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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. 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.
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    4. 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.
    5. 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.
    6. 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, John Wiley & Sons, vol. 69(3), pages 659-675, January.
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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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