ArticleCureus2025
Community Perceptions of Accessing Surgical and Anesthetic Care in Rural Guatemala: A Cross-Sectional Survey.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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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.
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Who cites it
1 citing paper in PubMed.
- Ultrasound-Guided Regional Anesthesia in a Resource-Limited Hospital: Prospective Pilot Study of a Hybrid Training Program.JMIR medical education · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Access to essential surgical and anesthesia care is limited in rural areas in low- and middle-income countries. Knowledge of the perceptions of access and utilization of surgical care among rural populations in Guatemala is lacking. This cross-sectional study examines self-reported trends and barriers to accessing surgical and anesthesia care in rural Southwest Guatemala. Semi-structured interviews were conducted with individuals who presented to the Trifinio Center for Human Development (TCHD) in Southwestern Guatemala and consented to participate. Information regarding household experience, community trends, and perceptions of access was recorded and analyzed for themes. Individuals from 50 different households were interviewed. There were 29 (58%) respondents who reported a prior surgical history in the household. The most commonly perceived procedures in this region were Cesarean section and appendectomy, reported by 35 (70%) and 38 (56%) households, respectively. Forty (80%) households described an overall preference within their communities for birth in a hospital setting, as well as concerns about increasing rates of Cesarean sections. The median distance, in time traveled, required to travel to the nearest surgical hospital was 60 minutes (interquartile range 11.25 minutes), with a maximum time of five hours (n=1). The nearest urban centers for specialized surgical care reported were Quetzaltenango in 47 (94%) respondents (approximately two hours travel time) and Guatemala City in 14 (28%) respondents (approximately five hours travel time). Among respondents, 46 (92%) report inadequate access to surgical and anesthesia care in their communities. The primary perceived barriers to care were financial costs in 35 (70%) households, with reported out-of-pocket costs ranging from US$384.60 to US$1282.05, followed by geographic distance in 22 (44%) households and lack of quality of care in 12 (24%) households. In this study, we highlight a significant demand for essential surgeries in rural areas and identify perceived barriers to surgical and anesthesia care in Southwestern Guatemala. Future efforts should integrate community perspectives to ensure patient-centered approaches to improve access to essential care in marginalized populations.
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