
Margarita Rojas Mena stitches up a torn photograph of the native faculty, the place armed teams had a confrontation — a part of a therapeutic ritual for residents. She’s a healer in Mojaudó, a neighborhood in Alto Baudó, Chocó, Colombia.
Fernanda Pineda/MSF
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Stitching sutures is a method medical doctors deal with wounds.
However now there’s one other sort of stitching to heal psychic wounds: tearing up after which stitching again collectively images of family members and houses. That is one of many rituals devised within the distant space of Alto Baudó within the western area of Colombia, the place feuds between armed insurgent and legal teams have terrorized the inhabitants for years.
The photograph stitching is a part of a two-year undertaking conceived of by Medical doctors With out Borders, working with neighborhood healers and midwives from 2022 to 2024. The purpose has been to create rituals to assist handle the nervousness, despair and different psychological well being dangers posed by the world’s widespread violence.

“I treatment the ‘evil eye,’ the evil of the nation,” says Margarita Rojas Mena, a healer and herbalist. “When there are wounds, I exploit my herbs, and generally I’ve needed to do sutures.” Right here she is carrying a wreath composed of the leaves of the totumo plant, used historically to cut back ache from cramps and from childbirth.
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The rending and mending of images is a metaphor for therapeutic, in accordance with Colombian photographer Fernanda Pineda, who documented the undertaking. Different rituals to reclaim recollections of as soon as peaceable locations beset by violence embody using aromatic herbs and leaves the healers historically make use of to cut back ache and convey consolation.
The group additionally introduced in medical groups to train 48 people in the community as health workers and well being promoters to make sure the supply of primary medical companies. That is important as a result of the remoted location implies that it might take two to a few days to achieve a well being middle or hospital.
As Santiago Valenzuela, a communication supervisor for Medical doctors With out Borders from Colombia, mentioned, “We created a dialogue between Western drugs and native healers.”

Conventional midwife Rogelina Arce Campo takes half in a newly created ritual to deal with the armed battle of their a part of Colombia. She tore a picture of a spot that has suffered from the violence, then used herbs and sutures to symbolically heal it.
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Seven healers and the rituals they conceived and used throughout the course of the undertaking are chronicled in Pineda’s images collection, Riografias del Baudó. It is on view on the annual Photoville Competition in Brooklyn, New York, the place a sprawling array of transport containers are transformed into mini-photo galleries by means of June 22. The undertaking’s title makes use of the Spanish phrase for river in a play on the Spanish phrase for {photograph}, fotografía.
“We selected to incorporate Riografías: Girls Healers of Alto Baudó as a result of [the exhibit] exemplifies the facility of visible storytelling to light up ignored world well being crises and the extraordinary resilience of girls,” says Photoville inventive director and co-founder Sam Barzilay, noting that the undertaking depicts ladies as “brokers of change, resilience and therapeutic within the face of systemic neglect — tales we felt urgently wanted to be seen and acknowledged.”
About 14,000 individuals, a lot of them of African descent or indigenous Embera, stay within the roughly 130 communities on this rainforest space bordered by the Baudò River, Pineda mentioned. Hundreds of individuals have fled the area to keep away from confrontations between armed teams that generally forcibly attempt to recruit them. The usage of land mines by the combatants poses a continuing hazard. Because of these threats, a lot of those that stay confine themselves for security, unable to work or attend faculty.

The Baudò River is a gathering spot for this neighborhood.
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Individuals of all ages collect on the river within the above {photograph}, with household bungalow homes and immense greenery receding into the space. “This reveals their neighborhood,” Pineda says. “It is morning, you see intimate moments with one girl holding a child, individuals doing their wash, everyone seems to be there.”

This baby introduced a canoe to the Baudò River.
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The youngsters on the river play with pails and balls and, as on this photograph, a small canoe seen from the again. This younger boy might have painted his face as a logo of safety, Pineda mentioned.
The peaceable river scene belies the stress that the neighborhood has suffered. “Chachajo is sick with fears. I’m certain of that, as a result of I, myself, stay with that illness,” says conventional healer Carmen Fidela Mena,
She has realized medical strategies as properly. “A few years in the past, a doctor from Medical doctors With out Borders taught me the way to suture wounds,” Mena says. “Generally, I haven’t got the instruments, just like the needles and thread, so I’ve to make use of what I’ve: black thread and a well-disinfected stitching needle. And when there´s no stitching thread, we´ve had to make use of dental floss.”

Conventional healer Carmen Fidela Mena, from the neighborhood of Chachajo, Alto Baudó, Chocó.
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Carmen Fidela Mena, a healer and midwife, sews up a photograph as a symbolic method of therapeutic the neighborhood’s struggling.
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This photograph is overlain with dried, preserved leaves. Healer Teolinda Castro, from the neighborhood of Mojaudó, is quoted as saying: “On the Mojaudó faculty, there was a confrontation that left bullet holes within the partitions and ceiling. The resucito plant is used to treatment ache. If my baby tells me ‘Oh, mother, my head hurts,’ I get some resucito and wash their little head with it. The day [the confrontation at the] faculty occurred, I bought beneath the mattress as a result of I believed: ‘Am I going to die? If my blood strain rises, I die right here.’ So I stayed nonetheless.”
These new rituals do deliver a way of hope, the healers say — even because the combating continues.
Diane Cole writes for a lot of publications, together with The Wall Road Journal and The Washington Publish. She is the writer of the memoir After Nice Ache: A New Life Emerges. Her web site is DianeJoyceCole.com