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  <url>
    <loc>https://www.ayacuchomission.org/leadership-team</loc>
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    <lastmod>2016-04-27</lastmod>
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      <image:title>Leadership Team</image:title>
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  <url>
    <loc>https://www.ayacuchomission.org/learn</loc>
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    <lastmod>2018-12-21</lastmod>
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      <image:title>Learn More</image:title>
      <image:caption>Another component of the mobile clinic is its mobile pharmacy. Volunteers work with a skilled pharmacist to dispense medications and vitamins prescribed by mission physicians, and educate patients about their regimens. The pharmacy also provides eye glasses, eye and ear drops, over-the-counter medications, toothbrushes, and toys for local children who have helped with translation in the past.</image:caption>
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      <image:title>Learn More</image:title>
      <image:caption>Within the surgical care unit is the plastic surgery team. Each day, surgeons perform multiple cleft lip and cleft palate operations. Patients range from infants to teenagers, often flown in for surgery from other areas of Peru.</image:caption>
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      <image:loc>https://static1.squarespace.com/static/54846dede4b0c4cdfb14ca97/t/58ae64571b631bae15232ba3/1489879264152/Mental+Health.jpg</image:loc>
      <image:title>Learn More</image:title>
      <image:caption>Our mobile clinic in Tambo features a mental health clinic, each year comprised of psychiatrists, social workers and translators. Prolonged political violence has led to widespread mental health issues, including PTSD, for which there are very few local options for treatment. Our psychiatrists provide brief counseling and referrals to COSMA, a year round mental health service organization our mission helps support.</image:caption>
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      <image:title>Learn More</image:title>
      <image:caption>The Ayacucho Mission has joined hands with Wasi Esperanza Rehabilitation Center, which provides rehabilitation, including physical therapy, occupational therapy to dozens of children with physical and developmental disabilities such as Down syndrome and cerebral palsy. The Ayacucho Mission is helping sponsor a special education program for many of the children at Wasi who cannot access typical schools to ensure they continue to meet educational goals. Our pediatricians, cardiologists and orthopedic surgeons provide medical consults to dozens of children at the center, while volunteers visit to share gifts and playtime with the children.</image:caption>
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      <image:title>Learn More</image:title>
      <image:caption>On the majority of days, volunteers and physicians load up vans early in the morning to travel up to two hours to Tambo, Quinua and other nearby villages. In collaboration with local residents and professionals, we establish temporary mobile clinics in the small health centers and outposts of these communities with very limited access to physicians. The line of patients often extends outside the building, as locals try to be seen by physicians of numerous specialties, including: family medicine, cardiology, obstetrics and gynecology, orthopedics,and psychiatry.</image:caption>
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      <image:title>Learn More</image:title>
      <image:caption>In the regional hospital of Ayacucho, a surgical team sets up a surgical care unit. The team includes orthopedic surgeons, OB-GYN surgeons, plastic surgeons, and general surgeons. Medical students help facilitate patient movement, and mission nurses and physicians care for the patients pre and post operation--culminating in a hand-off to a local physician for follow-up care. We identify a number of our surgical patients from our mobile clinics, and support the cost of transportation and lodging for the patients and a family member.</image:caption>
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      <image:title>Learn More - 2017 Annual Report</image:title>
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      <image:title>Learn More</image:title>
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      <image:title>Learn More</image:title>
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      <image:loc>https://static1.squarespace.com/static/54846dede4b0c4cdfb14ca97/582393a1ebbd1a968fd01f9d/582393ced482e9326ea63401/1478726609678/unspecified-5.jpg</image:loc>
      <image:title>Learn More</image:title>
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      <image:title>Learn More</image:title>
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      <image:loc>https://static1.squarespace.com/static/54846dede4b0c4cdfb14ca97/t/58ae647d8419c2c2bcb834b2/1489879310959/Flouride.jpg</image:loc>
      <image:title>Learn More</image:title>
      <image:caption>In Ayacucho, Tambo, and surrounding communities volunteers promote oral health through school outreach. Classes are individually visited in each local elementary and middle school, providing fluoride treatment to many hundreds of students each year, and discussing the importance of oral hygiene.</image:caption>
