Prácticas interculturales en el control prenatal hacia la inclusión de las mujeres indígenas en la ciudad de Guayaquil, año 2024

This essay aims to analyze the integration of Indigenous women in Guayaquil into prenatal care services from an intercultural perspective that respects their Persian traditions. It draws on a qualitative research approach that explores this literature, government documents, Indigenous women's testimonies, and intercultural models from Ecuador, Bolivia, and Peru. The study also explored the long-standing cultural, linguistic, and socioeconomic structures that perpetuate Indigenous women's distrust of biomedical prenatal care. Motivated by the combination of ancestral practices and a health system that included midwives, the vast majority of Indigenous women sought ancestral care. However, some of the problems addressed included a lack of resources, insufficient training, multiculturalism, and institutional reluctance to incorporate intercultural frameworks, which undermine effective public policies. As a result, actions were recommended to improve funding, cultural awareness of medical personnel, and the formal integration of traditional midwives to promote more inclusive and equitable prenatal care, respecting the cultural traditions of Indigenous communities.