Maternal Death and Pregnancy-Related Morbidity Among Indigenous Women of Mexico and Central America pp 617-633 | Cite as
Poverty, Local Perceptions, and Access to Services: Understanding Obstetric Choices for Rural and Indigenous Women in Guatemala in the Twenty-First Century
Abstract
This chapter offers an overview of obstetric choice in Guatemala analyzed from an anthropological and biomedical point of view. It presents recent statistics related to maternal healthcare, especially the use of healthcare facilities and consultation with skilled medical attendants, and aims to explain, both from a biomedical and public health and an anthropological point of view, the trends in utilization of hospital- or clinic-based services versus the use of services provided by midwives in the past decades. It presents an analysis of family, community, and country level factors that influence obstetric choice and impact maternal health outcomes.
Keywords
Indigenous women Maternal health Guatemala Pregnancy Central America Prenatal care Skilled birth attendant Midwife Maternal morbidity Maternal mortality Neonatal mortality Hospital Healthcare facility Insurance Maya Traditional midwife Legal Prevention Mayan medical system Ecological approach Human rights AnthropologyReferences
- ACCESA. (2015). El acceso universal a la salud, algunos elementos para la discusión. Guatemala: Serviprensa. Retrieved from http://icefi.org/sites/default/files/el_acceso_universal_a_la_salud.pdf.Google Scholar
- Adams, W. R., & Hawkins, J. P. (2007). Health care in Maya Guatemala: Confronting medical pluralism in a developing country. Norman, OK: University Oklahoma Press.Google Scholar
- Ávila, C., Bright, R., Gutiérrez, J. C., Hoadley, K., Manuel, C., & Romero, N. (2015). Guatemala, Análisis del Sistema de Salud 2015. Bethesda, MD: Proyecto Health Finance and Governance, Abt Associates Inc..Google Scholar
- Becerril-Montekio, V., & López-Dávila, L. (2011). Sistema de Salud en Guatemala. Salud Pública de México, 53(2), S197–S208.PubMedGoogle Scholar
- Berry, N. S. (2008). Who’s judging the quality of care? Indigenous Maya and the problem of “not being attended.”. Medical Anthropology, 27(2), 164–189. https://doi.org/10.1080/01459740802017413.CrossRefPubMedPubMedCentralGoogle Scholar
- Berry, N. S. (2010). Unsafe motherhood. Mayan maternal mortality and subjectivity in post-war Guatemala. New York, NY: Berghahn Books.Google Scholar
- Bruce, J. (2016). The difficulties of “living while girl”. Journal of Virus Eradication, 2(3), 177–182.PubMedPubMedCentralGoogle Scholar
- Cazali Avila, A. (2002). Los militares en el poder: el gobierno de Carlos Arana Osorio. Universidad San Carlos de Guatemala, Dirección General de Investigación. Guatemala: Universidad San Carlos de Guatemala.Google Scholar
- Cecchini, S., & Azócar, I. (2007). Indicadores de los Objetivos de Desarrollo del Milenio en América Latina y el Caribe: una comparación entre datosnacionales e internacionales. Santiago de Chile: CEPAL/ONU.Google Scholar
- Cerón, A., Ruano, A. L., Sánchez, S., Chew, A. S., Díaz, D., Hernández, A., et al. (2016). Abuse and discrimination towards indigenous people in public health care facilities: Experiences from rural Guatemala. International Journal for Equity in Health, 15(1), 77. https://doi.org/10.1186/s12939-016-0367-z CrossRefPubMedPubMedCentralGoogle Scholar
- Chary, A., & Rohloff, P. (2015). Privatization and the new medical pluralism. Lanham, MD: Lexington Books.Google Scholar