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    <image:image>
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      <image:title>Learn More</image:title>
      <image:caption>After discovering surprisingly high prevalence of type 2 diabetes through a several year screening program, the Ayacucho Mission now supports a collaborative, year-round diabetes program run by a local registered nurse with support of Ayacucho physicians. The Mission provides medications, testing supplies and provider education to support the program which serves dozens of diabetes patients throughout the entire year.</image:caption>
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      <image:title>Learn More</image:title>
      <image:caption>Mission volunteers visit the Puericulturio (Orphanage) Andres Vivanco Amorin, which is the home to 80 children from Ayacucho. Each year, the Mission provides medical attention to the children, funding to support their programs, toys and gifts sent from Mission supporters and wonderful recreational activities including field trips, horseback riding, soccer games and musical performances.</image:caption>
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    <loc>https://www.ayacuchomission.org/contact</loc>
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    <lastmod>2017-01-11</lastmod>
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    <loc>https://www.ayacuchomission.org/mission-history</loc>
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    <lastmod>2016-04-27</lastmod>
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    <lastmod>2017-04-03</lastmod>
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      <image:title>Stories from the Field</image:title>
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      <image:title>Stories from the Field</image:title>
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      <image:title>Stories from the Field</image:title>
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      <image:title>Stories from the Field</image:title>
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    <loc>https://www.ayacuchomission.org/learn-about-us</loc>
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    <lastmod>2016-04-27</lastmod>
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  <url>
    <loc>https://www.ayacuchomission.org/roles</loc>
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    <lastmod>2017-01-17</lastmod>
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      <image:title>Volunteer Roles</image:title>
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  </url>
  <url>
    <loc>https://www.ayacuchomission.org/new-page-1</loc>
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    <lastmod>2016-11-09</lastmod>
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  <url>
    <loc>https://www.ayacuchomission.org/new-page</loc>
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    <priority>0.75</priority>
    <lastmod>2018-04-16</lastmod>
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      <image:title>New Page</image:title>
      <image:caption>Name: Andre Age: 3 years old Diagnosis: Arthrogryposis Initial status: He had not been included in the school system because of his young age and because he still did not have the basic skills to be inserted. Due to his physical limitation in the arms and hands all his games were based on kicking toys, he did not understand indications and presented constant tantrums when he did not get what he wanted.  Current status: He enters his therapy sessions with great enthusiasm, he stays seated all the time at table, he manages to pronounce vowels and sounds of animals, and he can understand an affirmation and a denial. It is in the process of accompaniment to be enrolled in early childhood education.</image:caption>
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      <image:caption>Name: Kiara Age: 10 years old Diagnosis: Hemiplegia Initial status: He was already included in the school system studying the 3rd grade of primary school, but still unable to read. He did not have an adequate articulation. The teacher reported that Kiara was a very insecure girl in school, she could not make friends or participate in group activities. Current status: To be able to carry out a work plan of self-esteem and social skills, constant visits were made to observe the behaviour of Kiara in the school. Now her situation has improved thanks also to the support of the teacher. She has learned to read and write more quickly, of course she still has spelling mistakes. Her pronunciation level has improved but still requires support to improve even more.</image:caption>
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      <image:caption>Name: Mayli Age: 4 years old Diagnosis: Hypothyroidism Initial status: At the beginning, Maylí was frighthened, she could not clearly express herself for people to fully understand what she wanted to communicate. She was inserted at the initial level where she still remains. Current Status: Maylí can now perform better, her language has improved but it is necessary to continue working with it. Her advances in early childhood education is being tracked.</image:caption>
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      <image:loc>https://static1.squarespace.com/static/54846dede4b0c4cdfb14ca97/t/5ad4bbde8a922d7931c437cb/1523891173760/Screen+Shot+2018-04-12+at+8.33.33+AM.png</image:loc>
