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The women returned as volunteer promotoras, educating neighbor families one by one. Six years ago, after visiting El Salvador, Houston physician Peggy Goetz decided health promoters might also work in Houston.
Take the case of Pro Salud, a Houston nonprofit first modeled on a program in El Salvador. During that country's civil war, Salvadoran physician Vicky Guzman created a rudimentary medical system for remote villages cut off from hospitals.