We then spent 22 years treating victims of Chagas, a parasitic disease that attacks the heart and the nervous and digestive systems. The project closed in 2005, after the national health ministry had included the disease in a new 10-year plan and the rate of infections had dropped.

In 2018, we returned to Nicaragua to offer psychosocial support to people suffering from conditions such as anxiety, adjustment disorder and post-traumatic stress as a result of having witnessed or experienced violent events associated with civil and political unrest.