![]() ![]() In 2017, 97.5% of pregnant women (99% urban, 92% rural) received ante natal care from qualified health personnel, and 88.9% received six or more antenatal consultations (90.5% urban, 84% rural). At the same time, the problem-solving capacity and quality of care were improved, and public health insurance (Seguro Integral de Salud in Spanish) was introduced, which finances maternal care specially for poorest people. Institutional childbirth increased thanks to the promotion of waiting houses for mothers, intercultural care, and vertical birth. Peru is one of the 20 countries that has significantly reduced maternal mortality it went from 185 maternal deaths x 100,000 NV in 2000, 55.8 maternal deaths in 2019 previous the COVID pandemic, and during the pandemic this rate increased up to 88.2 in 2021 This pre-pandemic achievement was the result of implementing policies to strengthen maternal health care, focusing on antenatal care in rural areas with greater poverty and high maternal mortality rates. So, the Peruvian government must review the implementation processes of its models of care and maternal health programs in these communities and propose strategies to improve the coverage, quality and continuity of maternal care. ![]() The poor geographical, financial, cultural, and organizational accessibility that women from the Asháninka community face for maternal care in public health services are evident. Organizational: health units are characterized by insufficient human resources, supplies, and medicines that fail to offer continuous and quality care. Cultural: there are efforts for cultural adaptation of maternal care, but its implementation needs to be improved, and the community cannot recognize it due to the lack of continuity of the model and the high personnel turnover. Financial accessibility: the programs implemented by the government have not been able to finance the indirect costs of care, such as transportation, which has high costs that a family cannot afford, given their subsistence economy. Geographical accessibility: health units in the territory do not have the resolution capacity to attend maternal health problems. The interviews were recorded and transcribed into a word processor then, a content analysis was performed to classify the texts according to the dimensions of specified accessibility. Key informants involved in maternal health care were selected, and 60 in-depth interviews were conducted that explored geographical, financial, cultural, and organizational accessibility. Qualitative research was carried out in the Asháninka community of the Tambo River. ![]() ObjectiveĪnalyze the main dimensions of accessibility for maternal care in public health services for women of the Asháninka community of Peru between 20. However, the implementation of these policies has been different across the territory such is the case of the indigenous communities of the Peruvian Amazon that are characterized by the inaccessibility of their territory and continue to face severe problems in accessing maternity care in health services. Peru is one of the 20 countries that has significantly reduced maternal mortality before the pandemic due to implementing policies to strengthen maternal health care, mainly in rural areas with greater poverty.
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