View image in fullscreenJohanna Alarcón’s project When the Earth Gives Birth explores Indigenous maternal healthcare in Ecuador. Community midwives carry out check-ups in the homes of women in the Kichwa Amazonian Sinchi Warmi community, taking healthcare to residents.Photograph: Johanna AlarcónShareView image in fullscreenA butterfly hovers on the window of the midwifery hospital, where nature surrounds these communities far from cities.Photograph: Johanna AlarcónShareView image in fullscreenMidwife Maria Tapuy massages Violeta Tapuy, who is expecting her sixth child.