Itsmina, Chocó, Colombia. The traditional midwife Francisca Córdoba Camacho or "Pachapasmo", lives in the La Independencia neighborhood in the city of Itsmina, Chocó, Colombia. She has been a traditional midwife for more than 35 years and learned the trade from her grandmother. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. The traditional midwife Francisca Córdoba Camacho or "Pachapasmo", lives in the La Independencia neighborhood in the city of Itsmina, Chocó, Colombia. She has been a traditional midwife for more than 35 years and learned the trade from her grandmother. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Dilia (r) and her 2-day-old daughter share some time with Eulalia (l) who is visiting them. Dilia's daughter was welcomed into this world by "Pachapasmo". Itsmina, Chocó, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Yuli Paulina, 18 years old and 6 months pregnant, receives a prenatal control with "Pachapasmo" in a house in the La Independencia neighborhood in the city of Itsmina, in the department of Choco, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Yuli Paulina, 18 years old and 6 months pregnant, receives a prenatal control with "Pachapasmo" in a house in the La Independencia neighborhood in the city of Itsmina, in the department of Choco, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. "La Independencia" neighborhood where Pachapasmo lives in the city of Itsmina, department of Chocó, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. The traditional midwife Francisca Córdoba Camacho or "Pachapasmo", prepares to attend the birth of Marcelina Murillo's fifth child at her home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Marcelina Murillo is about to give birth and is having contractions at her home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia, the traditional midwife "Pachapasmo" attending her birth. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Marcelina Murillo is about to give birth and is having contractions at her home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia, the traditional midwife "Pachapasmo" attending her birth. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Marcelina Murillo is about to give birth and is having contractions at her home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia, the traditional midwife "Pachapasmo" attending her birth. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Marcelina Murillo gives birth to her fifth child at her home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia, the traditional midwife "Pachapasmo" attends her birth. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Marcelina Murillo gives birth to her fifth child at her home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia, the traditional midwife "Pachapasmo" attends her birth. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Keiner David, 4 months old, was welcomed into this world by "Pachapasmo", he now rests at his home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Yuli Paulina, 18 years old and 6 months pregnant, waits to receive a prenatal control with "Pachapasmo" at her home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Joana Reyes, 21, with her 2-month-old daughter, Jazmín Yoarlim, waits to receive a prenatal control with "Pachapasmo" at her home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Joana Reyes, 21, (not pictured) with her 2-month-old daughter, Jazmín Yoarlim, waits to receive a prenatal control with "Pachapasmo" at her home in the La Independencia neighborhood in the city of Itsmina, in the department of Chocó, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. The month and a half daughter of Miriam Rodriguez (not in the photo) waits to be checked by "Pachapasmo" at her home in the La Independencia neighborhood of the city of Itsmina, in the department of Chocó, Colombia. © Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. "La Chola" is an indigenous woman adopted by Pachapasmo and lives with her in her house in Itsmina, Chocó.
© Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Multiple diplomas from courses, workshops and health training can be seen in the living room of the Pachapasmo house in Itsmina, Chocó.
© Juan Manuel Barrero Bueno.
Itsmina, Chocó, Colombia. Pachapasmo at the end of one of the 7,000 births she has attended throughout her life.
© Juan Manuel Barrero Bueno.