Dying To Give Birth: Fighting Maternal Mortality In
Report from the Field is the product of a partnership between Health Affairs and Kaiser Health News, a project of the Kaiser Family Foundation.
Health Affairs, July-August - Volume 28, no. 4 (2009) - - Delivering On Global Health Issue
Available online at: http://content.healthaffairs.org/cgi/content/full/28/4/997
“…..A stronger systems approach would greatly benefit Peru, a middle-income nation with annual per capita gross domestic product (GDP) of $8,400—about one-sixth that of the United States.8 Health services, at least in rural areas almost exclusively served by the national and provincial governments, are hampered by chronic shortages of trained personnel, equipment, and supplies. For maternity care, there’s also another factor: discrimination. "It’s very clear that there’s a confluence of gender discrimination and ethnic discrimination that... conspire[s] against [indigenous] women," said Alicia Ely Yamin, an instructor in law and public health at Harvard School of Public Health who has studied maternal mortality extensively, particularly in Peru.
Yamin points to contrasts between
In addition to a general lack of services, language and culture are also barriers to good maternity care. Among Peru’s poorest inhabitants are the nearly 47 percent of the population whose first language could be the indigenous Quechua, Aymara, or one of several others, rather than the country’s other official language, Spanish.10 ……” [author]
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