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Safe Birth and Cultural Safety in southern Mexico: Study protocol for a randomised controlled trial

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dc.creatorSarmiento, Iván
dc.creatorParedes-Solís, Sergio
dc.creatorAndersson, Neil
dc.creatorCockcroft, Anne
dc.creator.googleSarmiento, I., Paredes-Solís, S., Andersson, N., Cockcroft, A.spa
dc.date.accessioned2019-08-08T15:01:52Z
dc.date.available2019-08-08T15:01:52Z
dc.date.created2018
dc.date.issued2018
dc.description.abstractBackground: Indigenous women in the southern Mexican state of Guerrero face poor maternal health outcomes. Living as they do at the very periphery of the Western health system, they often receive low-quality care from health services that lack human and financial resources. Traditional health systems remain active in indigenous communities where traditional midwives accompany women through motherhood. Several interventions have explored training birth attendants in Western birthing skills, but little research has focussed on supporting traditional midwives by recognising their knowledge. This trial supports traditional midwifery in four indigenous groups and measures its impact on maternal health outcomes. Methods: The study includes four indigenous populations in the State of Guerrero (Nahua, Na savi/Mixteco, Me'phaa/Tlapaneco and Nancue ñomndaa/Amuzgo), covering approximately 8000 households. A parallel-group cluster-randomised controlled trial will compare communities receiving usual care with communities where traditional midwives received support in addition to the usual care. The intervention was defined in collaboration with participants in a 2012 pilot study. Supported midwives will receive a small stipend, a scholarship to train one apprentice, and support from an intercultural broker to deal with Western health personnel; additionally, the health staff in the intervention municipalities will participate in workshops to improve understanding and attitudes towards authentic traditional midwives. A baseline and a final survey will measure changes in birth and pregnancy complications (primary outcomes), and changes in gender violence, access to healthcare, and engagement with traditional cultural activities (secondary outcomes). The project has ethical approval from the participating communities and the Universidad Autónoma de Guerrero. Discussion: Indigenous women at the periphery of Western health services do not benefit fully from the attenuated services which erode their own healthcare traditions. Western health service providers in indigenous communities often ignore traditional knowledge and resources, inadvertently or in ignorance, disrespecting indigenous cultures. Improved understanding between midwives and the official healthcare system can contribute to more appropriate referral of high-risk cases, improving the use of scarce resources while lowering costs of healthcare for indigenous families. © 2018 The Author(s).eng
dc.format.mimetypeapplication/pdf
dc.identifier.doi10.1186/s13063-018-2712-6
dc.identifier.issn1745-6215
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/20071
dc.language.isoengspa
dc.relation.citationTitleTrials
dc.relation.citationVolumeVol. 19
dc.relation.ispartofTrials, ISSN:1745-6215, Vol. 19 (2018)spa
dc.relation.urihttps://trialsjournal.biomedcentral.com/track/pdf/10.1186/s13063-018-2712-6spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.bibliographicCitation(2015) Trends in maternal mortality 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division, , http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/, World Health Organization. Accessed 8 May 2018spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectAttitude To Healthspa
dc.subjectControlled Studyspa
dc.subjectCultural Safetyspa
dc.subjectFinancial Managementspa
dc.subjectGender Based Violencespa
dc.subjectHealth Care Accessspa
dc.subjectHealth Care Costspa
dc.subjectHealth Care Systemspa
dc.subjectHealth Promotionspa
dc.subjectHigh Risk Pregnancyspa
dc.subjectHumanspa
dc.subjectIndigenous Peoplespa
dc.subjectMaternal Morbidityspa
dc.subjectMaternal Mortalityspa
dc.subjectMaternal Welfarespa
dc.subjectMexicospa
dc.subjectMidwifery Educationspa
dc.subjectPilot Studyspa
dc.subjectPregnancy Complicationspa
dc.subjectPregnancy Outcomespa
dc.subjectRandomized Controlled Trialspa
dc.subjectRetrospective Studyspa
dc.subjectSafe Birthspa
dc.subjectTraditional Birth Attendantspa
dc.subject.ddcCultura & institucionesspa
dc.subject.keywordFemalespa
dc.subject.lembSalud maternoinfantilspa
dc.subject.lembMujeres indígenasspa
dc.subject.lembMedicina tradicionalspa
dc.subject.lembEstudios interculturalesspa
dc.titleSafe Birth and Cultural Safety in southern Mexico: Study protocol for a randomised controlled trialspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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