About Our Organization
Our Mission

What We Stand For

PACH’s mission is to provide resources and enduring solutions, along with global partners, to improve Andean community health.

Our Vision

What The Future Holds

PACH envisions healthy families and sustainable communities.

Our Values



Professional Excellence in Health Care

We are committed to providing high-quality medical care and hope to the people of Ecuador.

Where We Work

The Andes

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. 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. Other health risks include 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.

Why Ecuador?

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.

Our Founder

“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.”

Sarah Marjane

Sarah Marjane

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.

Zachary Smith

Zachary Smith

Operations Specialist, USA & Ecuador

Having been involved in sustainable development initiatives in Ecuador since 2005, Zac’s inspiration thrives from all of the relationships he has created throughout the country of Ecuador. He is passionate about the intersections of health and agricultural systems. He holds a Master in Business Administration and a bachelor degree in International Studies of Latin America and is currently a PhD student focusing on Agroecology and Community Health.

Prior to joining PACH, he worked with a variety of for-profit and non-profit start ups in Guatemala and Ecuador. He served as a Peace Corps volunteer in Loja, Ecuador from 2005 to 2007.

Lucy Miller-Suchet

Lucy Miller-Suchet

Program Associate

Lucy is passionate about systemic healthcare policy reform, including complete access to basic care and is dedicated to supporting grassroots healthcare organizations. Lucy believes PACH is one of those community-based organizations and is a leader in creating this change in Ecuador. Lucy obtained a Bachelor of Arts in International & Global Studies and Health: Science, Society, and Policy in May 2019. Prior to joining PACH, Lucy worked as a career counselor at the Brandeis University Hiatt Career Center. Lucy looks forward to supporting PACH’s initiatives as a 2019-2020 Princeton in Latin America Fellow and hopes that her work will propel her into a career of health law.



India Olchefske

India Olchefske

Project Associate

India received her undergraduate degree from the University of Chicago, and her MPH from George Washington University. She has experience working in health policy at both the state and federal level specifically centered around maternal and mental health. In addition, she has worked for a variety of health-related non-profits and direct service organizations. Running tandem to her passion for public health is a passion for ballet.



Colleen Kelly

Colleen Kelly

Grant Writer

Colleen is passionate about sexual and reproductive health and justice and particularly women’s rights in consent and family planning. She joined PACH as a Grant Writer in early 2022. Before PACH, she was the Administrative Liaison for the Department of Pediatrics at the UPMC Children’s Hospital. She intends to pursue a joint Master’s degree in Public Health and International Development at the University of Pittsburgh. Colleen lived and volunteered in Ecuador throughout 2013 and is happy to be helping improve access to healthcare for its people



Nathan Shaw

Nathan Shaw

Medical Missions Coordinator

Nathan is originally from Harrisburg, Pennsylvania. He graduated with a bachelor’s degree in accounting from Saint Joseph’s University in Philadelphia.  After working two years for PriceWaterhouseCoopers auditing large corporations, he decided to join a yearlong volunteer program, Rostro de Cristo, which took him to Guayaquil, Ecuador. He lived and worked with six other recent graduates in ‘invasion communities’ on the outskirts of the city.  He then continued with the organization for almost two more years leading the immersion trip program and then as the in-country director. Today, he lives with his wife in Duran across the river from Guayaquil and splits his time between assisting local nonprofit organizations and online Business English teaching.  Since moving to Ecuador, he has embraced a simpler lifestyle and enjoys putzing around in his small patio garden.



Mimi Lucero

Mimi Lucero

Program Officer

A chakrawawa/seed keeper from the Isabela-San Cristobal/Galapagos islands and antisuyu territories, Mimi works as the recipient and advocate of generational birth knowledge informed by the tradition of Paju.  Her focuses include  food sovereignty, community organizing, and active land management practices, and to document the meaningful everyday contributions of indigenous agriculture and its role in rebuilding equitable food systems in cross-cultural spaces. She has a bachelor’s in peace justice & conflict studies and is currently completing a master’s in biology with a focus on global conservation from Miami University.



Clare Flanagan

Clare Flanagan

International Children's Program Manager

Clare holds an MPH in Global Health & Population from the Harvard School of Public Health and a BA in Government and Women’s & Gender Studies from Georgetown. She has a background in the implementation and management of research projects and previously worked on the endTB trial with Partners In Health. Based in Boston, she is currently working on cost-effectiveness research utilizing infectious disease modeling with a team at Mass General. She is really looking forward to working with the PACH group.



Donate Now

Click here to make a donation to PACH

In-Kind Donations

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.

In-Country Staff


  • David Guacho – Executive Director
  • Olga Zapata – Senior Administrator and Inter Institutional Coordinator
  • Dr. Carlos Gonzalez – Ophthalmologist and Medical Director
  • Dr. Rodrigo Hinojosa – Family and Internal Medicine
  • Dr. Enrique Minta – General Surgeon and Pediatric Surgeon
  • Dr. Lenin Garcia – Dentist
  • Dr. Silkya Escobar – Dentist
  • Dr. Ricardo Delgado – Gynecologist
  • Dr. Franklin Baltodano – Pediatrician
  • Dr. Gabriela Perez – ENT
  • Dr. Indira Pineda – Internal Medicine
  • Dr. Freddy Barcenas – Internal Medicine
  • Dr. Jose Angél Cruz – Plastic Surgeon
  • Dr. Jorge Sague – Urologist
  • Dr. Jorge Valdez – Dermatologist
  • Dr. Damaris Rodriguez – Gastrointerologist
  • Dr. Urbano Solis – Rheumatology
  • Dr. Juan Pérez – Angiologist and Vascular Surgeon
  • Marco Xavier Vallejo – Andean Medicine and Chiropractics
  • Adriana Guamán – Registered Dietician and Administrator
  • Karen Piaun – Pharmacist and Biochemist
  • Ana Lema – Surgical and Auxiliary Nurse
  • Jimena Paca – Surgical Nurse
  • Petrona Pilamunga – Auxiliary Nurse
  • Wilson Guacho – Logistics

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.


