The Association of Communitarian Health Services (ASECSA) and the Role of Religion and Health in Central America
The Association of Communitarian Health Services (ASECSA) is a transnational, religiously influenced health program in Central America created during the Cold War. ASECSA was founded in 1978 by a small group of international health professionals with ties to programs started by Catholic and Protestant clergy and laity in Guatemala’s western highlands in the 1960s. It introduced a model of healthcare in which Maya health promoters and midwives became partners in healing rather than objects to be cured. Support for the health programs and ASECSA came from secular and religious international agencies, including the United States Agency for International Development (USAID), German Misereor, Catholic Relief Services, and the World Council of Churches. ASECSA was founded to disseminate knowledge of popular health education strategies used by health promoters and midwives to provide preventive and curative medical services to their communities. The education methods grew from Paulo Freire’s Pedagogy of the Oppressed and its use by religious agents influenced by liberation theology. Although it was founded in Guatemala, ASECSA’s publications and meetings attracted participation by health professionals and paraprofessionals from Mexico, Central America, and even the Caribbean. Ecumenical religious centers affiliated with liberation theology in the 1960s and 1970s facilitated the development of popular health programs that played a defining role in the region.
During the Cold War’s earliest years, right-wing governments and oligarchic elites in El Salvador, Guatemala, and Nicaragua fostered closer relationships with the Catholic Church. Dictatorial leaders like Guatemala’s Carlos Castillo Armas and dynastic regimes like Nicaragua’s Somoza family regarded the Church as an ally against supposed Marxist influence in the region. Those ties began to fray in the late 1960s, as the Second Vatican Council’s foundational reforms moved Catholicism farther to the political and social left around the globe. This shift was especially prominent in Central America, where Catholics like El Salvador’s Archbishop Óscar Arnulfo Romero and Guatemala’s Father Stanley Rother were among Central America’s most visible critics and reformers as political violence increased across the region during the 1970s. Relatedly, evangelical Protestants, particularly Pentecostal groups based in the United States, flooded Central America throughout that decade. Their staunch anticommunism and established ties to influential policymakers and political lobbyists in the United States, among other factors, gave evangelical Protestants greater influence in US-Central American relations. Their influence was strongest during the early 1980s, when José Efraín Ríos Montt, an ordained Pentecostal minister with Eureka, California’s Verbo Ministries, seized Guatemala’s presidency via a coup in March 1982. Notable US evangelical leaders like Jerry Falwell and Pat Robertson praised Ríos Montt’s regime for its rabid anticommunist ideology, while President Ronald Reagan claimed that the dictator had received a “bum rap” in the global press. Concurrently, some US evangelical missioners and pastors also foregrounded the Sandinista government’s anti-Protestant activities as additional justification for US support for Nicaragua’s Contra forces. Religious actors were also instrumental to Central America’s peace processes after the Cold War, as Catholic and Protestant leaders alike worked closely with regional governments and the United States to end decades of political violence and enact meaningful socioeconomic reforms for the region’s citizens.
Regarded as an ethnohistorical treasure, the Popol Wuj narrative has been read exclusively as a freestanding, self-contained text used to inquire into a history far removed from when it was actually created. Consequently, the colonial context of the text itself has been minimized, including the central role of Dominican friar Francisco Ximénez as transcriber and translator of the only copy in existence. The present study delineates a historical trajectory of the Popol Wuj, reframing the narrative within its colonial ecclesiastic context. It explores the physical structure of Friar Ximénez’s 18th-century manuscript, preserved as MS 1515 by the Newberry Library in Chicago, to demonstrate that his work was first and foremost a series of religious treatises intended to carry out the conversion of the K’iche’ to Christianity. As a cautionary word, rather than revisiting the old, biased approach of questioning the authenticity and authorship of this Popol Wuj narrative, the current study suggests a broader reading, addressing the complexities intrinsic in this text, particularly the fact that the narrative was the result of the cultural contact between mendicant friars, whose main objective was to evangelize, and indigenous groups, who strived to maintain their cultural continuity by recording their oral history in the face of such a threat. Finally, this study invites scholars to ponder on the implications that the present structure of Ximénez’s manuscript (MS 1515) presents for future Popol Wuj studies as the narrative enters the age of electronic information and digital imaging.
The role of religion shifted dramatically in Central American politics during the 20th century, as the Catholic Church moved from a position as conservator of the status quo to a powerful force for reform and human rights. The century also witnessed the rise, then the “boom,” of Protestant—specifically Pentecostal—religion. By the century’s end, Central America had become among the most Protestant regions of Latin America, with every country except Costa Rica and Belize measuring a large and rising evangélico minority. These changes unfolded alongside, and deeply affected, one of the most traumatic and violent periods in the region’s history, the so-called Central American crisis of the late 1970s and 1980s, when Nicaragua, El Salvador, and Guatemala became the battlegrounds for one of the last large proxy wars of the larger Cold War, between Marxist insurgencies and authoritarian governments.
Saint Óscar Arnulfo Romero y Galdámez (b. Ciudad Barrios, San Miguel, El Salvador, August 15, 1915; d. San Salvador, El Salvador, March 24, 1980) was the seventh Archbishop of San Salvador. During his episcopate (February 22, 1977–March 24, 1980), Romero gained international renown for his human rights activism, advocacy for the poor, and denunciation of El Salvador’s political repression and violence. Romero was one of Latin America’s most influential political and social voices and routinely drew thousands of people to San Salvador’s Metropolitan Cathedral, while his homilies were broadcast across Central America on shortwave radio. In 1978, members of Britain’s Parliament, the United States Congress, and the US press supported Romero’s nomination for the Nobel Peace Prize in recognition of his efforts to halt the economic, political, and social violence that plagued El Salvador and, more broadly, Central America, during the late 1970s. In his final homily, delivered on March 23, 1980, Romero directly addressed members of the Salvadoran military and police forces, “in the name of this suffering people whose cries rise to heaven more loudly each day, I implore you, I beg you, I order you in the name of God: stop the repression.” The following day, Romero was murdered by Salvadoran government forces while he celebrated Mass at the Church of Divine Providence in San Salvador. His assassination sent shockwaves through Central America, and over one hundred thousand people attended his funeral. In May 2015, Pope Francis beatified Romero and elevated him to sainthood on October 14, 2018.