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Professional midwifery in Guatemala: A qualitative exploration of perceptions, attitudes and expectations among stakeholders

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  • Summer, Anna
  • Guendelman, Sylvia
  • Kestler, Edgar
  • Walker, Dilys

Abstract

Despite recommendations that women give birth with a skilled birth attendant (SBA), 70% of births in Guatemala occur outside health facilities with informally trained traditional birth attendants (TBAs). To increase SBA in rural, indigenous communities, a professional midwifery school accredited by the government is scheduled to open in 2017. Drawing from Filby's model on barriers to the successful integration of professional midwifery into health systems, this paper aims to identify threats - and facilitators-toward professional midwifery's re-introduction in Guatemala.

Suggested Citation

  • Summer, Anna & Guendelman, Sylvia & Kestler, Edgar & Walker, Dilys, 2017. "Professional midwifery in Guatemala: A qualitative exploration of perceptions, attitudes and expectations among stakeholders," Social Science & Medicine, Elsevier, vol. 184(C), pages 99-107.
    • Handle: RePEc:eee:socmed:v:184:y:2017:i:c:p:99-107
    DOI: 10.1016/j.socscimed.2017.05.005
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    References listed on IDEAS

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    1. A. Frank Adams III & Robert B. Ekelund Jr. & John D. Jackson, 2003. "Occupational Licensing of a Credence Good: The Regulation of Midwifery," Southern Economic Journal, Southern Economic Association, vol. 69(3), pages 659-675, January.
    2. D. Mark Anderson & Ryan Brown & Kerwin Kofi Charles & Daniel I. Rees, 2016. "The Effect of Occupational Licensing on Consumer Welfare: Early Midwifery Laws and Maternal Mortality," NBER Working Papers 22456, National Bureau of Economic Research, Inc.
    3. Jeremy Shiffman & Ana Lucía Garcés del Valle, 2006. "Political History and Disparities in Safe Motherhood Between Guatemala and Honduras," Population and Development Review, The Population Council, Inc., vol. 32(1), pages 53-80, March.
    4. Smith-Oka, Vania, 2009. "Unintended consequences: Exploring the tensions between development programs and indigenous women in Mexico in the context of reproductive health," Social Science & Medicine, Elsevier, vol. 68(11), pages 2069-2077, June.
    5. Maine, D. & Rosenfield, A., 1999. "The safe motherhood initiative: Why has it stalled?," American Journal of Public Health, American Public Health Association, vol. 89(4), pages 480-482.
    6. Alex Filby & Fran McConville & Anayda Portela, 2016. "What Prevents Quality Midwifery Care? A Systematic Mapping of Barriers in Low and Middle Income Countries from the Provider Perspective," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-20, May.
    7. Thaddeus, Sereen & Maine, Deborah, 1994. "Too far to walk: Maternal mortality in context," Social Science & Medicine, Elsevier, vol. 38(8), pages 1091-1110, April.
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    Cited by:

    1. Little, Emily E. & Polanco, Maria Alejandra & Baldizon, Salvador R. & Wagner, Pascale & Shakya, Holly, 2019. "Breastfeeding knowledge and health behavior among Mayan women in rural Guatemala," Social Science & Medicine, Elsevier, vol. 242(C).

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