Políticas nacionales de salud y decisiones locales en México: el caso del Hospital Mixto de Cuetzalan, Puebla

Duarte-Gómez, María Beatriz; Brachet-Márquez, Viviane; Campos-Navarro, Roberto; Nigenda, Gustavo

doi:10.1590/s0036-36342004000500005

Cited by 14 publications

(10 citation statements)

References 3 publications

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“…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. and are not reflective of models that fully integrate an intercultural vision [ 40 ]. Current policies only go so far as to promote the restructing of labor and delivery care for women, but without identifying pathways or processes for actually changing the practices that over-medicalize labor and delivery services in health institutions.…”

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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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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“…On the other hand, efforts to integrate Western and Indigenous medicine can result in greater access for vulnerable populations and more confidence in Western health services [4,7]. Intercultural health services have been shown to be successful when there is a mutual respect between the practitioners of both traditional and biomedical ‘medical’ systems [7,16,17]. This requires an exchange of information about practices and beliefs so that TBAs and health personnel teach and learn from each other.…”

Section: Discussionmentioning

confidence: 99%

“…Integration of Western and Indigenous medicine has been shown to result in increased confidence in western health services and to increase access for these vulnerable populations [4,7]. In Mexico there is a legal precedent for appropriate and respectful intercultural health services: the Mexican Constitution recognizes the use of traditional medicine as a cultural right and the Secretary of Health has an obligation to recognize, respect and promote the use of traditional medicine and adapt services to the needs and traditions of the indigenous population.…”

Section: Introductionmentioning

confidence: 99%

The acceptability and feasibility of an intercultural birth center in the highlands of Chiapas, Mexico

Tucker

Ochoa

Garcia

et al. 2013

BMC Pregnancy Childbirth

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BackgroundAn intercultural birthing house was established in the Highlands of Chiapas, Mexico, as an intervention to reduce maternal mortality among indigenous women. This birth center, known locally as the Casa Materna, is a place where women can come to give birth with their traditional birth attendant. However, three months after opening, no woman had used the birthing house.MethodsThis study reports on the knowledge, attitudes and practices related to childbirth and use of the Casa Materna from the perspective of the health workers, traditional birth attendants and the program’s target population. Structured interviews, in-depth interviews and focus group discussions were conducted with participants from each of these groups. Data was searched for emerging themes and coded.Results and conclusionsFindings show that the potential success of this program is jeopardized by lack of transport and a strong cultural preference for home births. The paper highlights the importance of community participation in planning and implementing such an intervention and of establishing trust and mutual respect among key actors. Recommendations are provided for moving forward the maternal health agenda of indigenous women in Chiapas.

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“…However, previous studies demonstrated that medicinal plant use is not only limited to rural areas. Even medical institutions in urban areas of many developing countries have adopted and are using folk medicine as a form of complementary medicine to prevent or cure diseases [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

An ethnobotanical study of medicinal plants used in Zacatecas state, Mexico

et al. 2018

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Despite the fact that Mexico has vast biocultural biodiversity, there are numerous regions where the traditional medicinal use of plants has not yet been studied. We aimed to document, analyze quantitatively, and preserve medicinal plant knowledge among local people living in over 40 communities in the state of Zacatecas. Ethnobotanical information was collected by semistructured interviews with 132 informants. Data were analyzed using standard quantitative indices such as relative frequency of citation, family importance value, cultural importance index, and informant consensus factor. We recorded 168 medicinal plant taxa belonging to 151 genera and 69 botanical families and used to treat 99 health disorders. The most medicinally important plant families were Asteraceae (20 species), followed by Fabaceae and Lamiaceae (12 species) and Cactaceae (five species). The most culturally important species was Matricaria chamomilla L., mentioned 140 times, followed by Arnica montana L. (62 times) and Artemisia ludoviciana Nutt (48 times). The highest consensus for use was for diseases of the reproductive system. The type of disorder for which there was the highest number of references for use (389; 25% of all uses) and plant species (67) were diseases of the digestive and gastrointestinal system. The present study represents the first quantitative medical-ethnobotanical documentation and analysis of the traditional use of medicinal plants in Zacatecas state. Despite the semiarid climate, this region is botanically highly diverse, and its flora have versatile medicinal uses.

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Políticas nacionales de salud y decisiones locales en México: el caso del Hospital Mixto de Cuetzalan, Puebla

Cited by 14 publications

References 3 publications

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

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

The acceptability and feasibility of an intercultural birth center in the highlands of Chiapas, Mexico

An ethnobotanical study of medicinal plants used in Zacatecas state, Mexico

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