ArticleBulletin of the World Health Organization2009
Cultural adaptation of birthing services in rural Ayacucho, Peru.
Article in Bulletin of the World Health Organization, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The significant association between maternity waiting homes utilization and perinatal mortality in Africa: systematic review and meta-analysis.BMC research notes · 2019Pooled it
- Interventions to provide culturally-appropriate maternity care services: factors affecting implementation.BMC pregnancy and childbirth · 2017Pooled it
- Factors affecting effective community participation in maternal and newborn health programme planning, implementation and quality of care interventions.BMC pregnancy and childbirth · 2017Pooled it
- Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: a systematic review.Health policy and planning · 2016Pooled it
- Results-based financing to increase uptake of skilled delivery services in The Gambia: using the 'three delays' model to interpret midline evaluation findings.BMC pregnancy and childbirth · 2020Trial
- Pathways of change for essential newborn care practices and health care seeking: a process evaluation of Mamás del Río, a community-based, maternal and neonatal health intervention in the Peruvian Amazon.Health policy and planning · 2026Article
- Rituals and knowledge of Andean midwives in maternal and neonatal care.Frontiers in global women's health · 2026Article
- Examining women's choice between home and institutional births: Insights from the Salud Mesoamérica Initiative (SMI).PloS one · 2026Observational
- Cross-country analysis of health systems and hospital utilization across the Amazon.Revista panamericana de salud publica = Pan American journal of public health · 2026Article
- Interventions to reduce the effects of air pollution and of extreme heat on maternal, newborn, and child health outcomes: a mapping of the literature.Journal of global health · 2025Review
- Improving Maternity Care Where Home Births Are Still the Norm: Establishing Local Birthing Centers in Guatemala That Incorporate Traditional Midwives.Global health, science and practice · 2024Article
- Pre-pregnancy body mass index and caesarean section in Andean women in Peru: a prospective cohort study.BMC pregnancy and childbirth · 2024Article
- Lessons from Peru to reduce under-5 mortality: understanding program implementation and context.BMC pediatrics · 2024Article
- Comprehensive Health Insurance and access to maternal healthcare services among Peruvian women: a cross-sectional study using the 2021 national demographic survey.BMC pregnancy and childbirth · 2023Article
- Peru - Progress in health and sciences in 200 years of independence.Lancet regional health. Americas · 2022Review
- Kaniuwatewara (when we get sick): understanding health-seeking behaviours among the Shawi of the Peruvian Amazon.BMC public health · 2021Article
- An exploration of patient-provider dynamics and childbirth experiences in rural and urban Peru: a qualitative study.BMC pregnancy and childbirth · 2021Article
- Home birth preference, childbirth, and newborn care practices in rural Peruvian Amazon.PloS one · 2021Article
- Persistent barriers to the use of maternal, newborn and child health services in Garissa sub-county, Kenya: a qualitative study.BMC pregnancy and childbirth · 2020Article
- A qualitative analysis of factors that influence Vietnamese ethnic minority women to seek maternal health care.BMC pregnancy and childbirth · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
problemMaternal mortality is particularly high among poor, indigenous women in rural Peru, and the use of facility care is low, partly due to cultural insensitivities of the health care system. APPROACH: A culturally appropriate delivery care model was developed in poor and isolated rural communities, and implemented between 1999 and 2001 in cooperation with the Quechua indigenous communities and health professionals. Data on birth location and attendance in one health centre have been collected up to 2007. LOCAL
settingThe international nongovernmental organization, Health Unlimited, and its Peruvian partner organization, Salud Sín Límites Perú, conducted the project in Santillana district in Ayacucho. RELEVANT CHANGES: The model involves features such as a rope and bench for vertical delivery position, inclusion of family and traditional birth attendants in the delivery process and use of the Quechua language. The proportion of births delivered in the health facility increased from 6% in 1999 to 83% in 2007 with high satisfaction levels. LESSONS LEARNED: Implementing a model of skilled delivery attendance that integrates modern medical and traditional Andean elements is feasible and sustainable. Indigenous women with little formal education do use delivery services if their needs are met. This contradicts common victim-blaming attitudes that ascribe high levels of home births to 'cultural preferences' or 'ignorance'.
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