A Cross Between Cultures


Bridging the cultures of Nicaragua and Texas, Marwell Guillermo Chavarria Zelaya stood before health care students and professionals and educated them using Nicaraguan Sign Language. As a deaf educator in Nicaragua, Zelaya’s primary language is Nicaraguan Sign Language. Using a basic understanding of Spanish, English and American Sign Language, translators helped him communicate with Texas Tech University Health Sciences Center (TTUHSC) faculty and students.

While at TTUHSC, Zelaya shared insights about current issues Nicaragua faces while highlighting contrasts in special-needs education between Nicaragua and Texas.

“I was so surprised by how early education begins in the states,” Zelaya said. “The three-year olds were at the level of our seven-year olds in sign language. This trip inspired me to encourage earlier education for our deaf students so they can communicate sooner.” 

With varying levels of support for disabled students in Nicaragua, Zelaya acknowledged improvements will take time and continued support. His passion for educating the disabled youth of Nicaragua led him to receive the “Teacher of the Year” award in Nicaragua. His vision to improve circumstances and outcomes for these students continues to inspire families in Nicaragua to work with their disabled children and to help students and faculty at TTUHSC.

“Our students learn how to show compassion across cultural and language barriers and learn the value of taking care of the whole person, not just addressing a complaint,” said Patti Patterson, M.D., MPH, TTUHSC professor and global health liaison for Nicaragua. “Students and faculty are always impressed by the knowledge and resourcefulness of the Nicaraguans.” Zelaya encourages his students to push past the stigma of being deaf and to become whatever they can dream of.

The Office of Global Health’s program connects TTUHSC students with incredible health care professionals like Zelaya. Since 2006, more than 500 students and faculty have visited Jinotega, Nicaragua.

“This is a great opportunity for students and faculty from multiple schools and programs to work together,” Patterson said. “This long history of collaboration with Jinotega, Nicaragua has played an integral role in TTUHSC’s global health initiative and the growth and progression of our students. These students learn the invaluable role of service, interprofessionalism and teamwork while being able to gain hands-on learning during their education.”

The Office of Global Health hosts multiple trips each year with students and faculty from TTUHSC’s five different schools. These students serve and help in a variety of settings in the Jinotega community including clinics, the special school, and a nursing home, but never imagine the impact the Nicaraguan people have on them as they return back to the states.

Patterson said the people of Jinotega have contributed so much to the education of TTUHSC students. Zelaya’s visit was an opportunity to educate students and faculty as well as for him to share insights as a special-needs educator in Nicaragua. He helped establish funding for a school in Jinotega that educates disabled Nicaraguan children. This school has a special role in Nicaragua because it is one of the few locations in the country for disabled children to receive an education and learn Nicaraguan Sign Language. Students range from ages 7- to 18-years old and many must travel by horseback to attend the school. The students live in mountainous, rural communities as much as 12 hours away and make huge sacrifices to gain an education.

“TTUHSC has helped our schools a lot,” Zelaya said. “We love having students come to our schools and share their love of learning.” This program not only bridges the cultures of Texas and Nicaragua, but also bridges the gap to furthering special needs education.

For additional information about how you can support the special education school in Jinotega, please contact the Office of Global Health at globalhealth@ttuhsc.edu or visit http://www.ttuhsc.edu/global-health/


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Story produced by the Office of Communications and Marketing, (806) 743-2143.

Texas Tech University Health Sciences Center


Beginning in 1969 as the Texas Tech University School of Medicine, Texas Tech University Health Sciences Center (TTUHSC) is now a five-school university with campuses in Abilene, Amarillo, Dallas/Fort Worth, Lubbock, Midland and Odessa.

TTUHSC offers students the opportunity to expand knowledge in programs that are on the forefront of health care education. Our programs and facilities give students the opportunity for hands-on research and clinical experience, and various collaborations with community entities provide students the practical knowledge that is vital to their success.

Almost 50 years since opening, TTUHSC has now trained more than 20,000 health care professionals, and meets the health care needs of more than 2.5 million people in the 108 counties including those in the Texas Panhandle and eastern New Mexico.

Through research, education and patient care, TTUHSC aims to promote a greater health environment for West Texas and beyond. We strive to decrease health disparities for rural populations and improve the health of the community through collaborations with area hospitals and health centers.

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