In Guatemala’s highlands, Lexington Advisory Group helped adapt MediConnect’s telemedicine platform for indigenous communities, integrating Mayan languages and training local promotores. Within 2 years, 3,400 patients in 18 communities accessed care, emergency evacuations fell 45%, prenatal care rose 78%, and maternal mortality dropped 23%. Backed by government, the program is expanding.
Challenge: Indigenous communities in Guatemala's highlands faced severe healthcare access barriers. The nearest clinic was often a day's journey away, and many patients couldn't afford to lose work time for medical visits. Maternal mortality rates were 40% higher than national averages.
Our Approach: A Latin American healthtech startup, to adapt their telemedicine platform for indigenous communities. The challenge wasn't just technological—it was cultural and linguistic. We conducted ethnographic research to understand health-seeking behaviors and worked with community health workers (promotores) already trusted by residents.
Implementation: We helped MediConnect develop a culturally-sensitive platform supporting three Mayan languages. Local promotores received tablets and training to facilitate video consultations with Spanish-speaking doctors who had cultural competency training. We established a network of 23 community health stations in traditional gathering places like schools and community centers.
Results: Over two years, the program served 3,400 patients across 18 communities. Emergency medical evacuations decreased by 45% through early intervention. Prenatal care participation increased by 78%, contributing to a 23% reduction in maternal mortality. The program is now expanding to 12 additional regions with government support.
What Made It Work: Respecting existing community structures instead of trying to replace them. By empowering trusted promotores with new technology rather than introducing outside medical staff, we built on social capital that already existed.