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

Abstract:

BACKGROUND:Mexico 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. METHODS:This 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. RESULTS:The 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.). CONCLUSIONS:Evidence 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.

journal_name

Int J Equity Health

authors

Ibáñez-Cuevas M,Heredia-Pi IB,Meneses-Navarro S,Pelcastre-Villafuerte B,González-Block MA

doi

10.1186/s12939-015-0289-1

subject

Has Abstract

pub_date

2015-12-23 00:00:00

pages

156

issn

1475-9276

pii

10.1186/s12939-015-0289-1

journal_volume

14

pub_type

杂志文章
  • The impact of Medicare part D on income-related inequality in pharmaceutical expenditure.

    abstract:BACKGROUND:Income-related inequality measures such as the concentration index are often used to describe the unequal distribution of health, health care access, or expenditure in a single measure. This study demonstrates the use of such measures to evaluate the distributional impact of changes in health insurance cover...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-019-0955-9

    authors: Carvalho N,Petrie D,Chen L,Salomon JA,Clarke P

    更新日期:2019-04-16 00:00:00

  • Participatory health councils and good governance: healthy democracy in Brazil?

    abstract:INTRODUCTION:The Brazilian Government created Participatory Health Councils (PHCs) to allow citizen participation in the public health policy process. PHCs are advisory bodies that operate at all levels of government and that bring together different societal groups to monitor Brazil's health system. Today they are pre...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-015-0151-5

    authors: Kohler JC,Martinez MG

    更新日期:2015-02-19 00:00:00

  • The role of community social capital in the relationship between socioeconomic status and adolescent life satisfaction: mediating or moderating? Evidence from Czech data.

    abstract:BACKGROUND:The concept of social capital has been extensively used to explain the relationship between socioeconomic status (SES) and adolescent health and well-being. Much less is known about the specific mechanism through which social capital impacts the relationship. This paper investigates whether an individual's p...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-016-0490-x

    authors: Buijs T,Maes L,Salonna F,Van Damme J,Hublet A,Kebza V,Costongs C,Currie C,De Clercq B

    更新日期:2016-12-12 00:00:00

  • Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China.

    abstract:BACKGROUND:Hypertension has become a global health challenge given its high prevalence and but low awareness and detection. Whether the actual prevalence of hypertension has been estimated is important, especially for the poor. This study aimed to measure tested prevalence and self-reported prevalence of hypertension a...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-018-0796-y

    authors: Su M,Si Y,Zhou Z,Shen C,Dong W,Fan X,Wang X,Wei X

    更新日期:2018-06-15 00:00:00

  • "Can community level interventions have an impact on equity and utilization of maternal health care" - evidence from rural Bangladesh.

    abstract:BACKGROUND:Evidence from low and middle income countries (LMICs) suggests that maternal mortality is more prevalent among the poor whereas access to maternal health services is concentrated among the rich. In Bangladesh substantial inequities exist both in the use of facility-based basic obstetric care and for home bir...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-12-22

    authors: Quayyum Z,Khan MN,Quayyum T,Nasreen HE,Chowdhury M,Ensor T

    更新日期:2013-04-02 00:00:00

  • Assessing evidence of interventions addressing inequity among migrant populations: a two-stage systematic review.

    abstract:BACKGROUND:Everyone has the right to achieve the standard of health and well-being. Migrants are considered as vulnerable populations due to the lack of access to health services and financial protection in health. Several interventions have been developed to improve migrant population health, but little is known about...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-019-0970-x

    authors: Yadee J,Bangpan M,Thavorn K,Welch V,Tugwell P,Chaiyakunapruk N

    更新日期:2019-05-06 00:00:00

  • Needs and perceptions regarding healthy eating among people at risk of food insecurity: a qualitative analysis.

    abstract:BACKGROUND:Healthy eating behaviour is an essential determinant of overall health. This behaviour is generally poor among people at risk of experiencing food insecurity, which may be caused by many factors including perceived higher costs of healthy foods, financial stress, inadequate nutritional knowledge, and inadequ...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-019-1077-0

    authors: van der Velde LA,Schuilenburg LA,Thrivikraman JK,Numans ME,Kiefte-de Jong JC

