Enfoque Ixcán

Enfoque Ixcán (“Focusing on the Ixcán”) is a non-profit organization which provides eye care and eye health education to a remote jungle region of Guatemala. Our program is unique in that we train, equip and otherwise enable local eye health promoters to provide eye care so that they can serve their communities on a year-round basis. They provide basic eye exams, eye glasses, eye health education and access to surgical care.

Enfoque Ixcán History

Pedro Chom

Guatemala’s Ixcán region, with over 100,000 residents, is located in the northwestern part of the country near the Mexican border. In 1996, while visiting the area, Portland, OR, optometrist Dr. Scott Pike met a poor Mayan subsistence farmer, named Pedro Chom. Pedro lived in a cooperatively formed village, Santa Maria Tzeja.

This chance meeting would change both their lives.

Every member of the co-operative is expected to volunteer for the good of the village and Pedro contributed a few hours of his time each week to work as a “health promoter”. To compensate for the lack of doctors in these remote areas, the government trains local residents on the basics of health care. From minor injuries to delivering a baby, they become the “health needs go-to people”. Although he took pride in and enjoyed his work as a health promoter Pedro was going to quit his job because he was having difficulty reading the instructions on the medicines he dispensed to his patients.

Dr. Pike realized that all Pedro needed was reading glasses. Like most other people in the Ixcán, he had no access to eye care and was too poor to afford it. The nearest eye doctor was six to ten hours away in the city of Coban. Few could afford the ride (in the back of a truck), the time away from their farms and families, or the doctors fees. When Dr. Pike returned to Portland he made up a pair of glasses and sent them back to Pedro.

Dr. Pike returned to the village the next year and with Pedro’s assistance launched an eye care project for this village. Enfoque Ixcán was born. The name Enfoque Ixcán means “Focusing on the Ixcán”. Through the years Pedro took on more and more of the village’s healthcare responsibilities and now, 22 years later, his volunteer work has evolved into a full-time, paid, position, called the village health facilitator.

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Purpose of the Organization

Over 40% of the people of the Ixcán area need glasses. Almost 5% are blind with cataracts. While most cataracts are found on older people, children and young adults are also being diagnosed with them.

Since 1996 Dr. Pike has methodically developed the project to bring primary eye care to this extraordinarily under-served population. Every year he spends a week in Santa Maria Tzeja teaching Pedro, Felipe Panjoj, who started working with Enfoque Ixcán in 2005, and now, Carlos Quinilla, our newest eye health promoter who started in 2017, the basics of eye care including anatomy, optics, refraction, eye glasses dispensing, and disease recognition. Each time he visits, Dr. Pike takes the three men additional equipment and over time their skills and abilities have developed. To date they have examined over 4,700 people from more than 100 different villages. Glasses are dispensed from an inventory which Dr. Pike re-stocks on his twice-yearly visits.

Felipe PanjojCarlos Quinilla
Felipe PanjojCarlos Quinilla

These Eye Health Promoters (EHPs) work from rented office space in the main trading town and municipal center for Ixcán, Playa Grande. They have office hours 5 days a week and see patients from all the communities of Ixcán. Each year the EHPs make 4-5 trips to an eye clinic, Visualiza, 5 hours away, accompanying patients needing eye surgeries. Since 2002 Enfoque Ixcán has funded over 700 eye surgeries, including over 500 sight-restoring cataract surgeries.

Good eye care also includes education and prevention. Our eye health promoters have sun glasses and baseball hats available for protection from the ultra-violet rays of the sun and lubricating eye drops to protect from the drying effects from living around wood fires and the dust and wind. Informational brochures have been made for the teachers and the general public of the Ixcán. In this way they learn about vision, eye conditions, eye health, and the prevention of eye problems for all ages.

Growth of Enfoque Ixcán

As the project expanded beyond Dr. Pike’s ability to personally cover expenses, Enfoque Ixcán was formed as a charitable organization in 2005. It received its 501(c)(3) status in May 2006.

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Recent successes and future plans…

The 2018 EI-Amigos Team

The 2018 EI-Amigos Team

In August 2018 Enfoque Ixcán and Amigos Eye Care of Pacific University College of Optometry joined forces for the 16th year in a row providing eye clinics in the Ixcán. In 4 days of clinics, in 3 different villages, 1051 patients were examined and 561 pairs of glasses were dispensed. Also forty-two more people were added to the list of people needing eye surgeries.

From a Rotary International Global Grant received in 2016 we have purchased up-to-date equipment, provided training for our Eye Health Promoters (EHPs), increased our glasses inventory and provided eye care training to the government nurses of the Ixcán region.

We are currently raising money to construct our own clinic building on land donated by the municipal government.


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