What We Stand For
PACH’s mission is to provide resources and enduring solutions, along with global partners, to improve Andean community health.
What The Future Holds
PACH envisions healthy families and sustainable communities.
Professional Excellence in Health Care
We are committed to providing high-quality medical care and hope to the people of Ecuador.
Where We Work
Chimborazo Province is an area of unique interest and great need. The population is largely indigenous with a unique culture in terms of language, religion, family and social structure, work, music, and dance. It is also an area of widespread poverty, unemployment, and hopelessness. Over 25% of the adult population of Ecuador has now fled, and many come from this area. Many children are left behind with other family or friends or abandoned. Child trafficking is a significant risk to these children, as is malnutrition and lack of medical care. The nearby erupting volcano, Tungurahua, adds other health risks, as does the widespread problem of water quality and sanitation. The economy is largely subsistence farming, families are often large and, because most children are born at home, there are high rates of infant mortality.
63% of the indigenous population in Chimborazo Province live in extreme poverty.
28% of Ecuadorian children suffer from malnutrition.
Direct access to health care is limited.
Eye and dental care are even more scarce.
Respiratory illness is common due to the active volcano, Tungurahua.
Forced child labor and human trafficking affect the community.
“To use our economic freedom, our opportunity and our access to capital to succeed and generate wealth and then to share that wealth with others is, I believe, our highest and best use as Americans.”
– Paul Martel
Paul has been doing humanitarian work in Central and South America for over 15 years. He has organized 14 surgical missions to four countries including Ecuador, Colombia, Guatemala and Paraguay. With his wife, Terry, he has brought 9 children to the USA and his home to provide life changing surgeries such as open heart surgery. Paul is the Founder and President of YHB Investment Advisors located in West Hartford, Connecticut. For Paul, the work of PACH and its clinic in Ecuador (FIBUSPAM) is a dream come true, and he feels blessed to know and work with his talented and dedicated staff and the army of volunteers they work with.
“It is one thing to talk about compassion. It is quite another to hold another person in your arms and know that you can make a difference in their life.”
Executive Director, PACH Inc.
Sarah is a passionate humanitarian and is truly dedicated to our mission. She believes that every child deserves health, education, and love and is committed to serving the poor. Sarah joined PACH (then FIBUSPAM) in 2015 and holds a Master’s degree in Public Health from Benedictine University and a bachelor’s degree in International Studies from the University of Scranton.
Prior to joining PACH, she served as a Senior Administrator at PATH, an Assistant Manager at CLUSA, and a Peace Corps Volunteer in Mozambique.
Operations Specialist, USA & Ecuador
Having been involved in social entrepreneurship initiatives in Ecuador since 2005, Zac’s inspiration thrives from all of the relationships he has created throughout the country of Ecuador. He holds a Master in Business Administration and a bachelor degree in International Studies of Latin America.
Prior to joining PACH, he worked with a variety of for-profit and non-profit start ups including New Development Solutions Group in Guatemala and Ecuador. He served as a Peace Corps volunteer in Loja, Ecuador from 2005 to 2007.
Charlene is dedicated to supporting impactful organizations to achieve their missions, and she is passionate about building healthy, resilient, sustainable communities. Charlene holds an MA in Community Development Policy & Practice and bachelor’s degrees in Environmental & Resource Economics and Anthropology. Before joining PACH, she was a Program Manager at the Organization for Refugee & Immigrant Success.
Click here to make a donation to PACH
We are always interested in sourcing equipment for our partner clinic in Riobamba, Ecuador. We also accept contributions towards scholarship funds and mission-specific donations.
- David Guacho – Executive Director
- Dr. Harol Alfaro – Technical Director and Ophthalmologist
- Dr. Rodrigo Hinojosa – Family and Internal Medicine
- Dr. Rainier Cabrera – Dentist
- Rocio Asitimbay – Senior Nurse
- Ana Lema- Nurse
- Victor Guangasic – Pharmacist
- Olga Zapata – Senior Administrator and Inter Institutional Coordinator
- Wilson Guacho – Logistics
- Ruth Pomaquero – Reception and Statistics
FIBUSPAM Ecuador’s Founding Members
The following 10 individuals bring a wide range of talent to our Foundation. All are dedicated, experienced humanitarians with a deep commitment to helping needy children.
- Dr. Lenin Garcia, Guayaquil, Ecuador
- Lic. David Guacho, Director, Riobamba, Ecuador
- Paul R. Martel, Founder, Connecticut, USA
- Dr. Enrique Minta, Riobamba, Ecuador
- B.F. Cecilia Toaquiza, Riobamba, Ecuador
- Olga Zapata, Guayaquil, Ecuador
- Luis Villa, Riobamba, Ecuador
- Florcita Tello, Connecticut, USA
- Lindsay C. Buckner, New York, USA
PACH, Inc. Board Members
Paul R. Martel is the founder and President of YHB Investment Advisors, Inc. in West Hartford, CT. The company was founded in 1989 and currently manages over $1 billion for a variety of clients. For more information, visit www.yhbia.com. Paul has served as a humanitarian in Latin America for nearly 20 years, has organized 20 international surgical missions and helped bring a dozen children to the U.S. for urgent surgical care. In 2007, Paul founded a medical clinic in Riobamba, Ecuador that has grown into a fully accredited multi-specialty surgical center serving the poor. In 2013, Paul established non-profit organizations in both Ecuador and the U.S., affectionately known as PACH, to support the medical needs of the poor in Chimborazo Province, Ecuador. To date, PACH has provided medical care to over 30,000 children and adults throughout Ecuador. Paul is the author of “A Humanitarian’s Defense of Capitalism-The Paradigm of Freedom” and “To The Least Of Theses My Brothers.” The profits from his literary works are donated directly to PACH.
