La Isla Network working with the Ingenio San Antonio (ISA) sugar mill in Chichigalpa, began the implementation of its water, rest, and shade intervention for sugarcane cutters and other laborers in 2017. The project, The Adelante Initiative (Adelante), was created in response to new evidence that heavy labor in increasingly hotter temperatures is a primary cause behind the high incidence of kidney disease and the resulting deaths experienced among sugarcane cutters.