La mortalidad materna y los nudos en la prestación de los servicios de salud en Chiapas. Un análisis desde la interculturalidad

Enciso, Graciela Freyermuth

doi:10.29043/liminar.v12i2.340

Cited by 9 publications

(7 citation statements)

References 5 publications

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“…In the communities studied, women prefer midwifery care because of the social and cultural proximity amid a context with low state presence and poor quality of health services. This agrees with other authors, who have identified that cultural and geographic proximity mediates women’s choice of where and how their children are born [ 18 , 28 , 29 ].…”

Section: Discussionsupporting

confidence: 92%

“…This is associated with the poor presence of institutions in those areas and the low accessibility of health services for women who live far from urban centers. Moreover, afro-descendant and indigenous women have experienced inequalities in the health system because it is anchored to a mestizo society that does not know the local language, cultural practices and beliefs [ 18 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

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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%

Section: Discussionmentioning

confidence: 99%

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

Rodríguez-Hernández

Ruiz

Barbudo

et al. 2023

IJERPH

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“…Like for the rest of the world, this was the indicator exhibiting the highest degree of inequality across social groups and regions of the country. Even though maternal deaths on average had decreased consistently in the previous decade, major efforts were still needed in the poorest areas of the southern states of Mexico, where geographic, organizational, financial, and cultural barriers limited women’s access to maternal health care [31]. The differences among states were huge.…”

Section: Discussionmentioning

confidence: 99%

A comprehensive approach to women’s health: lessons from the Mexican health reform

2012

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BackgroundThis paper discusses the way in which women’s health concerns were addressed in Mexico as part of a health system reform.DiscussionThe first part sets the context by examining the growing complexity that characterizes the global health field, where women’s needs occupy center stage. Part two briefly describes a critical conceptual evolution, i.e. from maternal to reproductive to women’s health. In the third and last section, the novel “women and health” (W&H) approach and its translation into policies and programs in the context of a structural health reform in Mexico is discussed. W&H simultaneously focuses on women’s health needs and women’s critical roles as both formal and informal providers of health care, and the links between these two dimensions.SummaryThe most important message of this paper is that broad changes in health systems offer the opportunity to address women’s health needs through innovative approaches focused on promoting gender equality and empowering women as drivers of change.

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“…Por tales situaciones, reflejadas en la pobreza en el acceso a la salud y la inexistencia de tratamientos, la inclemencia y el tiempo del padecimiento de enfermedades es mayor entre la población indígena (Del Álamo, 2006) y, por ende, tienen mayor riesgo de morir en procedimientos como el parto para el caso de mujeres, además tienen menor cobertura en salud y usan menos la atención ambulatoria y hospitalaria (Freyermuth, 2014; Comisión Nacional para el Desarrollo de Pueblos Indígenas-Programa de las Naciones Unidas para el Desarrollo, 2010; Leyva et al, 2013). En lo anterior intervienen aspectos culturales para la prestación y la recepción de la atención hospitalaria (Gómez et al, 2017), que se convierten en barreras de disponibilidad, accesibilidad y aceptabilidad en la atención médica en contextos indígenas (Loyola et al, 2016).…”

Section: Marco Teóricounclassified

Atención hospitalaria a indígenas mexicanos contagiados iniciando la pandemia COVID-19

Corredor

2022

RCS

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En este artículo se busca identificar los determinantes en el cambio del riesgo de hospitalización con y sin intubación respecto a la atención ambulatoria de acuerdo a condiciones de indigenismo con covid-19 al inicio de la pandemia. Con información de la Secretaría de Salud de México del 22 de mayo de 2020 se elaboran modelos logísticos multinomiales para ambos grupos de pacientes, ajustando por variables socioeconómicas, condiciones de salud y lugar de residencia.

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La mortalidad materna y los nudos en la prestación de los servicios de salud en Chiapas. Un análisis desde la interculturalidad

Abstract: La mortaLidad materna y Los nudos en

Cited by 9 publications

References 5 publications

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

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

A comprehensive approach to women’s health: lessons from the Mexican health reform

Atención hospitalaria a indígenas mexicanos contagiados iniciando la pandemia COVID-19

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