The community of Subtiava is located near the León city in Nicaragua. It consists of approximately 8.000 residents largely occupied by Subtiava Indians. During a Sandinista’s era people were forced to move to the area with limited agriculture possibilities and infrastructure, in years created an area of where in this poverty-stricken community, the majority of residents live on just $2 per day or less.
Since my first visit in 2007, I continued to return several times by myself back, to document a life of this community where adolescent pregnancy it’s hidden, higher than the rate for Sub-Saharan Africa and majority of all households are lead by women and occupied by four generations of women. Old generation of men died during a civil war, generation after them emigrated to neighbouring countries to work as a servants and drivers. The rest of the men are struggling on sugar cane fields. Health issues are a concern in the community and kidney failure accounts for 80% of the deaths especially in men 35-45 years old working on sugar case plantations which are using toxic chemicals - pesticides and herbicides - that are routinely used here in agriculture.
Early marriage, lack of sex education, romanticism, machismo, gender double standards and religious prohibition of contraception have also been suggested as possible contributors to the country's high adolescent fertility rate. Pregnant girls reproduce the cycle of poverty, because they become mothers before they are biologically mature – in other words, they are underweight mothers who suffer from chronic malnutrition and give birth to low birth-weight, short-stature babies, 47 percent of pregnant girls and teenagers do not complete primary school, effectively losing their right to an education. Many are forced to look for work in disadvantageous conditions, because they don’t have experience or training in a profession or trade, others are thrown out on the streets, and many end up as the victims of sexual exploitation.
MAGNA was working in the community since 2007 and through mobile clinic delivered healthcare to the community. First years of the project, MAGNA mobile clinic registered and provide medical assistance to over 200 adolescent pregnant girls every year in the age from 12-15 yrs. Now after almost 10 years of continual support of health services and community education, only 20 adolescent girls are actually pregnant or having newborn in the community (12/2016).