Proyecto RioSueña

Proyecto RioSueña is an inter-organizational adolescent sexual & reproductive health (ASRH) education initiative facilitated by the Cacha Medical Spanish Institute. This project is the first of its kind in Latin America, as it seeks to partner governments, universities, NGOs, and other community stakeholders to provide systematic and sustainable sexual health education to high school students within the public school system of Ecuador.

Copyright Cachamsi S.A 2017

Copyright Cachamsi S.A 2017

Our Team:

Cachamsi S.A. - Project Direction & Consulting

Ministry of Education | Ecuador - Project Guidance

Ministry of Public Health | Ecuador - Project Health Systems Support

National University of Chimborazo - Project Sustainability

UT Health - Investigation and Implementation Piloting

Healthy Futures of Texas - “Big Decisions”" Curriculum Provision

“By helping to form a psychological foundation to make healthy decisions, based on hopes, dreams, and a life-plan, students & their families will have the opportunity to use the culturally-appropriate modality (Abstinence vs Contraception) necessary to prevent unwanted pregnancies in order to achieve their goals for the future.”
— Valeria Cisneros & Garrett Kneese, Co-Directors | Proyecto RioSueña


About the Curriculum:

-Comprehensive Education

-Facilitative Delivery

-Inclusiveness Driven Model

-Youth Empowerment Focused

-Family Oriented

-Community Driven

“The goal of the Big Decisions curriculum is to help young people make healthy and informed decisions about sex. By empowering youth to protect their health and avoid unplanned pregnancy, youth will be better able to achieve their educational and career goals, and their children will be more likely to be healthy.”

-Author: Dr. Janet Realini, MD, MPH

Milestones & Moving Forward

Project milestones: what we’ve done

  • 2017:

    • Community Asset Mapping

    • Preliminary ASRH Needs Assessment

    • RioSueña Team Formation

    • Preliminary Modelling of Proyecto RioSueña

    • Cachamsi S.A. Project Adoption

  • 2018:

    • ASRH Educational Profile Assessment (IRB-Approved Study)

    • Project Modelling and ASRH Profile Oral & Poster Presentation

      • UTMB Global Health Symposium

    • Ministry of Education Project Adoption

    • National University of Chimborazo (UNACH) Integration

    • RioSueña Project Model Finalized

    • RioSueña Training, Implementation, and Investigational Protocol Approved

      • International, Dual-IRB Approved

      • UT Health School of Public Health and Central University of Ecuador Boards

  • 2019:

    • Premier Curriculum Training Completed

      • 20 Ecuadorian Educators and University Students, 5 Schools

    • Ministry of Education Zonal Project Adoption and Expansion Plan Formulation

    • UNACH Team Formalization

    • Investigational Pilot and Control Implementation | Riobamba, Ecuador

    • CUGH-Conference (Chicaco, IL) Project Development Presentation

Moving forward: what’s next?

  • 2019:

    • Ministry of Education and UNACH Project Contracting

    • Second “Big Decisions”" Curriculum Training, 3 Additional Schools

    • Semi-District Expansion of Curriculum Implementation (5 Schools Total)

    • District-Expansion of Curriculum Implementation (8 Schools Total)

    • Secondary Investigations of Curriculum Expansion and Efficacy

  • 2020:

    • Tertiary Curriculum Trainings (5 Additional School)

    • Zonal Expansion (Up to 15 Schools)

    • Tertiary Investigations of Curriculum Expansion and Efficacy

      • UNACH-Directed, Fully

    • Project Transference to Ministry of Education and UNACH Teams

      • Continued Project Consulting will be Provided

Project Design & Orientation

Project schematic: en español

Project schematic: in english