Jessica Kott works as a Senior Portfolio Manager (Registered investment Advisor) at YHB Investment Advisors, Inc. Prior to joining YHB Investment Advisors in 2009, Jessica worked as a Senior Portfolio Manager at U.S. Trust / Bank of America Private Wealth Management. Jessica is an active volunteer in her church and community. She currently serves on investment committees for Mattatuck Museum Arts and History Center, Housatonic Community College Foundation and the Girls’ Friendly Society. Jessica volunteers for Foodshare’s Speakers Bureau and The Town That Cares Fund in West Hartford. Jessica also enjoys teaching investment courses for the Osher Lifelong Learning Institute at the University of Connecticut.
Fernando Ascencio is a healthcare consultant, specializing in change management and communication strategies for large healthcare systems undergoing widespread transformations. Previously he served as Vice President of an international nonprofit focused on children’s health and as Executive Director of a DC nonprofit focused on supporting Latino families affected by cancer. Through those experiences, he brings expertise in grants and program management with direct experience in managing multi-million grant programs locally and internationally. Additionally, Ascencio serves as the Chair of the DC Cancer Action Partnership, the group accountable to the DC Department of Health (DOH) of upholding the community’s contribution to the DC Cancer Control Plan. Ascencio received his Masters in Business Administration in 2008.
Janis Jerman is a Connecticut-based general management and operations executive with significant experience in both the legal sector and non-profit management. Ms. Jerman holds a law degree from the University of Connecticut and has over 20 years of experience in non-profit finance, compliance, and operations. She also is a member of several non-profit boards and as such has contributed to board advancement. In spring 2018, Ms. Jerman traveled to Ecuador as part of a Rotary Club mission, and she has participated in international Rotary programs in India and Argentina as well.
Florcita Tello was part of a dream that began in 2007 as a founding member of PACH. She currently works at YHB Investment Advisors and actively assists with the day-to-day work of PACH. Florcita is originally from Ecuador and she enjoys and is thankful for the opportunity to help the people of her native country.
John has been a friend to the PACH family since 2011, when he brought a group of students from West Hartford, CT and joined with a group from the Escola Americana de Rio de Janiero, Brazil. That unified team played a significant role over the summer in the constriction of the clinic’s second floor, now the primary OR Theaters in the facility. The trip set the stage for Volun-Tour Trips, sponsored by Renbrook School West Hartford, CT in the summers of 2012-2015. These trips spawned the format for offering Volun-Tours to a variety of schools, colleges, and general volunteers that continue to be a pipeline for fundraising and volunteer recruitment. John is a mentor and teacher at Renbrook School, a 3-year-old 9th grade Independent Day School in central CT. He has organized and lead volunteer and adventure trips to Europe, Australia, South and Central America, in addition to a variety of in-country explorations over his 23 years at the school. Alumni and alumni parents have rallied around the trips to raise awareness and funds to grow the foundation’s presence in New England.
David Maydoney is currently the Assistant Controller of The Mountain Institute. With ten years of experience in non-profit accounting, specializing in US federal grant work, David has previously worked for the United States Conference of Catholic Bishops, Freedom House, and Boston EMS/Boston Public Health Commission. He has a bachelors from Suffolk University and is pursuing further degree work at University of Maryland University College. David currently lives in Seattle, Washington with his wife and two cats.
Dr. David Khorram
Dr. David Khorram is a physician, writer, and educator with extensive experience in grassroots development, capacity building, and global ophthalmology. After completing his training in eye surgery in the United States, he spent 22 years in the South Pacific developing eye care in the Mariana Islands. In addition to co-founding Marianas Eye Institute, he helped establish programs to build capacity in health care and administration among island residents. He now lives in the US where he participates in and leads international eye care projects. He is the creator of the Global Medicine Field Course, taking undergraduate and graduate students to low income countries to consider issues of healthcare, economic justice, and social progress. Dr. Khorram has been listed in Guide to America’s Top Ophthalmologists.
Dr. Marti Bornstien
Dr. Marti Bornstien began her professional career as an organic chemist with Bristol Myers in the 1980s, and then worked as a high school biology/earth science/physics teacher. In the 1990s, she followed her dream and entered medical school. Growing up in abject poverty, Marti’s mission was and is to provide for the disenfranchised. Sadly, an accident forced an early retirement from obstetrics/gynecology. Since then she conducts childbirth courses to expectant parents, trains physicians in medical care and practice, teaches adolescents to cook, and mentors young women, encouraging them to go into the sciences. She serves as vice-president of the Jean Axelrod Memorial Foundation, Inc., a 501 (c) (3) charity, and is a longtime volunteer with Operation Understanding DC (OUDC), an organization bringing Jewish and African-American youth in the Washington, DC metropolitan area for dialogue, education and development as community leaders. She lives in Maryland with her husband and their cat, Molly.
Medical Advisory Committee
- Howard Boey, MD ENT Surgeon, Middlesex Hospital and Yale New Haven Hospital
- Rita Nenonen, MD Pediatrician, Hasbro Children’s Hospital