Engaging the capacity of comadronas as HIV prevention providers in rural Guatemala

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Abstract

In this study the author address rural Guatemala’s poor maternal health and HIV status by integrating an effective evidence-based HIV intervention (SEPA), with local implementing health partners to extend the capacity of comadronas (traditional Mayan birth attendants) to encompass HIV prevention. I employed a multi-method design consisting of a focus group, an interview, and participant observation to identify important factors surrounding comadrona receptivity towards expanding their capacity to HIV prevention. I analyzed data using thematic analysis and identified four categories: Project logistics, HIV knowledge and risk assessment, condom perceptions, and HIV testing perceptions. I affirm comadrona receptivity toward HIV prevention, and that will guide future cultural adaptation and tailoring of SEPA for comadrona training. I will use my results to create a prototype intervention that could be applied to other similarly underserved indigenous communities.

Original languageEnglish (US)
Pages (from-to)567-583
Number of pages17
JournalHealth Care for Women International
Volume41
Issue number5
DOIs
StatePublished - May 3 2020

ASJC Scopus subject areas

  • Health Professions(all)

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