Aziza Maktal Critique 1 The article “Understanding ethnic variation in pregnancy-related care in rural Guatemala” by Dana Gleo and Noreen Goldman (2000), examines why the use of pregnancy-related care is particularly low among indigenous women in relation to different socioeconomic, social and cultural variables. This article explores whether there is a difference in access to biomedical health facilities between different ethnic groups in Guatemala. The main point of this article is to report findings from a nationwide survey examining how Guatemalan families cope with pregnancy, and childhood illness along with the role of ethnicity, poverty, and health beliefs in indigenous groups and non-indigenous Ladino groups. The sample size totaled over 2,800 respondents from 60 different communities containing both indigenous and non-indigenous ethnic groups (Glei and Goldman, 2000). The findings from this survey confirm that Ladino communities are more likely to seek biomedical providers, and often deliver in medical facilities more than indigenous women do. Language and choice of clothing were used to assess how traditional a woman was. The more traditional a woman was deemed, the less likely she would be to use modern maternal care. Sociocultural variables account for more of the ethnic differences in the likelihood of receiving biomedical care than do measures of access to care. The data brought forth by this survey aligned with what was expected, and what was observed in previous studies. The evidence provided in this article does an inconclusive job of emphasizing how big of a role discrimination plays in creating barriers to care for indigenous women. Higher rates of infant and maternal mortality occur in indigenous populations due to a distrust of the government because of what occurred in the civil war, coupled with limited availability of private sector providers that are trained to provide culturally competent care.
- Fall '19
- Ethnic group, Indigenous peoples of the Americas