    更新日期:2019-11-27 00:00:00

  • On the ethics of healthy ageing: setting impermissible trade-offs relating to the health and well-being of older adults on the path to universal health coverage.

    abstract::This article aims to clarify the moral underpinning of the policy framework of Healthy Ageing. It is a policy adopted by the World Health Organization designed to operate in alignment with the United Nations (UN) framework of the Sustainable Development Goals (SDGs) and the urgency given for the achievement of Univers...

    journal_title:International journal for equity in health

    pub_type: 杂志文章,评审

    doi:10.1186/s12939-019-0997-z

    authors: Gebremariam KM,Sadana R

    更新日期:2019-09-05 00:00:00

  • Carework and caring: A path to gender equitable practices among men in South Africa?

    abstract:BACKGROUND:The purpose of this study was to examine the relationship between men who engage in carework and commitment to gender equity. The context of the study was that gender inequitable masculinities create vulnerability for men and women to HIV and other health concerns. Interventions are being developed to work w...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-10-17

    authors: Morrell R,Jewkes R

    更新日期:2011-05-09 00:00:00

  • Disease and disparity in China: a view from stroke and MI disease.

    abstract:BACKGROUND:The actual distribution of stroke and myocardial infarction (MI) associated with social economic status (SES) among the Chinese population is unclear. We aim to understand the development of disparity in stroke and myocardial infarction (MI) across different income groups in Chinese population. METHODS:Data...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-019-0986-2

    authors: Yao Y,Liu G,Wang L,Zhao H,Zhao Z,Zhang M,Wang M,Wang L

    更新日期:2019-06-11 00:00:00

  • Explaining household socio-economic related child health inequalities using multiple methods in three diverse settings in South Africa.

    abstract:BACKGROUND:Despite free healthcare to pregnant women and children under the age of six, access to healthcare has failed to secure better child health outcomes amongst all children of the country. There is growing evidence of socioeconomic gradient on child health outcomes METHODS:The objectives of this study were to m...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-10-13

    authors: Nkonki LL,Chopra M,Doherty TM,Jackson D,Robberstad B

    更新日期:2011-04-04 00:00:00

  • Perceived barriers to methadone maintenance treatment among Iranian opioid users.

    abstract:BACKGROUND:Opioid use is a severe problem in Iran. Despite methadone maintenance treatment (MMT) programs being one of the most important treatment strategies for reducing individual and public harms associated with opioid use, a large proportion of Iranian patients refuse to participate in such treatment programs. ME...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-018-0787-z

    authors: Khazaee-Pool M,Moeeni M,Ponnet K,Fallahi A,Jahangiri L,Pashaei T

    更新日期:2018-06-11 00:00:00

  • Changes in health-related quality of life following imprisonment in 92 women in England: a three month follow-up study.

    abstract:BACKGROUND:Despite the considerable changes in the provision of health care to prisoners in the UK there is little published literature that attempts to examine broader aspects of health and the impact of imprisonment on these, focusing instead on disease specific areas. This is surprising given that one of the main dr...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-10-21

    authors: Plugge E,Douglas N,Fitzpatrick R

    更新日期:2011-05-25 00:00:00

  • Annotated Bibliography on Equity in Health, 1980-2001.

    abstract::The purposes of this bibliography are to present an overview of the published literature on equity in health and to summarize key articles relevant to the mission of the International Society for Equity in Health (ISEqH). The intent is to show the directions being taken in health equity research including theories, me...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-1-1

    authors: Macinko JA,Starfield B

    更新日期:2002-04-22 00:00:00

  • Examining user fee reductions in public primary healthcare facilities in Kenya, 1997-2012: effects on the use and content of antenatal care.

