Title: | Experiencias y percepciones de los profesionales de la salud sobre el cuidado de la salud de las gestantes indígenas en el Ecuador |
Authors: | Verdezoto, Nervo Xavier Abril Ulloa, Sandra Victoria Ruiz Cantero, María Teresa Guijarro Garvi, Marta Mackintosh, Nicola J. Eslambolchilar, Parisa Carpio Arias, Tannia Valeria |
metadata.dc.ucuenca.correspondencia: | Carpio Arias, Tannia Valeria, tannia.carpio@espoch.edu.ec |
Keywords: | Gender Ethic minorities Prenatal care Indigenous communities Human rights Health care professionals Pregnant women |
metadata.dc.ucuenca.areaconocimientofrascatiamplio: | 3. Ciencias Médicas y de la Salud |
metadata.dc.ucuenca.areaconocimientofrascatidetallado: | 3.2.2 Ginecología y Obstetricia |
metadata.dc.ucuenca.areaconocimientofrascatiespecifico: | 3.2 Medicina Clínica |
metadata.dc.ucuenca.areaconocimientounescoamplio: | 09 - Salud y Bienestar |
metadata.dc.ucuenca.areaconocimientounescodetallado: | 0912 - Medicina |
metadata.dc.ucuenca.areaconocimientounescoespecifico: | 091 - Salud |
Issue Date: | 2022 |
metadata.dc.ucuenca.volumen: | Volumen 22, número 1 |
metadata.dc.source: | BMC Pregnancy and Childbirth |
metadata.dc.identifier.doi: | |
metadata.dc.type: | ARTÍCULO |
Abstract: | Background: Pregnancy is an important life experience that requires uniquely tailored approach to health care. The socio-cultural care practices of indigenous pregnant women (IPW) are passed along the maternal line with respect to identity, worldview and nature. The cultural differences between non-indigenous healthcare professionals (HPs) and IPW could present a great challenge in women’s health care. This article presents an analysis from a human rights and gender perspective of this potential cultural divide that could affect the health of the IPW in an Andean region of Ecuador with the objective of describing the health challenges of IPWs as rights holders through the experiences and perceptions of HP as guarantors of rights. Methods: We conducted 15 in-depth interviews with HPs who care for IPW in Chimborazo, Pichincha provinces of Ecuador. We utilized a semi-structured interview guide including questions about the experiences and perceptions of HPs in delivering health care to IPW. The interviews were recorded, transcribed and subjected to thematic analysis in Spanish and translated for reporting. Results: We found disagreements and discrepancies in the Ecuadorian health service that led to the ignorance of indigenous cultural values. Common characteristics among the indigenous population such as illiteracy, low income and the age of pregnancy are important challenges for the health system. The gender approach highlights the enormous challenges: machismo, gender stereotypes and communication problems that IPWs face in accessing quality healthcare. Conclusions: Understanding the diverse perspectives of IPW, acknowledging their human rights particularly those related to gender, has the potential to lead to more comprehensive and respectful health care delivery in Ecuador. Further, recognizing there is a gender and power differential between the provider and the IPW can lead to improvements in the quality of health care delivery and reproductive, maternal and child health outcomes |
Description: | El embarazo es una experiencia de vida importante que requiere un enfoque personalizado único para el cuidado de la salud. Las prácticas socioculturales de cuidado de las gestantes indígenas (IPW) se transmiten por línea materna en el respeto a la identidad, cosmovisión y naturaleza. Las diferencias culturales entre los profesionales de la salud (HP) no indígenas y los IPW podrían presentar un gran desafío en el cuidado de la salud de las mujeres. Este artículo presenta un análisis desde una perspectiva de derechos humanos y género de esta brecha cultural potencial que podría afectar la salud de los TPI en una región andina de Ecuador con el objetivo de describir los desafíos de salud de los TPI como titulares de derechos a través de las experiencias y percepciones de HP como garantes de los derechos. |
URI: | http://dspace.ucuenca.edu.ec/handle/123456789/42066 https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-022-04432-5#:~:text=Results,challenges%20for%20the%20health%20system |
metadata.dc.ucuenca.urifuente: | https://bmcpregnancychildbirth.biomedcentral.com/ |
ISSN: | 1471-2393 |
Appears in Collections: | Artículos
|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.