08/26/2026
We went to Iquitos expecting the youngest children to be the hardest to reach. The data told us something else.
First, how we work: everyone who walks into an ATW clinic gets a full checkup from a doctor. Head to toe, start to finish. Not only the sickest patients, and not only the age group a campaign is built around. Every person who comes through the door.
That takes more time per patient. It's also the reason we found this.
Over five days along the Amazon River basin, we treated patients across five communities. Because we see everyone, we asked everyone the same question: how long has it been since you saw a healthcare provider?
Nearly 4 in 10 teenagers hadn't seen one in over a year — the highest share of any age group we screened.
Teenagers fall into a gap. Babies and toddlers get carried in by their parents. Grandparents get brought by their families. Teenagers are old enough that nobody carries them to a clinic, and not yet old enough to be seeking care on their own. When the nearest clinic may be a boat ride away, that gap gets wide fast.
A full exam catches what a targeted program isn't looking for. It's slower. It's also how a 15-year-old who hasn't seen a doctor since childhood finally gets seen.
Learn more at athousandways.org