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ECUADOR Information Sheet ECUADOR Information Sheet © International Affiliate of the Academy of Nutrition and Dietetics 2019 Credentialing Verification Authorities: At present (June, 2019) there is no official credentialing exam for nutricionistas. ANNE, (Asociación Nacional de Nutricionistas del Ecuador) is the recently created (2017) National Nutrition Association. Headquartered in Ecuador’s capital Quito, ANNE consists of a national board, incorporating 9 zones and 24 subsidiaries representing Ecuador’s 24 provinces. ANNE has established Ecuador’s first professional organization of nutritionists: their goal is (as required for physicians, dentists, nurses, and ophthalmologists), is for nutritionists to sit for a national credentialing examination after fulfilling their required education and practical experience. ANNE is working toward enhancing the professional profile of nutritionists, and importantly, increasing the required number of nutritionists on staff in hospital settings, which currently is not enforced. ANNE: http://www.annecuador.com/ Official Language: Spanish For many Ecuadorians, Spanish is their second language after Quichua, an Inca language spoken by the indigenous population. Ongoing Nutrition Activities in Ecuador 1. National Dietetic Association ANNE, Asociación Nacional de Nutricionistas del Ecuador is the National Nutrition Association. Established in 2017 and headquartered in the capital of Ecuador, Quito, ANNE consists of a national board, incorporating 9 zones and 24 subsidiaries representing the 24 provinces. Website: ANNE: http://www.annecuador.com/ Contact: http://www.annecuador.com/contacto Facebook: https://www.facebook.com/annecuador/ Related organizations ASENPE: Asociación Ecuatoriana de Nutrición Parenteral y Enteral Phone: +593 -098 910 2158 Website: asenpe.com Facebook: https://www.facebook.com/asenpe/ 2. National Nutrition Programmes/Projects Encuesta Nacional de Salud, Salud Reproductiva y Nutrición (ENSANUT) http://www.ecuadorencifras.gob.ec/salud-salud-reproductiva-y-nutricion/ 3. Organizations working on Health & Nutrition a. National Organizations (Government) Ministerio Salud Ecuador Av. Quitumbe Ñan y Av. Amaru Ñan Quito, Ecuador EC170146 Website: www.salud.gob.ec +593-(02) 381-4400 3b. International Organisations OrganIzacíon Panamericana de la Salud: Ecuador (OPS): https://www.paho.org/ecu/ Sociedad Latinoamericana de Nutrición (SLAN): https://www.slaninternacional.org/ Federacion Latinoamericana de Terapia Nutricional, Nutricion Clinica y Metabolismo (FELANPE): http://felanpeweb.org/ 3c. Educational Institutes (Nutrition Education & Research) Escuela Superior Politécnica del Universidad Técnica del Norte (UTN) Chimborazo (ESPOCH) Universidad de Especialidades de Universidad Técnica de Manabí (UTM) Espiritu Santo (UEES) Universidad San Francisco de Quito Universidad Técnica de Babahoyo (UTB) (USFQ) Pontifica Universidad Católica de Quito Universidad Estatal de Milagro (UNEMI) (PUCE) Universidad Internacional del Ecuador Universidad de Cuenca (UC) (IUDE) Universidad Católica de Guayaquil Universidad Iberoamericana (UNIBER) (UGC) Escuela Superior Politécnica del Litoral Universidad Técnica de Ambato (ESPOL) Universidad Espíritu Santo (UESS) 3d. Non-Governmental Organizations (NGO's) Unicef Ecuador: World Health Organization: Ecuador https://www.unicef.org/ecuador/overview.html (WHO): https://www.who.int/diabetes/country- profiles/ecu_en.pdf 4. Assessment of Training Quality of National Dietitians, their Professional Role and Prestige: Ecuador nutritionists have only recently formed a credentialing organization, however, the first School of Nutrition & Dietetics was established in Chimborazo on April 3, 1972. In 2018, it became mandatory for all Universities with a Nutrition degree to enroll their students in the dietetic internship during their fifth year of college. The rotations include: Clinical Nutrition, Food Service Management and Community Nutrition. At present, there are 15 schools that graduate students with a Bachelor of Nutrition and Dietetics degree in Ecuador. Currently there are approximately 9000 professional nutritionistas and 5000 students training to be Nutricionistas Dietistas. A bachelor of nutrition course duration is approximately five years, and all programs require a one-year practical experience: for example, at the University of Cuenca the program is seven semesters, with the final year (two semesters) consisting of six months internship in a clinical (hospital) setting, and six months in a community setting. Programs include courses for main areas: clinical nutrition, food service management, community, and nutrition education. After graduation with a Bachelors Degree in Nutrition and Dietetics most will practice in hospital or clinical settings, in food service and management, in athletic centers, and in the public health sector. Students may earn a Master of Science degree in Infant Nutrition (Maestría en Nutrición Infantil) and an MSc in Clinical Nutrition at Escuela Superior Politécnica del Chimborazo (ESPOCH). The Universidad de Especialidades de Espiritu Santo (UEES) has a Maestría en Nutrición Infantil online. The Universidad San Francisco de Quito (USFQ) offers a MSc in Nutritional Sciences - Maestría en Ciencias de la Nutrición. 