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Beyond disease burden: the urgent need to address maternal health disparities among Indigenous populations in Latin America.

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  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: [London] : BioMed Central, 2002-
    • الموضوع:
      Healthcare Disparities*/ethnology ; Maternal Health*/ethnology ; Maternal Health Services* ; Health Status Disparities*; Humans ; Latin America ; Female ; Maternal Mortality/ethnology ; Health Services Accessibility ; Pregnancy
    • نبذة مختصرة :
      Background: Despite significant advances in documenting health disparities among Indigenous populations in Latin America, maternal health inequities remain underexplored. Indigenous women in the region face disproportionately high maternal mortality rates, obstetric complications, and inadequate access to maternal health services, exacerbated by systemic barriers such as poverty, geographical isolation, and institutional racism.
      Methods: This commentary critically examines the recent review, which provides a comprehensive overview of health disparities affecting Indigenous populations but neglects maternal health. By synthesizing evidence from recent studies, the commentary underscores the urgent need to address maternal health disparities as a key area of health system reform.
      Findings: Emerging evidence highlights that maternal health disparities among Indigenous women are not only pervasive but also indicative of broader structural discrimination embedded in health systems. Discrimination related to ethnicity, gender, and socioeconomic status compounds maternal health inequities, leading to preventable maternal mortality and morbidity. These patterns persist despite the relatively low cost of essential maternal health services, such as antenatal care, skilled birth attendance, and emergency obstetric care.
      Conclusions: Addressing maternal health disparities among Indigenous populations in Latin America is crucial for advancing UHC. Integrating equity-oriented policies and targeted interventions that dismantle structural discrimination could substantially reduce preventable maternal deaths and morbidity. Future reviews and regional assessments must prioritize maternal health to provide a more comprehensive understanding of health inequities in the region, aligning with global health equity frameworks and UHC goals.
      (© 2025. The Author(s).)
    • نبذة مختصرة :
      Declarations. Ethics approval and consent to participate: Not applicable. This study involved no human participants. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
    • References:
      Int J Equity Health. 2025 Apr 30;24(1):119. (PMID: 40307795)
      Int J Public Health. 2019 Apr;64(3):343-353. (PMID: 30506363)
      Lancet Glob Health. 2018 Aug;6(8):e902-e913. (PMID: 30012271)
      EClinicalMedicine. 2021 Dec 03;43:101228. (PMID: 34927037)
      EClinicalMedicine. 2022 Mar 06;45:101322. (PMID: 35284805)
      Int J Equity Health. 2025 Jan 12;24(1):10. (PMID: 39800679)
    • Contributed Indexing:
      Keywords: Ethnic discrimination; Health equity; Latin america; Maternal health care; Universal health coverage
    • الموضوع:
      Date Created: 20251015 Date Completed: 20251015 Latest Revision: 20260112
    • الموضوع:
      20260112
    • الرقم المعرف:
      PMC12522867
    • الرقم المعرف:
      10.1186/s12939-025-02600-5
    • الرقم المعرف:
      41088172