    abstract:BACKGROUND:In 2004, The Kenyan government removed user fees in public dispensaries and health centers and replaced them with registration charges of 10 and 20 Kenyan shillings (2004 $US 0.13 and $0.25), respectively. This was termed the 10/20 policy. We examined the effect of this policy on the coverage, timing, source...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-020-1150-8

    authors: Dennis ML,Benova L,Goodman C,Barasa E,Abuya T,Campbell OMR

    更新日期:2020-03-14 00:00:00

  • Socioeconomic inequalities in maternal health care utilization in Ghana.

    abstract:BACKGROUND:Improving maternal and child health remains a public health priority in Ghana. Despite efforts made towards universal coverage, there are still challenges with access to and utilization of maternal health care. This study examined socioeconomic inequalities in maternal health care utilization related to preg...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-019-1043-x

    authors: Novignon J,Ofori B,Tabiri KG,Pulok MH

    更新日期:2019-09-05 00:00:00

  • How are individual-level social capital and poverty associated with health equity? A study from two Chinese cities.

    abstract:BACKGROUND:A growing body of literature has demonstrated that higher social capital is associated with improved health conditions. However, some research indicated that the association between social capital and health was substantially attenuated after adjustment for material deprivation. Studies exploring the associa...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-8-2

    authors: Sun X,Rehnberg C,Meng Q

    更新日期:2009-02-15 00:00:00

  • Should co-payments for financially deprived patients be lowered? Primary care physicians' perspectives using a mixed-methods approach in a survey study in Tokyo.

    abstract:BACKGROUND:Japan's stagnant economy has produced increasing income disparities, and the effect of poverty on health and health-care utilization is a significant issue. Co-payments could be a trade-off for patients when seeking medical care and limit health-care utilization. We sought primary care physicians' experience...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-017-0534-x

    authors: Inoue M,Kachi Y

    更新日期:2017-02-22 00:00:00

  • Socio-economic factors associated with maternal health-seeking behaviours among women from poor households in rural Egypt.

    abstract:INTRODUCTION:Socio-economic inequalities in basic maternal health interventions exist in Egypt, yet little is known about health-seeking of poor households. This paper assesses levels of maternal health-seeking behaviours in women living in poor households in rural Upper Egypt, and compares these to national averages. ...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-014-0111-5

    authors: Benova L,Campbell OM,Sholkamy H,Ploubidis GB

    更新日期:2014-11-25 00:00:00

  • Factors associated with unhealthy behaviours and health outcomes: a cross-sectional study among Tuscan adolescents (Italy).

    abstract:BACKGROUND:We aimed to determine the extent to which three core variables (school environment, peer group and family affluence) were associated with unhealthy behaviours and health outcomes among Tuscan adolescents. The unhealthy behaviours considered were smoking, alcohol consumption, sedentary lifestyle and irregular...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-014-0083-5

    authors: Lazzeri G,Azzolini E,Pammolli A,Simi R,Meoni V,Giacchi MV

    更新日期:2014-09-25 00:00:00

  • Self-reported chronic diseases and health status and health service utilization--results from a community health survey in Singapore.

    abstract:OBJECTIVE:To report the extent of self-reported chronic diseases, self-rated health status (SRH) and healthcare utilization among residents in 1-2 room Housing Development Board (HDB) apartments in Toa Payoh. MATERIALS & METHODS:The study population included a convenience sample of residents from 931 housing developme...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-11-44

    authors: George PP,Heng BH,De Castro Molina JA,Wong LY,Wei Lin NC,Cheah JT

    更新日期:2012-08-16 00:00:00

  • Healthcare access for refugee women with limited literacy: layers of disadvantage.

    abstract:BACKGROUND:Record numbers of people, across the world, are forced to be displaced because of conflict or other violations of their human rights, thus becoming refugees. Often, refugees not only have a higher burden of disease but also compromised access to healthcare, as they face many barriers, such as limited knowled...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-017-0694-8

    authors: Floyd A,Sakellariou D

    更新日期:2017-11-10 00:00:00

  • 13,915 reasons for equity in sexual offences legislation: A national school-based survey in South Africa.

