Portrait of a family inside their home.  Peralta is a community that resides in Azua, approximately 5,000-7,000 feet in the mountains.  Art for Health (AFH) began working here a decade ago.  Since, a clinic has been established, run by local nurses, and US-led medical trips have increased.  The goal, however, is to create a self-governing health system in which AFH is no longer needed.

Portrait of a family inside their home.  Peralta is a community that resides in Azua, approximately 5,000-7,000 feet in the mountains.  Art for Health (AFH) began working here a decade ago.  Since, a clinic has been established, run by local nurses, and US-led medical trips have increased.  The goal, however, is to create a self-governing health system in which AFH is no longer needed.

A man sits on his front porch.  Throughout the day, much of the community can be found directly outside their homes, sitting on plastic chairs or on front stoops.  

A man sits on his front porch.  Throughout the day, much of the community can be found directly outside their homes, sitting on plastic chairs or on front stoops.  

A boy gets his hair cut on a porch, while his friends watch and wait their turn.

A boy gets his hair cut on a porch, while his friends watch and wait their turn.

Overlooking the small valley where the center of Peralta resides.  The village focuses primarily on agriculture, livestock and fruits; however, a majority of money is sent from expat relatives.

Overlooking the small valley where the center of Peralta resides.  The village focuses primarily on agriculture, livestock and fruits; however, a majority of money is sent from expat relatives.

Coffee bean plants are protected from the sun.  The big coffee exporter in the region is Induban.  This past year, a majority of the crop was destroyed by coffee rust, a fungal disease that affects altitude-grown coffee plants.  It can take 2-3 years for modifications to fully repair the crop stock.

Coffee bean plants are protected from the sun.  The big coffee exporter in the region is Induban.  This past year, a majority of the crop was destroyed by coffee rust, a fungal disease that affects altitude-grown coffee plants.  It can take 2-3 years for modifications to fully repair the crop stock.

A woman sits among the clothes and ties in her store.  

A woman sits among the clothes and ties in her store.  

A toddler pokes her head out of her home.  In the last decade, the creation of a clinic and hospital, through the support of Art for Health, has provided the community with much-needed healthcare, including prenatal and pediatrics.

A toddler pokes her head out of her home.  In the last decade, the creation of a clinic and hospital, through the support of Art for Health, has provided the community with much-needed healthcare, including prenatal and pediatrics.

The annual celebration of horses brings together five municipalities in Peralta.  Riders dress their horses and many don traditional Western attire as they parade their horses up and down the street.

The annual celebration of horses brings together five municipalities in Peralta.  Riders dress their horses and many don traditional Western attire as they parade their horses up and down the street.

A young couple dances during the horse festival.  The celebration is an opportunity for young singles to meet.  A man might offer a ride on his horse or vise versa.  Both men and women are seen commanding their horses up and down the streets, stopping to show off their get-up.

A young couple dances during the horse festival.  The celebration is an opportunity for young singles to meet.  A man might offer a ride on his horse or vise versa.  Both men and women are seen commanding their horses up and down the streets, stopping to show off their get-up.

Most men work in agriculture or construction, and the work can travel up and down the long mountain roads.  

Most men work in agriculture or construction, and the work can travel up and down the long mountain roads.  

Roman Catholicism makes up 90% of the Dominican Republic.  In Peralta, the pastor and his family are the epicenter of the community.  

Roman Catholicism makes up 90% of the Dominican Republic.  In Peralta, the pastor and his family are the epicenter of the community.  

Checking to see whether the goat is still alive.  A quick blade to the heart and a slow bleed is believed to be the least painful and most humane approach here.  Tomorrow, goat will be served to the doctors, who are guests of the pastor and his family.

Checking to see whether the goat is still alive.  A quick blade to the heart and a slow bleed is believed to be the least painful and most humane approach here.  Tomorrow, goat will be served to the doctors, who are guests of the pastor and his family.

A wooden cross stands on top of a small mountain, overlooking the town and valley.

A wooden cross stands on top of a small mountain, overlooking the town and valley.