The Emerging Role of the Comadrona as a Broker Between Ancient Cultural Beliefs and Modern Biomedicalization to Improve Maternal Health Care in Guatemala

Author(s):  
Sobaata Chaudhry ◽  
Jessica Oliveira ◽  
Taraneh Shirazian
2015 ◽  
Vol 26 ◽  
pp. 79-91
Author(s):  
Momal Prasad Dulal

Family planning and maternal health care programme has been initiated in an integrated approach for a long time in Nepal. However, the use status of family planning method could not be presented at good instance. The International Conference on Population and Development (ICPD), 1994 and later millennium development goal 2002, both paved the way out for the situation mostly in the developing countries. Nepal also has made some changes in its services aiming to reduce high maternal mortality and promote to use family planning method. Use of family planning method within 12 months after childbirth could be a right solution for many developing countries like Nepal having high unintended birth. Therefore, this paper aims to analyse the role of maternal health care service utilization in initiating use of family planning method after post-partum period. Women’s data file from Nepal Demographic Health Survey, 2011 has been used for the analysis. Bivariate and multivariate analysis result have revealed that the role of delivery care, controlling other variables seems to be much appreciable in getting family planning use within 12 months of delivery. Effects of some study variables besides delivery care remains unchanged in different models. Therefore, embracing family planning programme along with maternity care components would have implications towards - increasing current use of family planning, reducing the chances of unwanted/unintended birth, providing opportunities to control over female own body, contribution in achieving replacement level fertility and maintaining good health for both mother and the baby.


2017 ◽  
Vol 2 ◽  
pp. 93
Author(s):  
Alicia Giralt

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.  Guatemala’s Indigenous Maternal Health Care: A System in Need of DecolonizationAbstract: Guatemala’s Maternal Mortality Ratios are the highest in Central America. These 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 women’s reproductive health will not improve until health care, a legacy of Colonialism, is decolonized.Key words: Maya, woman, indigenous, maternal health, mortality, Colonialism, Postcolonialism, Decolonialism, midwives.


Author(s):  
Faiza Anjum ◽  
Madieha Akram ◽  
Raja Shaharyar ◽  
Muhammad Yaseen ◽  
Zahira Batool ◽  
...  

The present study aims to access the role of maternal health care knowledge and practices in developing postpartum depressive symptoms among Pakistani women. The data was collected from 400 rural mothers, having a child up to one year of age in four rural towns of Faisalabad. An interview schedule approach was used for collection of data. Results showed that lack of education, income, maternal health care knowledge and health care practices were the most important predictors of postpartum depression. The values of chi-square (26.419) and (59.734) showed a highly significant association (P = 0.000) between lack of health care knowledge and postpartum depressive symptoms and health care practices as well as postpartum depressive symptoms, respectively. Additionally, the compulsion of social taboos (eat specific food, not allow to go outside home, infant care, spouse attachment) in the antenatal/postpartum period increased the level of emotional distress such as low mood, anxiety, poor concentration and stress. The study suggested that women’s consultancy with a health care professional to obtain postpartum instructions is beneficial for healthy mothers and their child.


Author(s):  
Elham Khanlarzadeh ◽  
Leila Azizkhani ◽  
Jhila Khamanian ◽  
Mahasti Alizadeh ◽  
Hossein Jabari Bairami ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Peter Adatara ◽  
Agani Afaya ◽  
Elizabeth A. Baku ◽  
Solomon Mohammed Salia ◽  
Anthony Asempah

Background. Traditional birth attendants play significant roles in maternal health care in the rural communities in developing countries such as Ghana. Despite their important role in maternal health care, there is paucity of information from the perspective of traditional birth attendants regarding their role on maternal health care in rural areas in Ghana. Objective. The aim of this study was to explore and describe the role of traditional birth attendants in maternal health care in the rural areas in Ghana. Methods. A qualitative explorative approach was adopted to explore the role of traditional birth attendants in maternal health care in the rural areas of Ghana. Ten (10) out of a total of twenty-seven (27) practising traditional birth attendants in the study area were purposefully selected from five (5) rural communities in the Bongo District of Ghana for the study. Data were collected through in-depth, unstructured, individual interviews using a guide. Data collected from the interviews were transcribed verbatim and analysed to identify themes. Results. Six main roles of traditional birth attendants on maternal health care in rural areas were identified in this study: traditional birth attendants conduct deliveries at home, they provide health education to women on nutrition during pregnancy and lactation, they arrange means of transport and accompany women in labour to health facilities, they provide psychological support and counselling to women during pregnancy and childbirth, and traditional birth attendants are not paid in cash for the services they render to women in the rural areas. Conclusion. Our study brought to light the critical role traditional birth attendants play in maternity in rural and remote areas in Ghana. There is a need for skilled birth attendants to collaborate with traditional birth attendants in rural and deprived communities to provide quality and culturally accepted care in the rural communities.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Bedru Hussen Mohammed ◽  
Janice Mary Johnston ◽  
Dana Vackova ◽  
Semira Mehammed Hassen ◽  
Huso Yi

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