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A sustainable strategy to fight anemia and strengthen food security

In the high Andean communities of southern Peru, where harsh weather conditions limit agricultural production, anemia and child malnutrition remain serious public health challenges. According to the 2022 Demographic and Health Survey (ENDES) by INEI, 42.4% of children between 6 and 35 months suffer from anemia, an alarming figure that highlights the need for sustainable access to nutritious food. In response, the organization Con Corazón implemented a family greenhouse project in the rural community of Marampaqui (Cusco). The initiative aims to strengthen food security, improve nutrition, and promote productive self-sufficiency. It combines appropriate technology with active community participation, generating a direct impact on the health, economy, and wellbeing of Andean families.

Regular foods at over 4,000 meters above sea level
In these high-altitude regions, people’s diets rely on crops adapted to extreme climates. Potatoes, quinoa, and chuño, foods they grow themselves, form the base of their nutrition thanks to their energy value and long shelf life. Animal proteins mainly come from guinea pigs, llamas, and alpacas, species adapted to high altitudes that provide meat, wool, and labor support, contributing to food security in the Peruvian Andes.

Medicinal plants

Medicinal plants such as muña, used for digestive issues and altitude sickness, and coca leaves, traditionally used to relieve pain, increase energy and in ceremonies, are commonly cultivated. Other important plants include mint, used for digestion and stress relief, and hercampuri, traditionally used to manage diabetes.

Needs identified by Con Corazón

The introduction of greenhouses in Marampaqui offers an effective solution to the lack of vegetables in the local diet and the growing impacts of climate change. These structures protect crops from frost, heavy rain, and strong winds, creating a controlled microclimate that allows year-round cultivation. They maintain stable temperatures, preventing plant damage during cold nights, and improve water efficiency by reducing irrigation frequency. Economically, greenhouses enhance food security, increase family income through more frequent and higher-quality harvests, and diversify production. They also help reduce malnutrition by ensuring access to fresh, nutritious food.

Design

Each greenhouse is adapted to Andean conditions, combining local materials like adobe, brick, and eucalyptus wood, with modern technologies such as thermal polyethylene. Together, these structures strengthen community resilience to climate change, promote agricultural sustainability, and support economic development in Peru’s most vulnerable regions.

The implementation plan

The Marampaqui greenhouse project was carefully planned and participatory, beginning several months before construction. Early meetings focused on raising awareness about the benefits of greenhouses for food production and family nutrition. Later sessions defined the implementation plan, timeline, and responsibilities. Beneficiaries contributed local materials like adobe, brick, eucalyptus wood and labor, fostering ownership and shared responsibility. In the case of single mothers, other participants joined forces to support them, ensuring all families could complete their greenhouses.
Con Corazón provided essential materials such as plastic roofing, nails, planks, plastic tubes, iron, nets, and metal wire. Thanks to this collective effort, each family built their own greenhouse and chose which vegetables and medicinal plants to grow, based on their needs and preferences. The initiative not only strengthens local food production and self-sufficiency but also reinforces social cooperation and community ties in the high Andes.

Economic opportunities

Some greenhouse beneficiaries chose to grow strawberries besides all the vegetables, taking advantage of the favorable conditions these structures provide. This new crop diversifies agricultural production and creates income opportunities for families. Selling strawberries in local markets will help generate additional income, improve household economies, and foster rural entrepreneurship enhancing both the project’s sustainability and community development.

Coordination strategy

Dino Cruz, our health promoter at the Marampaqui Medical Center, played a key role in project follow-up. Riding his motorcycle, he visited each beneficiary to monitor progress and offer technical and motivational support. He also organized regular coordination meetings, ensuring smooth communication among participants. Thanks to his close relationship with the community, he successfully encouraged responsibility and commitment, motivating families to meet their goals.

Conclusion

The greenhouse initiative has proven to be an effective strategy to strengthen food security, improve nutrition, and promote sustainable agriculture under extreme climate conditions. Beyond providing fresh food year-round, it has fostered community participation, shared responsibility, and empowerment, especially among women and single mothers. The use of local materials and appropriate technology ensured adaptation to Andean conditions, guaranteeing durability and functionality.
This experience shows strong potential for replication in other rural Andean regions or areas with similar geographical and climatic challenges. With proper training, technical support, and collaboration with local governments or partner institutions, this model can reach more communities. Ultimately, the greenhouse project stands as a sustainable local solution to climate change and poverty and as an inspiring example of how community-driven initiatives can improve the quality of life for vulnerable rural populations.

