The Ministry of Public Health has certified 13 ancestral midwives in Santo Domingo de los Tsáchilas. The program is part of a national effort to recognize and support traditional knowledge within the public health system.
The certification followed a process that included identification, validation, training, and coordination with local health centers. The initiative aims to ensure safe, respectful, and culturally sensitive care during pregnancy, childbirth, and postpartum periods by fostering collaboration between midwives and healthcare units.
Rosa Ángela Basurto, representative from Zonal Coordination 4 of Health, emphasized the role of ancestral midwifery in rural communities. “You, dear midwives, have accompanied entire generations with knowledge, respect, warmth and commitment. From the zonal health coordination we promote this process because we believe in a comprehensive and intercultural health model where ancestral knowledge and modern healthcare complement each other,” she said.
At the event, certificates were awarded to the participants along with public recognition for their work supporting families’ well-being.
Certified midwife Teresa Salas reflected on her experience: “Being a midwife is not just a job; it is a calling of service, respect for life and support for women at one of the most sacred moments—giving birth. Our knowledge comes from our elders—from our grandmothers and mothers—who taught us to care with patience, observation and heart.”
Participants also received kits designed to support community-based births while respecting traditional practices as well as incorporating hygiene measures and risk prevention for mothers and newborns.


