Abstract

Needs for increasing percentages of health care in Guatemala gave way to health decentralization in order to include ancient and traditional midwifes to cover and improve health participation in rural areas. Discussion on advantages and inconveniences of this fact are discussed here. There is a criticism on whether figures are real regarding bio-medical cover. The supposed to be community participation in the multi-cultural dayto-day care as is described here, implies not only a more than a simple process of medical education but various different ways of approaching understanding and caring for health problems and even understanding an assuming world in many ways. In many occasions figures stated here on education and consequent medical attention are far from real bio-medical attention patterns which seem to demonstrate such figures are nearer to a type of care where non-specialist and professional, popular and bio-medical attention overlap and mingle.

Highlights

  • In many occasions figures stated here on education and consequent medical attention are far from real bio-medical attention patterns which seem to demonstrate such figures are nearer to a type of care where non-specialist and professional, popular and bio-medical attention overlap and mingle

  • El último informe del Banco Mundial señala a Guatemala como una de las regiones con lo índices de pobreza más altos de la zona y alcanza el primer puesto en índices de desnutrición

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Summary

Introduction

Sin embargo sabemos que la salud es un término culturalmente relativo, en el que el ejercicio diagnóstico se acerca a un proceso cultural que permite construir las enfermedades más que descubrirlas2(Gaines, 1985) y en un contexto donde la enfermedad es definida y tipificada por cada cultura, que la dota de significación social (Salas Iglesias, 2001:26). Aunque esto es perfectamente esperable para la población profana, parece lógico esperar que tanto los guardianes de salud como las comadronas se posicionen dentro de la construcción de la salud y las formas de atendimiento de la atención alopática.

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