurse Colleen at the medical clinic and food distribution in Oaxaca in December 2018.

While medical intervention has been the focus of my past visits to Oaxaca, there is so much more to the trips when I reflect on them. For me, they have meant seeing and experiencing a community unlike any that I would find in Boston (where I come from) or North Carolina (where I currently reside). These trips have allowed me the opportunity to open up to a new community that can provide new ways of looking at healthcare. They have allowed me, as a nurse, to understand the importance of access and reliability. And overall, they have opened the doors for me to connect with more people in an amazing place. I remain changed by the people and community of SMT and Simply Smiles both personally and professionally. Experiences like this one enable me to approach nursing and living with new perspective. I am ever grateful to Simply Smiles for involving me in such an important project.