Chocó: A Resilient Tapestry Beyond Struggles | Insights from Doctors Without Borders


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In Alto Baudó, situated in the Chocó region of western Colombia, the armed conflict and gaps in institutional services have adversely affected the physical and mental wellbeing of Indigenous and Afro-descendant communities. Access to healthcare, medications, and other essentials is often limited in this remote area, where it may take as long as 13 hours by boat to receive care—for those who can pay for the transportation. Additionally, there is a threat of food insecurity caused by the presence of armed factions and explosive devices in agricultural lands.

Since 2022, Doctors Without Borders/Médecins Sans Frontières (MSF) has collaborated with Indigenous and Afro-descendant groups in Alto Baudó to address cultural disparities to enhance access to the healthcare provided by MSF. As part of this initiative, MSF partnered with photographer and filmmaker Fernanda Pineda and local communities to create “Riverographies of Baudó”, a photography project that showcases the wounds of conflict, institutional deficiencies, and the efforts of female healers, herbalists, and midwives.

Yazury Dumaza, who belongs to the Emberá community and serves as an intercultural mediator with MSF in Alto Baudó, participated in the production team. Here, she shares her reflections on the experience and her own story as a member of one of the Indigenous communities affected by this crisis.

By Yazury Dumaza, an Indigenous intercultural mediator with MSF in Alto Baudó, Chocó

I was just 4 years old when I first encountered a camera.

It was in 2003, in Bojayá municipality, within the Chocó department, where my family and I were forcibly uprooted from our residence in the Emberá Dóvida Indigenous community of Charco Gallo due to armed conflict. Those were severely challenging and tumultuous times, during which we experienced displacement seven times. We ultimately settled in Bellavista, at the town’s center, an hour away from my community, and my mother wished for us to have a family picture taken. We went to the riverbank in search of the only man who took portraits, and I was so thrilled about the photo that, at the moment it was being taken, I fell into the water and emerged completely soaked!


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