- Cosminsky, S. (2016). Midwives and mothers. The medicalization of childbirth on a Guatemalan plantation. Austin, TX: University of Texas Press.Google Scholar
- Davis-Floyd, R., Sergant, C. (1996). Introduction: The social production of authoritative knowledge in pregnancy and childbirth. Medical Anthropology Quarterly, 10(2), 111–120. Retrieved September 4, 2016, from http://www.jstor.org/stable/649323.CrossRefPubMedGoogle Scholar
- Fuentes, J. A., Balsells, E., & Arriola, G. (2003). Guatemala: Human development progress towards the MDGs at the sub National Level. United Nations development programme. Guatemala: UNDP.Google Scholar
- Garces, A., Mcclure, E. M., Hambidge, K., Krebs, N. F., Figueroa, L., Aguilar, M., et al. (2015). Trends in perinatal deaths from 2010 to 2013 in the Guatemalan Western Highlands. Reproductive Health, 12(Suppl 2), S14. https://doi.org/10.1186/1742-4755-12-S2-S14 CrossRefPubMedPubMedCentralGoogle Scholar
- Gabrysch, S., & Campbell, O. M. (2009). Still too far to walk: Literature review of the determinants of delivery service use. BMC Pregnancy and Childbirth, 9(1), 34. https://doi.org/10.1186/1471-2393-9-34.CrossRefPubMedPubMedCentralGoogle Scholar
- Ginsburg, F., & Rapp, R. (1991). The politics of reproduction. Annual Review of Anthropology, 20, 311–343.CrossRefPubMedGoogle Scholar
- Hemmings, J., Nieto-Andrade, B., Rivas, J. R., & Longfield, K. (2007). Bajo el poncho-Pillow talk: Relationships and sexuality among indigenous peoples in Guatemala. Results from a PEER/FoQus study. Guatemala: Options Consultancy Services Ltd and PASMO Guatemala.Google Scholar
- ICEFI. (2012). ¡Quiero crecer con mamá! Boletín Contamos (9), ICEFI, Guatemala.Google Scholar
- ICEFI, UNICEF. (2016). Pobreza multidimencional infantil y adolescente en Guatemala: privaciones a superar. Guatemala: ICEFI.Google Scholar
- Kayayan, V. (2017). Principales idiomas mesoamericanos hablados hasta el siglo XXI. Proyecto Mesoamérica (poner aquí el nombre oficial del proyecto). Population Council, Guatemala [not yet published].Google Scholar
- King, N., Chary, A., & Rohloff, P. (2015). Leveraging resources in contemporary Maya midwifery. In A. Chary & P. Rohloff (Eds.), Privatization and the new medical pluralism (pp. 125–141). Lanham, MD: Lexington Books.Google Scholar
- Prensa Libre. (2015, November 11). El entonces resplandeciente Hospital Roosevelt. Prensa Libre.Google Scholar
- Ministerio de Salud Pública y Asistencia Social (MSPAS). (2010). Encuesta Nacional de Salud Materno Infantil 2008 (ENSMI-2008/09). Ministerio de Salud Pública y Asistencia Social (MSPAS)/Instituto Nacional de Estadística (INE)/Centros de Control y Prevención de Enfermedades (CDC). Guatemala.Google Scholar
- Ministerio de Salud Pública y Asistencia Social (MSPAS). (2012a). Diagnóstico Nacional de Salud. Guatemala: MSPAS.Google Scholar
- Ministerio de Salud Pública y Asistencia Social (MSPAS). (2012b). Normas con Pertinencia Cultural. Guatemala: MSPAS.Google Scholar
- Ministerio de Salud Pública y Asistencia Social (MSPAS). (2015). Situación de la mortalidad materna: informe de país 2013. Retrieved from http://www.osarguatemala.org/Archivos/PDF/201510/255_3.pdf.
- Ministerio de Salud Pública y Asistencia Social (MSPAS). (2017). Ministerio de Salud Pública y Asistencia Social. Retrieved January 29, 2017, from http://www.mspas.gob.gt/index.php/institucional/acerca-del-mspas.
