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 Healthjournal_title
International journal for equity in healthauthors
Ibáñez-Cuevas M,Heredia-Pi IB,Meneses-Navarro S,Pelcastre-Villafuerte B,González-Block MAdoi
10.1186/s12939-015-0289-1subject
Has Abstractpub_date
2015-12-23 00:00:00pages
156issn
1475-9276pii
10.1186/s12939-015-0289-1journal_volume
14pub_type
杂志文章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
更新日期:2019-04-16 00:00:00
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
更新日期:2015-02-19 00:00:00
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
更新日期:2016-12-12 00:00:00
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
更新日期:2018-06-15 00:00:00
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
更新日期:2013-04-02 00:00:00
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
更新日期:2019-05-06 00:00:00
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
更新日期:2019-11-27 00:00:00
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
更新日期:2019-09-05 00:00:00
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
更新日期:2011-05-09 00:00:00
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
更新日期:2019-06-11 00:00:00
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
更新日期:2011-04-04 00:00:00
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
更新日期:2018-06-11 00:00:00
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
更新日期:2011-05-25 00:00:00
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
更新日期:2002-04-22 00:00:00
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
更新日期:2020-03-14 00:00:00
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
更新日期:2019-09-05 00:00:00
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
更新日期:2009-02-15 00:00:00
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
更新日期:2017-02-22 00:00:00
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
更新日期:2014-11-25 00:00:00
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
更新日期:2014-09-25 00:00:00
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
更新日期:2012-08-16 00:00:00
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
更新日期:2017-11-10 00:00:00
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
更新日期:2008-07-29 00:00:00
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
更新日期:2012-05-15 00:00:00
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
更新日期:2018-06-25 00:00:00
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
更新日期:2011-08-26 00:00:00
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
更新日期:2010-05-25 00:00:00
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
更新日期:2018-11-15 00:00:00
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
更新日期:2020-06-22 00:00:00
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
更新日期:2007-07-04 00:00:00