5. Brief Description of National Healthcare System and Private Practice Ecuador has a comprehensive national health system. Since 2007, when Rafael Correa became president, health care in Ecuador has improved impressively. Various surveys have shown that the country has moved from the middle of the pack of Latin American countries in health care quality, to being one of the top five. There are two ways that Ecuadorian can access health care: Social Security health care is administered by the Social Security, or IESS, system. It offers services through full-service hospitals in large towns and cities, and dozens of clinics in smaller communities. For residents who are members of the national Social Security Institute, a modern system of hospitals and clinics is provided through employee and employer payroll deductions or voluntary payments, as is the case with many expatriates residing in Ecuador. The monthly contribution for voluntary members (family of two) of this system is just over $80. Employees, on the other hand, contribute .0935 of their salaries for this coverage but this also includes membership in the national pension system. Public healthcare. Although it shares some of the same resources and personnel with IESS, the public health care system is technically separate and receives less funding on a per patient basis. Its services are free to everyone, citizens, expats and visitors, fulfilling a constitutional mandate that no one in Ecuador can be refused medical care. As does the IESS system, it has hospitals in major cities as well as hundreds of walk-in clinics. Remote rural areas are also served by this system with physicians, dentists and nurses performing an obligatory one-year "rural" and serve isolated or underserved populations. In Ecuador, this one-year of service is mandatory for professional licensing. Although as of this report (June 2019) there is as yet no licensing for nutritionists, since 2016 the Education Sector has included Nutritionist as part of the healthcare team to provide medical support. Private health care is available from mostly doctor-owned clinics. Private health insurance is available from Ecuadorian insurance companies. 6. Employment Opportunities Profile Most nutritionists with bachelor’s degrees work in clinical settings, namely hospitals, public health clinics. There are also opportunities in foodservice management and public health, and in sports centers and education. All nutritionists must practice under the auspices of the physician on staff. They may have a private practice, however they must work with a physician to oversee their practice. The average salary for a nutritionist ranges from $600 to $1000 monthly. Nutrition Related Volunteer Opportunities In Ecuador: FUVIDA: Fundación Aprendiendo a Vivir con Diabetes: Foundation: Learning to Live with Diabetes. http://fuvida.org.ec/quienes-somos/ Banco de Alimentos Diakonia: Diakonia Food Bank: Fruits and Vegetables pickups (FRUVER Program), Healthy Breakfast Program, Community Garden Program. https://www.diakonia-ec.org/index.php# Manna Project International: http://www.mannaproject.org/ecuador Specialized opportunities are available for working professionals with a desire to serve and equip communities with a specific skill or trade. UNICEF Ecuador: https://www.unicef.org/about/employ/index_volunteers.html: If you have an undergraduate degree, several years of work experience and are interested in long-term volunteer opportunities in developing countries, you may be eligible for entry into the United Nations Volunteer (UNV) program. Peace Corps in Ecuador: Volunteers work with their communities on projects in education, health, and youth development. During their service in Ecuador, volunteers learn to speak Spanish. https://www.peacecorps.gov/ecuador/ NGOabroad: International Volunteering & Careers http://ngoabroad.com/ 7. Obtaining Work Permits Foreigners must first obtain a work visa. The 9-IV visa is intended for technicians or technical experts that work under contract for a company based in Ecuador and legal representatives that possess unlimited power of attorney to represent a company in the country. The requirements are: Indefinite Work Contract, legalized by the Labor Ministry Indefinite Work Authorization granted by the Labor
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