Through a partnership with the Women's Institute of Pátzcuaro, Heartland Alliance is working to enhance the existing maternal and child health care delivery system of the Lake Pátzcuaro area in Michoacán, Mexico, by (1) increasing the number and improving the educational levels of maternal and child health nurses through the development and implementation of a nurse midwifery training program, and (2) expanding and strengthening the health care infrastructure, particularly for the women in the indigenous pueblos, through outreach, education and facilitating coordination of services. The midwifery training program consists of a postgraduate nursing program in midwifery, with internships at the local health care clinic serving the indigenous population and, through the clinic's outreach programs, in local pueblos. Advisors for the project include the women's advisory group in Pátzcuaro, and all activities are coordinated with the local community college and the regional health department.

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