  • Paul R. Martel, Founder, Connecticut, USA
  • Lic. David Guacho, Director, Riobamba, Ecuador
  • Dr. Lenin Garcia, Guayaquil, Ecuador
  • Dr. Enrique Minta, Riobamba, Ecuador
  • B.F. Cecilia Toaquiza, Riobamba, Ecuador
  • Olga Zapata, Guayaquil, Ecuador
  • Luis Villa, Riobamba, Ecuador
  • Lindsay C. Buckner, New York, USA

PACH, Inc. Board Members

Paul Martel


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  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.


Dr. Marti Bornstien

Vice President

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.


Janis Jerman


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.

Dr. Sila Bal


Dr. Sila Bal is an ophthalmologist currently based in the Boston area.  Dr. Bal brings four years of experience volunteering with PACH and our medical missions, including serving as a volunteer mentor with our internship immersion programs.  With FIBUSPAM’s Dr. Carlos Gonzalez,  she has published a peer reviewed journal article on the prevalence of cataracts in rural Ecuador, and is currently publishing another article on pterygium in rural Andean Ecuador.  Dr. Bal is interested in expanding PACH programs and fostering new partnerships and medical missions.

John Herd

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.

Nausheen Iqbal

Nausheen Iqbal is a Pakistani-American lawyer currently working as a Program Specialist at the Forest Service in Washington, DC. Her work focuses on supporting national urban waters coordination for the Forest Service through the Urban Waters Federal Partnership as well as assisting in the management of the Community Forest and Open Spaces program. Nausheen received an MA in Global Environmental Policy from American University and a JD from New York University School of Law. She has worked on water resources management, as well as human rights and transitional justice issues, both in the U.S. and abroad.  Previously, Nausheen was a consultant with the World Bank’s Global Water Practice, focusing on transboundary waters management, and prior to that worked on water security issues at the Woodrow Wilson Center and disaster and flood management at WWF-USA. Her current research interests include urban, socio-ecological, and gendered impacts of climate change, and environmental justice issues in water resources management. Nausheen grew up in Karachi and moved to the United States in high school where she has lived in Chicago, New York, Boston and now Washington DC. Outside of work she loves to travel with her family and hopes to pass on her passion for scuba diving and white water rafting to her young daughter


David Khorram

David Khorram is a physician, writer, and educator with extensive experience in grassroots development and capacity building. He has served on and chaired boards of both non-profit and for-profit organizations.

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.

From his current home in Portugal, Dr. Khorram leads the University of Virginia’s Division of Global Ophthalmology, and spends much of his time traveling across the continents to provide surgical eye care and training. He has been listed in Guide to America’s Top Ophthalmologists.

David and his wife, Mara, are the co-founders of Brilliant Star School, a non-profit school on the island of Saipan. He serves on the boards of the Mona Foundation and Vision Health International. He is the author of the books, “World Peace, a Blind Wife, and Gecko Tails,” and “Diabetic Eye Disease.”


Dr. Lori Shapiro

Dr. Lori Shapiro is the owner and founder of Sueños Artisanal Chocolates. The namesake of Sueños Chocolates is a small organic farm in Puerto Quito, Ecuador called ‘Finca Sueños’. Lori lived at Finca Sueños as an exchange student in 2006 while an undergraduate at the University of Georgia. While there, she learned about the organic, shade grown cultivation methods that many growers used to cultivate rare and exquisite heirloom varieties of cacao that are native to Ecuador. She also saw the economic struggles of small farmers, who were paid very little for their harvests despite the high prices that fine cacao sells for on the global market. Eventually, more than a decade after first visiting Sueños, Lori met several independent chocolatiers in the Boston area who taught her the logistics of importing cacao and operating a small business, and she eventually became the dedicated buyer for the farmers she had met more than a decade earlier. Before founding Sueños Artisanal Chocolates, Dr. Shapiro worked as an academic scientist, earning her PhD at Penn State University and then working as a postdoctoral scientist at Harvard. Her research used a multi-disciplinary approach to document the emergence of a bacterial plant pathogen in local Northeastern agro-ecosystems. She lives in Boston with her spouse and rescue greyhound.

Jaclyn Tyne

Jaclyn Tyne works in Student Engagement for an education technology company called 2U Inc and EdX Online. Prior to joining this company, she worked as the Global Citizens Program Manager for a national charter school organization, as well as a variety of non-profit organizations in New York City. Jaclyn has been a friend to the PACH family since 2016, when she began organizing groups of high school students from Harlem, NYC to visit and volunteer in Riobamba. She has organized and/or led volunteer and adventure trips for middle and high school students to Europe, Canada, South America, in addition to a variety of in-country explorations. Jaclyn is actively working towards her Master in Business Administration from the University of North Carolina at Chapel Hill (Kenan-Flagler Business School) and currently holds a Bachelor degree in Psychology, Spanish and Business from Gettysburg College. She is also an active foster volunteer for an animal shelter in Denver, CO.