CESAPU was inaugurated in December 2016 with the mission to increase access to preventative and public health services among vulnerable and marginalized populations in Huanchaco, Peru, and to create interactive health programs so that participants have more autonomy in their own health and wellbeing. CESAPU works to empower the community in which is it located, Villa Los Angeles, and has a vision of community development through the medium of public health. CESAPU has designed its programs in a way that makes it replicable in other parts of Peru and Latin America where public health and prevention services are desperately needed.

CESAPU is based in 6 crucial pillars of health: prevention, promotion, education, investigation, evaluation, and community participation. All of our five programs base in these pillars to create truly sustainable and effective public health programs. 1. Viviendo Sano or Living Healthy is a packet of preventative health campaigns that focus on health screenings, education, and intervening before a disease has progressed in a person. Services include basic triage like height, weight, blood pressure, pulse, and temperature. We do simple blood tests to detect high glucose and low hemoglobin levels in our campaigns against diabetes and anemia. We offer access to echograph, pap smears, chiropractic care, dental fluoridation, and family medicine consultations. All campaigns focus 50% on the service itself, and 50% on education. 2.Reto de Zumba or Zumba Challenge is a program that meets three times per week to promote health through physical activity. Reto Zumba is led by a certified Zumba instructor and we collect data monthly for every mother such as her blood pressure, weight, BMI, body measurements, and we offer advice in nutrition. 3. Chicas Bonitas or Pretty Girls is a program dedicated towards combatting teenage pregnancy in the community and surrounding areas through a 10 educational sessions with adolescents. These sessions are being carried out in CESAPU as well as in local high schools. They concentrate on sexual and reproductive health, autoesteem, self care, and a life plan for the girls so that they can avoid the cycle of poverty that comes along with teenage pregnancy - something that is 100% preventable. 4. Nios Felices or Happy Children is a psycho-educative program for the children of the community that promotes health and development in children between ages of 7-10 through various activities and psychological care. 5.Madre CESAPU or Mother CESAPU is a program that empowers the women of the community through group exercises and dynamics as well as offering them a safe space. 80% of the women who were screened in the first month of functioning in December of 2016 were identified as being victims of some sort of violence. Madre CESAPU hopes to grow to empower women by increasing economic opportunity for the women by teaching them different skills as well as also forming a community garden together.

The international relationship between the United States and Peru is of the upmost importance in the exchange of effective and innovative ideas and practices in global health in the 21st century. The director of CESAPU holds a Masters of Public Helath with a certificate in global health from the University of Pittsburgh Graduate School of Public Health, and opens up capacitations to the doctors who come through CESAPU. Public Health in itself is a foreign concept in Peru, a country that focuses primarily on curation rather than prevention and a country that perpetuates unhealthy living and diet habits through their culture. International volunteers are another way to promote cultural and technological exchange between their home country and Peru. The Society of Family & Community Medicine in Peru has offered to give our international volunteers and exclusive look at their practices in Peru, inviting them to participate in various forums and providing them a certificate of completion, in partnership with the Universidad Nacional de Trujillo. With this eye-opening experience, the international volunteers can take their experiences with them throughout their professional career and can build upon their personal experiences with proposed solutions. CESAPU has an electronic medical record system (EMRS) to better track and systemize the patients in a way that is conducive to the 21st century, rather than the paper method that the Ministry of Health in Peru enforces. The EMRS allows CESAPU to function smoothly and keep track of its patients despite the frequent changes in doctors that rotate there. All of HOP core staff are bilingual, and offer English classes to the children of the community in their summer break of January, February and March. This opportunity for the children to train themselves to the English language is unique and can help increase their opportunities later on in the work force and in expanding their personal skills and drive.

This initiative is a result of national and international collaboration at many different levels including: individual, organizational, and governmental. This initiative is a project of "HOP Hands on Peru", a nonprofit that has been working in Peru since 2013 by placing international medical and teaching volunteers in local health centers and schools to help strengthen their programs. This organization is cofounded by Rosa Sanchez, a registered nurse and Peruvian, and Katie Baric, MPH. The staff is composed of 5 professionals, 4 of whom being health care professionals, including a family medicine doctor as well as public health nurse, in addition to Katie and Rosa. All staff members are bilingual in Spanish and English. International volunteers experience an intercultural visit between their home country and Peru, and with them we are able to host large preventative health campaigns that focus half on education and half on medical care as a part of one of our 5 community public health programs: "Viviendo Sano". These campaigns are directed towards marginalized and vulnerable populations who have little access to health care and virtually no access to health education, and are made possible through both international and local volunteers. One sustainable factor of CESAPU is that it is a part of the rotations for family medicine residents of Universidad Nacional de Trujillo. Therefore, we work very close with all of the medical residents and are able tor receive free medical attention. These residents help make our programs possible, particularly "Viviendo Sano". We have collaborated with the Municipalidad de Huanchaquito as well as the Municipalidad de El Tropico in various public events such as community meetings and the Zumbathon. This initiative is governed largely by its main stakeholder: the community of Villa Los Angeles. It is clearly understood in the paradigm of community health that community engagement and participation is of the upmost importance to project sustainability and long-term change. CESAPU works exclusively in the community of Villa Los Angeles in their own public health problems - such as clean water, roads, sewage systems, and forming a 'junta directiva' or a community action board.

HOP Hands on Peru, Sociedad de Medicina Familiar y Comunitaria, ESCALABS, Windaid, 33 Buckets, University of Pittsburgh, University of North Carolina, Community Villa Los Angeles, Municipalidad Huanchaquito, Municipalidad Huanchaco, Municipalidad El Tropico