Assessing equitable care for indigenous and afrodescendant women in Latin America
OBJECTIVE: To identify and understand the barriers to equitable care within health care settings that women of ethnic minorities encounter in Latin America and to examine possible strategies for mitigating the issues. METHODS: This was a comprehensive review of the literature from 2000-2015 availabl...
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ftdoajarticles:oai:doaj.org/article:faf3afa6a78f42a4ba4bb6cd414dc30e 2023-05-15T15:12:24+02:00 Assessing equitable care for indigenous and afrodescendant women in Latin America Arachu Castro Virginia Savage Hannah Kaufman 2015-08-01T00:00:00Z https://doaj.org/article/faf3afa6a78f42a4ba4bb6cd414dc30e EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015000700002&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/faf3afa6a78f42a4ba4bb6cd414dc30e Revista Panamericana de Salud Pública, Vol 38, Iss 2, Pp 96-109 (2015) Equidad desigualdades en la salud origen étnico y salud salud de minorías salud de poblaciones indígenas servicios de salud del indígena discriminación social prejuicio género y salud América Latina Región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2015 ftdoajarticles 2022-12-31T13:21:25Z OBJECTIVE: To identify and understand the barriers to equitable care within health care settings that women of ethnic minorities encounter in Latin America and to examine possible strategies for mitigating the issues. METHODS: This was a comprehensive review of the literature from 2000-2015 available from the online databases PubMed, Google Scholar, EBSCOhost, and SciELO in Spanish, English, and Portuguese, using a keyword search that included the Region and country names. RESULTS: Health provider discrimination against Indigenous and Afrodescendant women is a primary barrier to quality health care access in Latin America. Discrimination is driven by biases against ethnic minority populations, women, and the poor in general. Discriminatory practices can manifest as patient-blaming, purposeful neglect, verbal or physical abuse, disregard for traditional beliefs, and the non-use of Indigenous languages for patient communication. These obstacles prevent delivery of appropriate and timely clinical care, and also produce fear of shame, abuse, or ineffective treatment, which, in addition to financial barriers, deter women from seeking care. CONCLUSIONS: To ensure optimal health outcomes among Indigenous and Afrodescendant women in Latin America, the issue of discrimination in health care settings needs to be understood and addressed as a key driver of inequitable health outcomes. Strategies that target provider behavior alone have limited impact because they do not address women's needs and the context of socioeconomic inequality in which intra-hospital relations are built. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Equidad desigualdades en la salud origen étnico y salud salud de minorías salud de poblaciones indígenas servicios de salud del indígena discriminación social prejuicio género y salud América Latina Región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Equidad desigualdades en la salud origen étnico y salud salud de minorías salud de poblaciones indígenas servicios de salud del indígena discriminación social prejuicio género y salud América Latina Región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Arachu Castro Virginia Savage Hannah Kaufman Assessing equitable care for indigenous and afrodescendant women in Latin America |
topic_facet |
Equidad desigualdades en la salud origen étnico y salud salud de minorías salud de poblaciones indígenas servicios de salud del indígena discriminación social prejuicio género y salud América Latina Región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To identify and understand the barriers to equitable care within health care settings that women of ethnic minorities encounter in Latin America and to examine possible strategies for mitigating the issues. METHODS: This was a comprehensive review of the literature from 2000-2015 available from the online databases PubMed, Google Scholar, EBSCOhost, and SciELO in Spanish, English, and Portuguese, using a keyword search that included the Region and country names. RESULTS: Health provider discrimination against Indigenous and Afrodescendant women is a primary barrier to quality health care access in Latin America. Discrimination is driven by biases against ethnic minority populations, women, and the poor in general. Discriminatory practices can manifest as patient-blaming, purposeful neglect, verbal or physical abuse, disregard for traditional beliefs, and the non-use of Indigenous languages for patient communication. These obstacles prevent delivery of appropriate and timely clinical care, and also produce fear of shame, abuse, or ineffective treatment, which, in addition to financial barriers, deter women from seeking care. CONCLUSIONS: To ensure optimal health outcomes among Indigenous and Afrodescendant women in Latin America, the issue of discrimination in health care settings needs to be understood and addressed as a key driver of inequitable health outcomes. Strategies that target provider behavior alone have limited impact because they do not address women's needs and the context of socioeconomic inequality in which intra-hospital relations are built. |
format |
Article in Journal/Newspaper |
author |
Arachu Castro Virginia Savage Hannah Kaufman |
author_facet |
Arachu Castro Virginia Savage Hannah Kaufman |
author_sort |
Arachu Castro |
title |
Assessing equitable care for indigenous and afrodescendant women in Latin America |
title_short |
Assessing equitable care for indigenous and afrodescendant women in Latin America |
title_full |
Assessing equitable care for indigenous and afrodescendant women in Latin America |
title_fullStr |
Assessing equitable care for indigenous and afrodescendant women in Latin America |
title_full_unstemmed |
Assessing equitable care for indigenous and afrodescendant women in Latin America |
title_sort |
assessing equitable care for indigenous and afrodescendant women in latin america |
publisher |
Pan American Health Organization |
publishDate |
2015 |
url |
https://doaj.org/article/faf3afa6a78f42a4ba4bb6cd414dc30e |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 38, Iss 2, Pp 96-109 (2015) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015000700002&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/faf3afa6a78f42a4ba4bb6cd414dc30e |
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1766343083272699904 |