Nicaragua · Americas · Signature
Nicaragua – Rio Indio
This Medical Mission Has Been Completed
April 25, 2021 — May 1, 2021
Upcoming Missions in Nicaragua
All Nicaragua missions →More Upcoming Missions in the Americas
All Americas missions →Mission Archive · May 2021
The Need
***Note: Full COVID-19 Vaccination is Required for Participation***

Healthcare in Nicaragua involves the collaboration of both private and public institutions. Although Nicaragua’s health outcomes have improved over the past few decades due to the efficient utilization of resources, there are still challenges when responding to the populations diverse healthcare needs. The government provides universal free healthcare for its citizens, however, there still are limitations that prevent quality care to be delivered to all of Nicaragua’s citizens. Current delivery models create an unequal distribution of resources and medical personnel, which specifically leaves rural communities vulnerable.
Within Nicaragua, there are several isolated remote villages that lack any medical aid or healthcare resources. As such, the humanitarian service that IMR brings will be much needed. This medical relief trip is different from other IMR expeditions because it gives volunteers a unique opportunity to work directly with an indigenous tribe. You will find the people of Rama to be warm, hospitable, and genuinely interested in English culture. It is an honor that IMR continues to be welcomed back by these resilient and inspirational people, so please be respectful during every moment you are here.
Our Work
International Medical Relief started to partner with Nicaragua back in 2011. Since 2020, we have run 10 medical missions, working with a total of 433 volunteers and staff that served over 7,000 patients. IMR plans to continue our preventative efforts by providing medical relief and to continue the efforts to provide sustainable health services to the community. IMR will continue to provide community health training, medical treatments, medical supplies and equipment, and clinic operations. IMR strives to provide life-changing medical care to people who do not have reliable access to treatment and help increase the communities education and knowledge on their own health to improve the overall health of the most remote and underserved communities in Nicaragua.
With diligent planning and preparation, IMR is dedicated to ensuring that specific goals are met on our missions, each in correlation to the United Nations Sustainable Development Goals 3 and 17.
IMR works to elevate vulnerable populations through shoulder-to-shoulder care with our local partners, creating workforce density, and a cadre of future healthcare and public health leaders in association to UNSDG 3: Good Health & Wellbeing.
In correlation with UNSDG 17: Partnerships for the Goals, our organization works in collaboration and at the request of local hosts where we are under their direct influence and affluence. IMR never goes into a country without a formal invitation where there is a great community need for medical or dental care, and health education.
This Mission
Our primary goal of this trip is to provide life-changing medical care to people who do not have reliable access to treatment. Since this is not IMR’s first trip to the island, you can expect to see entire families travel to see you at the clinic. Many of the Rama who attend clinic will have paddled 10 hours up-river to reach your medical team. Also, because healthcare is sparse, many of your patients will have conditions that are treatable with education and modern medicine. During clinic, you will treat fungal diseases and other less-serious conditions. You can also expect to see respiratory and GI illness. While treating your patients, you will learn about their daily struggle to protect their indigenous culture and the surrounding rainforest.
Lodging/Transportation
This Signature Trip includes lodging at a five-star eco-lodge, specially designed evening activities, gourmet food, and the opportunity to care for the indigenous Rama tribe. The Río Indio Adventure Lodge is considered a Birding Paradise, so bring your binoculars!
Since it rests on the banks of the San Juan River, it is surrounded by 640,000 acres of rainforest at the Rio Maíz National Park, the largest rainforest north of the Amazon Jungle. For clinic, you will travel along some of the most beautiful waterways in the world.
Highlights
The most memorable part of your trip will be interacting with and learning from a group of indigenous people who do not receive many visitors or assistance from the world. Known as “The Guardians of the Forest,” the Rama are currently engaged in a cultural war as they try to protect their rainforest from being developed. Your time here will allow you to learn from these remarkable people.
Extend Your Stay
Since you are already venturing across the globe, have you considered extending your stay by a few days to see Nicaragua’s most intriguing destinations? Did you know IMR’s partner, Worldwide Navigators, offers an exclusive three-day extension to its volunteers? By extending your stay, you will give yourself ample time to explore the countless destinations that this part of Central America has to offer.
Highlights:
- Big Corn Island, a lush, rustic and still mostly unsettled paradise
- The endless beaches and neighborhood trails lined with fresh fruit trees on Little Corn Island
- A charming bungalow stay on the virgin shorelines of the Corn Islands
Learn more about this extension.
No matter which activities you partake in during your extension, you will want to bring your camera to capture the natural beauty of this area. From green and rolling hills to emerald waters to fiery sunsets, Nicaragua is truly captivating!
See what else Worldwide Navigators has to offer!
For additional information, please contact Worldwide Navigators. Their team of experienced agents and travelers is available via email at travel@worldwidenavigators.com.