- Ministerio de Salud Pública y Asistencia Social (MSPAS), Instituto Nacional de Estadística (INE), & Segelpán. (2017). VI Encuesta nacional de salud materno infantil 2014–2015. Informe final. Guatemala: MSPAS INE ICF.Google Scholar
- Mosquera, M. T., Paredes Marín, V. H. (2008). Legislación de la medicina alternativa en Guatemala. Criterios de “validez” y “cientificidad” desde la perspectiva de los grupos étnicos en Guatemala. Universidad de San Carlos de Guatemala, Dirección General de Investigación, Instituto de Estudios Interétnicos, Programa de Investigación: Cultura, Pensamiento y Sociedad Guatemalteca, Guatemala. Obtenido de Retrieved from http://digi.usac.edu.gt/bvirtual/informes/cultura/INF-2008-052.pdf.
- Mosquera Saravia, M. T. (2006). Lógicas y racionalidades: entre comadronas y terapeutas traditionales. Guatemala: IDEI-USAC Serviprensa S.A.Google Scholar
- Pan American Health Organization (OPS). (1995). Clasificación estadística internacional de enfermedades y problemas relacionados con la salud. Washington, DC: OPS.Google Scholar
- Pan American Health Organization (OPS) (2007, February). Health systems profile Guatemala, 2007 (3rd ed.). Washington, DC: PAHO Retrievied from http://new.paho.org/hq/dmdocuments/2010/Health_System_Profile-Guatemala_2007.pdf.
- Paul, L. (1975). Recruitment to a ritual role: The midwife in a Maya community. Ethos, 3(3), 449–467.CrossRefPubMedGoogle Scholar
- Paul, L., & Paul, B. D. (1975). The Maya midwife as sacred specialist: A Guatemalan case. American Ethnologist, 2(4), 707–726.CrossRefGoogle Scholar
- Pebley, A. R., Goldman, N., & Germán, R. (1996). Prenatal and delivery care and childhood immunization in Guatemala: Do family and community matter? Demography, 33(2), 231–247.CrossRefPubMedGoogle Scholar
- Population Council. (2010a). Mejora de la salud materna de mujeres indígenas y garífunas a través de políticas públicas con enfoque de derechos e interculturalidad. Guatemala: Population Council.Google Scholar
- Population Council. (2010b). Guatemala rising one girl at a time: Findings from the 2009–2010 evaluation. Guatemala: Population Council.Google Scholar
- Rolhoff, P., & Chary, A. (2015). Introduction. In A. Chary & P. Rolhoff (Eds.), Privatization and the new medical pluralism (pp. xiii–xxxi). Lanham, MD: Lexington Books.Google Scholar
- PRRAC 2004 (Proyecto Salud). (2004). Informe de Avances. Preparado por: Alejandra Colom. Guatemala, Guatemala.Google Scholar
- Sacayon Sapón, C. A. (2015). Condiciones de ingreso de pacientes referidas por comadronas. Tesis Presentada ante las autoridades de la Escuela de Estudios de Postgrado de la Facultad de Ciencias Médicas Maestría en Ciencias Médicas con Especialidad en Ginecología y Obstetricia.Google Scholar
- Schensul, J. J., & LeCompte, M. D. (1999). Ethnographer’s toolkit. Walnut Creek, CA: Altamira Press.Google Scholar
- Segeplan. (2015). Informe final de cumplimiento de los Objetivos de Desarrollo del Milenio. Guatemala: Segeplan.Google Scholar
- Shiffman, J., & Garcés del Valle, A. L. (2006). Political history and disparities in safe motherhood between Guatemala and Honduras. Population and Development Review, 32(1), 53–80.CrossRefGoogle Scholar
- Solien de Gonzalez, N. (1963). Some aspects of child-bearing and child-rearing in a Guatemalan Ladino community. Southwestern Journal of Anthropology, 19(4), 411–423.CrossRefPubMedGoogle Scholar
- Wikisource. (1996). Acuerdo sobre Aspectos Socieconómicos y Situación Agraria. Guatemala. Retrieved from https://es.wikisource.org/wiki/Acuerdo_sobre_aspectos_socioecon%C3%B3micos_y_situaci%C3%B3n_agraria.