    abstract:OBJECTIVE:Prior to 2007, forced sex with male children in South Africa did not count as rape but as "indecent assault", a much less serious offence. This study sought to document prevalence of male sexual violence among school-going youth. DESIGN:A facilitated self-administered questionnaire in nine of the 11 official...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-7-20

    authors: Andersson N,Ho-Foster A

    更新日期:2008-07-29 00:00:00

  • Cultural repertoires and food-related household technology within colonia households under conditions of material hardship.

    abstract:UNLABELLED:BSTRACT: INTRODUCTION:Mexican-origin women in the U.S. living in colonias (new-destination Mexican-immigrant communities) along the Texas-Mexico border suffer from a high incidence of food insecurity and diet-related chronic disease. Understanding environmental factors that influence food-related behaviors ...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-11-25

    authors: Dean WR,Sharkey JR,Johnson CM,St John J

    更新日期:2012-05-15 00:00:00

  • Making free public healthcare attractive: optimizing health equity funds in Cambodia.

    abstract:BACKGROUND:Following the introduction of user fees in Cambodia, Health Equity Funds (HEF) were developed to enable poor people access to public health services by paying public health providers on their behalf, including non-medical costs for hospitalised beneficiaries (HEFB). The national scheme covers 3.1 million pre...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-018-0803-3

    authors: Jacobs B,Bajracharya A,Saha J,Chhea C,Bellows B,Flessa S,Fernandes Antunes A

    更新日期:2018-06-25 00:00:00

  • Reduction of social inequalities in life expectancy in a city of Southeastern Brazil.

    abstract:BACKGROUND:Around the world the life expectancy at birth has risen steadily over time. However, this increase in life years is not equally distributed among different social segments of the population. Studies have demonstrated that social groups living in deprived areas have a shorter life expectancy at birth in compa...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-10-36

    authors: Belon AP,Barros MB

    更新日期:2011-08-26 00:00:00

  • The role of urban municipal governments in reducing health inequities: A meta-narrative mapping analysis.

    abstract:BACKGROUND:The 1986 Ottawa Charter for Health Promotion coincided with a preponderance of research, worldwide, on the social determinants of health and health inequities. Despite the establishment of a 'health inequities knowledge base', the precise roles for municipal governments in reducing health inequities at the l...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-9-13

    authors: Collins PA,Hayes MV

    更新日期:2010-05-25 00:00:00

  • Does cultural capital contribute to educational inequalities in food consumption in the Netherlands? A cross-sectional analysis of the GLOBE-2011 survey.

    abstract:BACKGROUND:The importance of culture for food consumption is widely acknowledged, as well as the fact that culture-based resources ("cultural capital") differ between educational groups. Since current explanations for educational inequalities in healthy and unhealthy food consumption (e.g. economic capital, social capi...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-018-0884-z

    authors: Kamphuis CBM,Oude Groeniger J,van Lenthe FJ

    更新日期:2018-11-15 00:00:00

  • A case study of using the He Pikinga Waiora Implementation Framework: challenges and successes in implementing a twelve-week lifestyle intervention to reduce weight in Māori men at risk of diabetes, cardiovascular disease and obesity.

    abstract:BACKGROUND:Māori men have stark health inequities around non-communicable diseases. This study describes the case of a partnership attempting to develop and implement a culturally centred intervention through a collaborative partnership to potentially address the inequities. In particular, the partnership followed a pa...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/s12939-020-01222-3

    authors: Oetzel J,Rarere M,Wihapi R,Manuel C,Tapsell J

    更新日期:2020-06-22 00:00:00

  • Geographical disparities in core population coverage indicators for roll back malaria in Malawi.

    abstract:BACKGROUND:Implementation of known effective interventions would necessitate the reduction of malaria burden by half by the year 2010. Identifying geographical disparities of coverage of these interventions at small area level is useful to inform where greatest scaling-up efforts should be concentrated. They also provi...

    journal_title:International journal for equity in health

    pub_type: 杂志文章

    doi:10.1186/1475-9276-6-5

    authors: Kazembe LN,Appleton CC,Kleinschmidt I

    更新日期:2007-07-04 00:00:00