      <image:title>New Page</image:title>
      <image:caption>Name: Santiago Age: 3 years old Diagnosis: Down syndrome Initial status: A very fearful child with problems of attachment to his mother, limited language and difficulties to socialize with other children of his age. Current status: It is being worked at the level of all its difficulties, little by little he has managed to detach of his mom and now he can carry out the session's work without counting on her presence. Accompaniment is being done to the mother for the enrolment process to the early childhood education school system.</image:caption>
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    <image:image>
      <image:loc>https://static1.squarespace.com/static/54846dede4b0c4cdfb14ca97/t/5ad4bca32b6a2842e68c6723/1523891389492/Screen+Shot+2018-04-12+at+8.28.15+AM.png</image:loc>
      <image:title>New Page</image:title>
      <image:caption>Name: Alex Age: 4 years old Diagnosis: Down syndrome Initial status: Alex was already included in the school system at early childhood education. When the visit was made to the teacher she said that he did not follow basic instructions such as: "give me", "sit down", "take the pencil"; did not control sphincters and did not have an understandable articulated language. Current status: Current Status: Alex continues at early childhood education, visits were made to give work guidelines to the classroom teacher and Alex's attention has been improved through a joint work. Now he can follow basic indications, although his language is still deficient, he can communicate through signs. He can tell when he needs to use the bathroom and no longer uses a diaper.</image:caption>
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    <image:image>
      <image:loc>https://static1.squarespace.com/static/54846dede4b0c4cdfb14ca97/t/5ad4bbb92b6a2842e68c3950/1523891141935/Screen+Shot+2018-04-12+at+8.33.04+AM.png</image:loc>
      <image:title>New Page</image:title>
      <image:caption>Name: Luz Age: 3 years old Diagnosis: Down syndrome Initial status: Luz entered with a fairly limited coefficient, did not emit sounds by repetition nor did she do it alone to communicate, she was very fearful with her therapists and could not walk just crawl. Current status: Today Luz is a girl who can walk, is self-confident and interacts with other people naturally. She has been prepared and due to her advances was the first girl included in a nursery with typical children. Visits are made constant to observe her development and to continue giving guidelines to the teacher and obtain better results. She is still working on toilet training, language stimulation and comprehension. It is already in the process of enrollment to be admitted at the initial level.</image:caption>
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    <image:image>
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      <image:title>New Page</image:title>
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    <loc>https://www.ayacuchomission.org/day-in-the-life-of-john</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2017-01-09</lastmod>
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      <image:title>Day in the Life of John</image:title>
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    <loc>https://www.ayacuchomission.org/a-surgeons-job</loc>
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    <priority>0.75</priority>
    <lastmod>2017-01-09</lastmod>
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      <image:title>A Surgeon's Job</image:title>
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      <image:title>A Surgeon's Job</image:title>
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      <image:title>A Surgeon's Job</image:title>
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  <url>
    <loc>https://www.ayacuchomission.org/inspired-by-heroes</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2017-01-09</lastmod>
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      <image:title>Inspired by Heroes</image:title>
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  <url>
    <loc>https://www.ayacuchomission.org/hector-formoso-story-from-the-field</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2017-01-09</lastmod>
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      <image:title>Local Help from Peruvian Children</image:title>
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    <loc>https://www.ayacuchomission.org/act</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2017-11-19</lastmod>
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      <image:title>Get Involved</image:title>
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      <image:title>Get Involved</image:title>
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      <image:title>Get Involved</image:title>
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    <loc>https://www.ayacuchomission.org/volunteerpacket</loc>
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    <priority>0.75</priority>
    <lastmod>2018-12-21</lastmod>
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  <url>
    <loc>https://www.ayacuchomission.org/apply</loc>
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    <lastmod>2017-01-14</lastmod>
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