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Changing Birth in the Andes - Culture, Policy, and Safe Motherhood in Peru (Hardcover)
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Changing Birth in the Andes - Culture, Policy, and Safe Motherhood in Peru (Hardcover)
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In 1997, when the author began research in Peru, she observed a
profound disconnect between the birth care desires of health
personnel and those of indigenous women. Midwives and doctors would
plead with her as the anthropologist to ""educate women about the
dangerous inadequacy of their traditions."" They failed to see how
their aim of achieving low rates of maternal mortality clashed with
the experiences of local women, who often feared public health
centers, where they could experience discrimination and verbal or
physical abuse. Mainly, the women and their families sought a
""good"" birth, which was normally a home birth that corresponded
with Andean perceptions of health as a balance of bodily humors.
Peru's Intercultural Birthing Policy of 2005 was intended to solve
these longstanding issues by recognizing indigenous cultural values
and making biomedical care more accessible and desirable for
indigenous women. Yet many difficulties remain. Guerra-Reyes also
gives ethnographic attention to health care workers. She explains
the class and educational backgrounds of traditional birth
attendants and midwives, interviews doctors and health care
administrators, and describes their interactions with local
families. Interviews with national policy makers put the program in
context.
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