Intervenciones para la reducción de la mortalidad materna en poblaciones indígenas del Ecuador: una revisión de alcance

Gustavo A. Tomala Arguello; Carlos J. Tobar Yager; Victor E.  Chamba Pilay h.; Katherine B. Yagual Reyes

doi:10.70577/asce.v5i3.1036

Authors

Gustavo A. Tomala Arguello Universidad Estatal de Bolivar https://orcid.org/0009-0009-2663-6019
Carlos J. Tobar Yager Universidad Estatal de Bolivar https://orcid.org/0009-0000-6846-8716
Victor E. Chamba Pilay h. Universidad Guayaquil https://orcid.org/0009-0002-0103-3907
Katherine B. Yagual Reyes Frenoseguro Cia. Ltda https://orcid.org/0009-0002-0252-6025

DOI:

https://doi.org/10.70577/asce.v5i3.1036

Keywords:

Reduction, maternal mortality, Indigenous populations, Ecuador.

Abstract

Maternal mortality among Indigenous populations in Ecuador remains a significant public health challenge associated with social inequalities, cultural barriers, and limited access to timely, high-quality healthcare services, among other factors. In this context, the aim of this study was to analyze interventions implemented to reduce maternal mortality among Indigenous women in Ecuador through a scoping review.

A descriptive study with a qualitative approach was conducted using a scoping review design in accordance with the PRISMA-ScR guidelines. The study corpus consisted of scientific articles indexed in databases including PubMed and Scopus. A total of 10 articles were included after a comprehensive screening and selection process.

The findings showed that intercultural interventions, such as respectful maternity care and the integration of ancestral practices into maternal healthcare, were the most effective in reducing maternal mortality by improving both access to and acceptance of healthcare services. In addition, educational strategies and health system strengthening initiatives were found to contribute to improvements in maternal healthcare indicators.

It was concluded that reducing maternal mortality among Indigenous populations requires the implementation of comprehensive interventions that integrate an intercultural approach with health system strengthening in order to reduce disparities in healthcare access and improve maternal health outcomes.

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