Itinerary at a Glance
Day 1 · April 25, 2021
Arrivals
Day 2 · April 26, 2021
Transfer to Rio Indio
Day 3 · April 27, 2021
Clinic
Day 4 · April 28, 2021
Clinic
Day 5 · April 29, 2021
Clinic
Day 6 · April 30, 2021
Transfer to San Jose
Day 7 · May 1, 2021
Departures
Gallery
Full Itinerary
This itinerary is subject to change without notice.
Please note: Independent flight arrangements should not be made until after the group flight is booked. You will be notified about the group flight at the Early Bird deadline. If you are planning to fly independently and want to book your flight in advance, please contact Worldwide Navigators at travel@worldwidenavigators.com for the most up-to-date trip information before you book your independent flight. Thank you.
If you are not traveling on the group flight or joining an extension but wish to arrange transportation from the airport to clinic, please contact IMR at office@imrus.org.
Arrivals
You and the rest of your volunteer team will land at the Juan Santamaria International Airport in San Jose, Costa Rica. Please arrive by 8:00pm in San Jose, Costa Rica so you have enough time to get acquainted with your team and attend the required clinic orientation.
If you are traveling on the group flight or are purchasing airport transportation a la carte, you will board the transportation that will take you to your hotel for a team dinner and orientation.
During orientation, your leader will assign roles for the clinic, present IMR’s clinic protocols, and provide an overview of the clinic days that you have ahead.
Transfer to Rio Indio
After an early morning breakfast with your team, you will board a bus that will transfer your volunteer group from Costa Rica to Nicaragua. Since you will pass through customs on your way across the border, you will need to have your passport readily available.
Once you have crossed the border, your team will board small motor boats that will carry you up the beautiful Rio San Juan River. The boat ride will take you along the banks of the lush rainforest, so you will want to have your camera ready to capture scenic and wildlife shots.
The boats will drop you off at your new eco-friendly hotel, the Rio Indio Lodge. Keep your eyes peeled for the property’s “pet” crocodile!
Meals: Breakfast, Lunch, Dinner,
Clinic
Your next few days will be spent waking early with your team members, enjoying a traditional Nicaraguan breakfast, and then heading out for a long and hard day of service. Clinics will be set up to serve communities in Greytown and surrounding areas that rarely receive visitors and do not have access to medical care.
Your volunteer work will be difficult, but you will return to your communal accommodations each evening with your team to relax and debrief.
Meals: Breakfast, Lunch, Dinner,
Clinic
During clinic, you can expect to see respiratory and GI illnesses, fungal diseases, and other less-serious conditions. While treating your patients, you will learn about their daily struggle to protect their indigenous culture and the surrounding rainforest.
Meals: Breakfast, Lunch, Dinner,
Clinic
Many of the Rama who attend clinic will have paddled 10 hours up-river to reach your medical team. Because healthcare is sparse, many of your patients will have conditions that are treatable with education and modern medicine, which gives you the opportunity to make a major impact in their lives.
Meals: Breakfast, Lunch, Dinner,
Transfer to San Jose
After three full days of clinic work, your team will return to San Jose, Costa Rica. Since this will be your last night abroad, we highly recommend that you use your free time to venture into the city and experience the local nightlife.
Contact Worldwide Navigators to extend your stay!
Meals: Breakfast, Lunch, Dinner,
Departures
You will enjoy one final meal with your volunteer team before departing home. Return flights are available throughout the day, so you will want to budget your time accordingly.
Extensions
Since you are already venturing across the globe, have you considered extending your stay by a few days to see Nicaragua’s most intriguing destinations? Did you know IMR’s partner, Worldwide Navigators, offers an exclusive three-day extension to its volunteers? By extending your stay, you will give yourself ample time to explore the countless destinations that this part of Central America has to offer.
Highlights:
- Big Corn Island, a lush, rustic and still mostly unsettled paradise
- The endless beaches and neighborhood trails lined with fresh fruit trees on Little Corn Island
- A charming bungalow stay on the virgin shorelines of the Corn Islands
Learn more about this extension.
No matter which activities you partake in during your extension, you will want to bring your camera to capture the natural beauty of this area. From green and rolling hills to emerald waters to fiery sunsets, Nicaragua is truly captivating!
See what else Worldwide Navigators has to offer!
For additional information, please contact Worldwide Navigators. Their team of experienced agents and travelers is available via email at travel@worldwidenavigators.com.
Flights & Prices
This mission has been completed. The details below are retained for reference; applications and early bird offers for this trip are closed.
Mission minimum donation: $3,550
For current travel arrangements and donation amounts, please view our upcoming missions.


























