Evidence map›Paper›PMID 35120490›Full record

ArticleBMC pregnancy and childbirth2022

Healthcare professionals' experiences and perceptions regarding health care of indigenous pregnant women in Ecuador.

Tannia Valeria Carpio-Arias, Nervo Verdezoto, Marta Guijarro-Garvi, Victoria Abril-Ulloa, Nicola Mackintosh, Parisa Eslambolchilar, María Teresa Ruíz-Cantero

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 3 countries.

Tannia Valeria Carpio-AriasResearch Group on Food and Human Nutrition (GIANH), Faculty of Public Health, Higher Polytechnic School of Chimborazo, Pan-American Sur Km 1 1/2, Riobamba, Ecuador. tannia.carpio@espoch.edu.ec.
Nervo VerdezotoSchool of Computer Science and Informatics, Human-centered Computing Group, Cardiff University, Cardiff, UK.
Marta Guijarro-GarviDepartment of Economics, University of Cantabria, Cantabria, Spain.
Victoria Abril-UlloaResearch Group on Public Health, Nutrition and Physical Activity in the Life Cycle, University of Cuenca, Cuenca, Ecuador.
Nicola MackintoshDepartment of Health Sciences, University of Leicester, Leicester, UK.
Parisa EslambolchilarSchool of Computer Science and Informatics, Human-centered Computing Group, Cardiff University, Cardiff, UK.
María Teresa Ruíz-CanteroPublic Health Research Group, University of Alicante, Alicante, Spain.
Cardiff University · GBCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESEscuela Superior Politécnica del Chimborazo · ECUniversity of Alicante · ESUniversity of Cuenca · ECUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy is an important life experience that requires uniquely tailored approach to health care. The socio-cultural care practices of indigenous pregnant women (IPW) are passed along the maternal line with respect to identity, worldview and nature. The cultural differences between non-indigenous healthcare professionals (HPs) and IPW could present a great challenge in women's health care. This article presents an analysis from a human rights and gender perspective of this potential cultural divide that could affect the health of the IPW in an Andean region of Ecuador with the objective of describing the health challenges of IPWs as rights holders through the experiences and perceptions of HP as guarantors of rights.

methodsWe conducted 15 in-depth interviews with HPs who care for IPW in Chimborazo, Pichincha provinces of Ecuador. We utilized a semi-structured interview guide including questions about the experiences and perceptions of HPs in delivering health care to IPW. The interviews were recorded, transcribed and subjected to thematic analysis in Spanish and translated for reporting.

resultsWe found disagreements and discrepancies in the Ecuadorian health service that led to the ignorance of indigenous cultural values. Common characteristics among the indigenous population such as illiteracy, low income and the age of pregnancy are important challenges for the health system. The gender approach highlights the enormous challenges: machismo, gender stereotypes and communication problems that IPWs face in accessing quality healthcare.

conclusionsUnderstanding the diverse perspectives of IPW, acknowledging their human rights particularly those related to gender, has the potential to lead to more comprehensive and respectful health care delivery in Ecuador. Further, recognizing there is a gender and power differential between the provider and the IPW can lead to improvements in the quality of health care delivery and reproductive, maternal and child health outcomes.

Indexed as

Attitude of Health PersonnelIndigenous PeoplesMaternal Health ServicesPrenatal CareAdultCulturally Competent CareEcuadorFemaleGender EquityHuman RightsHumansMalePregnancyPregnant PeopleQualitative ResearchRural PopulationEthic minoritiesGenderHealth care professionalsHuman rightsIndigenous communitiesPregnant womenPrenatal care

Identifiers

PMID35120490
PMCPMC8815715
OpenAlexW4210747357

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.