The changing role of indigenous lay midwives in Guatemala: New frameworks for analysis

Chary, Anita; Díaz, Anne Kraemer; Henderson, Brent; Rohloff, Peter

doi:10.1016/j.midw.2012.08.011

Cited by 37 publications

(32 citation statements)

References 21 publications

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Section: Background and Rationalementioning

confidence: 99%

“…Not until recently has there been some national efforts to help integrate comadronas into the health-care system by providing licenses to comadronas that attend national monthly trainings (13). During these meetings, national health staff teach about signs and symptoms of danger that require referral during pregnancy (13). Problems exist with this national monthly training program as classes are often canceled for months at a time due to shortage of training staff, and there are no data collected that measures how well comadronas are retaining and applying knowledge learned at meetings.…”

Section: Background and Rationalementioning

confidence: 99%

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How a Training Program Is Transforming the Role of Traditional Birth Attendants from Cultural Practitioners to Unique Health-care Providers: A Community Case Study in Rural Guatemala

Hernandez

Oliveira

Shirazian

2017

Front. Public Health

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In low- and middle-income countries (LMICs), where the rates of maternal mortality continue to be inappropriately high, there has been recognition of the importance of training traditional birth attendants (TBAs) to help improve outcomes during pregnancy and childbirth. In Guatemala, there is no national comprehensive training program in place despite the fact that the majority of women rely on TBAs during pregnancy and childbirth. This community case study presents a unique education program led by TBAs for TBAs in rural Guatemala. Discussion of this training program focuses on programming implementation, curriculum development, sustainable methodology, and how an educational partnership with the current national health-care system can increase access to health care for women in LMICs. Recent modifications to this training model are also discussed including how a change in the clinical curriculum is further integrating TBAs into the national health infrastructure. The training program has demonstrated that Guatemalan TBAs are able to improve their basic obstetrical knowledge, are capable of identifying and referring early complications of pregnancy and labor, and can deliver basic prenatal care that would otherwise not be provided. This training model is helping transform the role of the TBA from a sole cultural practitioner to a validated health-care provider within the health-care infrastructure of Guatemala and has the potential to do the same in other LMICs.

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Section: Background and Rationalementioning

confidence: 99%

Section: Background and Rationalementioning

confidence: 99%

How a Training Program Is Transforming the Role of Traditional Birth Attendants from Cultural Practitioners to Unique Health-care Providers: A Community Case Study in Rural Guatemala

Hernandez

Oliveira

Shirazian

2017

Front. Public Health

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“…Nevertheless, this triple condition is not mentioned by the powerful elite when it justifies its rejection of iyoma, who have limited proficiency in Spanish, practically a lack formal training, and thus are not considered as an integral part of the Guatemalan Health System (Schieber, 2008). Some policy makers have labeled them as ³untrainable´ (Chary, A., et al 2013). …”

Section: Iyoma and Biomedical Professionalsmentioning

confidence: 99%

Guatemala’s Indigenous Maternal Health Care: A System in Need of Decolonization

Giralt¹

2017

RAUDEM

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El cuidado de la salud materna de las indígenas guatemaltecas: Un sistema en necesidad de descolonización Resumen: Las tasas de mortalidad materna guatemalteca son las más altas de Centroamérica. Dichas tasas varían drásticamente entre grupos étnicos, con las más altas presentes entre mujeres rurales mayas. Mientras Guatemala se esfuerza para reducir estas cifras, la controversia se centra en comadronas tradicionales. Esta investigación estudia el papel de dichas comadronas dentro de un marco postcolonialista y descolonialista. Los resultados muestran un país bajo el legado de la colonización, manifestado en el cuerpo femenino colonizado. Un cambio de paradigma es crucial en relación con las comadronas y sus pacientes. La salud reproductiva de las mujeres indígenas no mejorará hasta que esto suceda y la atención médica sea descolonizada. Palabras clave: maya, mujer, indígena, salud maternal, mortalidad, colonialism, postcolonialismo, descolonialismo, partera, comadrona. *XDWHPDOD ¶V ,QGLJHQRXV 0DWHUQDO +HDOWK &DUH $ 6\VWHP LQ 1HHG RI 'HFRORQL]DWLRQAbstract: *XDWHPDOD ¶V 0DWHUQDO 0RUWDOLW\ 5DWLRV DUH WKH KLJKHVW LQ &HQWUDO $PHULFD 7hese ratios vary drastically among ethnic groups, the highest occurring among rural Mayan women. As Guatemala struggles to reduce its MMRs, the controversy centers on Mayan Traditional Birth Attendants. This research investigates the role of Mayan traditional midwives within the framework of Postcolonialism. The results show a country under the legacy of colonization, manifested in the female colonized body. A paradigm shift is crucial in relation to both traditional birth attendants and their patients. Indigenous ZRPHQ ¶V UHSURGXFWLYH KHDOWK ZLOO QRW improve until health care, a legacy of Colonialism, is decolonized.

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“…Most women in rural areas lack access to trained, skilled birth attendants. In one study, midwives were found to have a mean of 1.3 years of primary school education; 63% in the study never attended primary school, although most had some obstetrical training from the Ministry of Health and Non-Governmental Organizations (Chary, Díaz, Henderson, & Rohloff, 2013).…”

Section: Guatemalans In the United Statesmentioning

confidence: 99%

Caring for the Vulnerable

Johanson¹

2016

Journal of Christian Nursing

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Knowledge of health practices and concerns is one key to providing culturally sensitive care to persons of different ethnicities. It is estimated that Guatemala is the third leading source of undocumented immigrants in the U.S. To increase understanding of Guatemalan healthcare issues, a descriptive study asked what are common healthcare issues among rural, indigenous Guatemalans and Guatemalan immigrants to the United States, and how do these issues compare?

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The changing role of indigenous lay midwives in Guatemala: New frameworks for analysis

Cited by 37 publications

References 21 publications

How a Training Program Is Transforming the Role of Traditional Birth Attendants from Cultural Practitioners to Unique Health-care Providers: A Community Case Study in Rural Guatemala

How a Training Program Is Transforming the Role of Traditional Birth Attendants from Cultural Practitioners to Unique Health-care Providers: A Community Case Study in Rural Guatemala

Guatemala’s Indigenous Maternal Health Care: A System in Need of Decolonization

Caring for the Vulnerable

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