November 2025

 

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Testimonials

"Con Corazón does valuable work supporting communities in important areas of their lives. I was warmly welcomed, and it was an honor to work with you! thank you for this unique opportunity to contribute to the organization and to immerse myself in the Peruvian culture - my time was wonderful!"

Manuela Hanne

Manuela Hanne

Volunteer

"I had the opportunity to volunteer at Con Corazón. I worked alongside Dr. Saulo and his team. The clinics provided services performed by qualified staff and volunteers. Although I had no dental background, I was able to assist the dentists with tooth extractions, cleanings, and fillings."

Moriah Steffens

Moriah Steffens

Volunteer

“Saulo and his colleagues were incredibly friendly and generous with their time. We’ve formed friendships that will outlast our stay. Staying in Cusco for a month also gave us the opportunity to really get under the skin of the city, and understand better the Peruvian way of life and traditions.”

Paul Emery

Paul Emery

Volunteer

"The Andes are my birthplace and I feel deeply connected to this region. To have the opportunity to support the people there in a direct way and without detours is something great. Knowing that donations are going to the right place, to the right people, is what I thank and trust Con Corazón for."

Anna Alberti

Anna Alberti

Donor & Visitor

"Con Corazón uses a sustainable model providing subsidized quality dental care to lower income populations. The highlight was being able to work in Marampaqui. These patients have minimal access to dental care, and it was amazing to be able to provide care in such a remote location."

Dr. Ujval Gummi

Dr. Ujval Gummi

Volunteer

“We felt we wanted to give back! As part of our six-month sabbatical we thought Cusco is the perfect place to pause and give some time helping through Con Corazón. We have been mainly assisting the work of the dental clinic. It’s clear this NGO is having a big positive impact within the region.”

Amélie Prot

Amélie Prot

Volunteer

"I support Con Corazón because Danièle's involvement has convinced me, from the beginning, that the help arrives directly, without any detours. What is also fascinating to me is the constant further development and the focus on the long-term perspective. The highlight was the visit in 2019."

Cordula Sonderegger

Cordula Sonderegger

Donor & Visitor

"Marampaqui gave me faith and love. I am grateful to Con Corazón for the chance to serve as a volunteer doctor. I deeply admire their dedication and passion, bringing health each month with love and commitment. Their work inspires me, and I will always be happy to support them when invited."

Ambar Suclly

Ambar Suclly

Volunteer

"What I remember most about my involvement was working with the people in the remote Andean region, where the organization provides valuable support. The unique insight into the culture and way of life of those people is definitely one of the most beautiful and memorable of my stay."

Livia Hollenstein

Livia Hollenstein

Volunteer

"Over the years, the Rotary Club of Aarau has been able to generate various projects together with Con Corazón. One of the highlights was certainly the construction of the Medical Center at over 4,000 meters above sea level. The cooperation is always very sustainable, efficient and professional."

Martin Bachmann

Martin Bachmann

Rotary Club Aarau

"In August 2019 finally I had the opportunity to go to the Andes in South America. There I had finished one month of volunteering at the dental clinic in Cusco, Peru. I really enjoyed helping poor people through making dental cleanings for the patients. What an incredible team to work with!"

Mette Højborg

Mette Højborg

Volunteer

"I have been following Con Corazón for years, so a visit to Peru was logical and very precious for me. It was extremely impressive to enter into this unknown world and to capture it photographically. As a professional photographer, I still enjoy the impressive images from the Andean region."

Hana Solenthaler

Hana Solenthaler

Donor & Visitor

"Wow, what an impressive landscape at over 4,000 m.a.s.l., what a beautiful place in the Andes, what unbelievable warm-hearted people! Immediately there was another wow, there is a lot to do for me in the next four months! Marampaqui became a second home for me".

Moritz Mitterer

Moritz Mitterer

Volunteer

"'The only thing that can eliminate poverty is to share with each other. ' Mother Teresa's quote points out how important Con Corazón's mission is to fight poverty in the long term and to give people a perspective. I am very grateful that I was able to visit the organization in Peru."

Anna Alberti

Anna Alberti

Donor & Visitor

"Volunteering to work alongside Dr. Saulo and his incredible team at Con Corazón has been a highlight in my nursing career. Having the opportunity to serve and provide the people of Marampaqui with free medical & dental services in these remote villages was an absolute rewarding experience. "

Yesenia Rivera

Yesenia Rivera

Volunteer

"The aim of my sabbatical was not just to travel, but to really get to know a country, its people, its culture and its language. Being a teacher for health education, it was amazing to see how health promotion can be realized in different Con Corazón projects - with a lot of passion and with heart!"

Michaela Graf

Michaela Graf

Volunteer

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