Parteras tradicionales y su relación con las instituciones de salud. Entre la resistencia y la subordinación

Jiménez, Silvia; Pelcastre, Blanca; Perea, Juan Guillermo Figueroa

doi:10.5354/0717-3652.2008.2205

Cited by 6 publications

(6 citation statements)

References 2 publications

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“…Community medical systems such as those of Chocó are located in symbolic and social margins [ 30 ], usually associated with risky practices and obstacles to the populations’ health and welfare development [ 31 ]. This agrees with other studies, where power-knowledge relations hinder the relationship between medicines [ 32 ], generating epistemicides of other forms of knowledge [ 33 , 34 , 35 ].…”

Section: Discussionsupporting

confidence: 92%

Analysis of Inequalities and Inequities in Maternal Mortality in Chocó, Colombia

Rodríguez-Hernández

Ruiz

Barbudo

et al. 2023

IJERPH

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We used a mixed design study to analyze the inequalities and inequities in Maternal Mortality (MM) for Chocó (Colombia) between 2010–2018. The quantitative component consisted of an analytical ecological design, where proportions, ratios, measures of central tendency and rates ratios, rate difference, Gini and concentration indices were calculated to measure inequalities. The qualitative component had a phenomenological and interpretive approach. One hundred thirty-one women died in Choco between 2010–2018. The Maternal Mortality Ratio was 224/100.000 live births. The Gini coefficient was 0.35, indicating inequality in the distribution of the number of MM with respect to live births. The health service offers have been concentrated in the private sector in urban areas (77%). The exercise of midwifery has played an important role in maternal and perinatal care processes, especially in territories where the State has been absent. Nevertheless, it occurs in complex circumstances such as the armed conflict, lack of transportation routes, and income deficits, affecting the timelines and care quality for these vulnerable groups. MM in Chocó has been a consequence of deficiencies in the health system and weaknesses in its infrastructure (absence of a high level of maternal-perinatal care). This is in addition to the territory’s geographical characteristics, which increase vulnerability and health risks for women and their newborns. In Colombia, as well as in other countries, many maternal and newborn deaths are preventable because their causes are due to social injustices.

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Section: Discussionsupporting

confidence: 92%

Analysis of Inequalities and Inequities in Maternal Mortality in Chocó, Colombia

Rodríguez-Hernández

Ruiz

Barbudo

et al. 2023

IJERPH

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“…The Integrated Strategy to Accelerate the Reduction of Maternal Mortality in Mexico, which allows the incorporation of TBAs into health institutions, should be strengthened [ 2 ]. Based on this study’s findings, and considering the body of knowledge it is contributing to, TBAs associated with health services encounter medical hegemony and find themselves in subordinate positions with health professionals [ 38 , 39 ]. Our results coincide with what other authors have described, that currently implemented policies in fact reproduce vertical models and frameworks, relationships of power-subordination among providers, etc.…”

Section: Discussionmentioning

confidence: 99%

Labor and delivery service use: indigenous women’s preference and the health sector response in the Chiapas Highlands of Mexico

Ibáñez-Cuevas

Heredia-Pi

Meneses-Navarro

et al. 2015

Int J Equity Health

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BackgroundMexico has undertaken important efforts to decrease maternal mortality. Health authorities have introduced intercultural innovations to address barriersfaced by indigenous women accessing professional maternal and delivery services. This study examines, from the perspective of indigenous women, the barriers andfacilitators of labor and delivery care services in a context of intercultural and allopathic innovations.MethodsThis is an exploratory study using a qualitative approach of discourse analysis with grounded theory techniques. Twenty-five semi-structured interviews were undertaken with users and non-users of the labor and delivery services, as well as with traditional birth attendants (TBAs) in San Andrés Larráinzar, Chiapas in 2012.ResultsThe interviewees identified barriers in the availability of medical personnel and restrictive hours for health services. Additionally, they referred to barriers to access (economic, geographic, linguistic and cultural) to health services, as well as invasive and offensive hospital practices enacted by health system personnel, which limited the quality of care they can provide. Traditional birth attendants participating in intercultural settings expressed the lack of autonomy and exclusion they experience by hospital personnel, as a result of not being considered part of the care team. As facilitators, users point to the importance of having their traditional birth attendants and families present during childbirth, to allow them to use their clothing during the attention, that the staff of health care is of the female sex and speaking the language of the community. As limiting condition users referred the different medical maneuvers practiced in the attention of the delivery (vaginal examination, episiotomy, administration of oxytocin, etc.).ConclusionsEvidence from the study suggests the presence of important barriers to the utilization of institutional labor and delivery services in indigenous communities, in spite of the intercultural strategies implemented. It is important to consider strengthening intercultural models of care, to sensitize personnel towards cultural needs, beliefs, practices and preferences of indigenous women, with a focus on human rights, gender equity and quality of care.

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“…La noción de eficacia simbólica no tiene en cuenta el papel de las mujeres. Es necesario, por tanto, hacer caso a otros trabajos que han tratado las cuestiones de liderazgo de y desde las mujeres (véase, entre otros, Radcliffe 2010;Jiménez, Pelcastre y Figueroa 2008;Colpron 2005;Gómez et ál. 2018; Ulloa 2020), así como el papel que estas parteras-curanderas tienen para con la salud de las mujeres.…”

Section: Conocimiento Como Reconocimiento: El Papel De Liderazgo De L...unclassified

Dos tipos de don: sobre conocimiento, reconocimiento y el liderazgo de las parteras. El caso de dos comunidades en México: una mixteca y una nahua

Neira-Castro

2024

Maguaré

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En este artículo analizo la figura de las parteras-curanderas en dos comunidades: Santa Cruz Mitlatongo, Mixteca Alta, Oaxaca, y Santa Catarina del Monte, Texcoco, Estado de México. Asimismo, destaco otros tipos de liderazgo femenino comunitario que escapan a los ojos de la literatura antropológica sobre partería y los conceptualizo mediante la noción de don: primero, desde la perspectiva económica del concepto maussiano; segundo, como una categoría local que considera que el conocimiento de la partería se transmite generacionalmente. Finalmente, reflexiono sobre la presencia del liderazgo local femenino que se basa en el conocimiento sobre el cuerpo y argumento que el papel de las mujeres parteras indígenas las posiciona como sujetos políticos en sus contextos particulares.

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Parteras tradicionales y su relación con las instituciones de salud. Entre la resistencia y la subordinación

Abstract: RESUMEN El objetivo es conocer cómo las parteras tradicionales construyen su saber en salud materna y cómo se relacionan con las instituciones de salud. (a)4Se ARTÍCULOS ORIGINALESRev

Cited by 6 publications

References 2 publications

Analysis of Inequalities and Inequities in Maternal Mortality in Chocó, Colombia

Analysis of Inequalities and Inequities in Maternal Mortality in Chocó, Colombia

Labor and delivery service use: indigenous women’s preference and the health sector response in the Chiapas Highlands of Mexico

Dos tipos de don: sobre conocimiento, reconocimiento y el liderazgo de las parteras. El caso de dos comunidades en México: una mixteca y una nahua

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