Inclusive Health Systems for Indigenous Populations: The Case of Chiapas, Mexico

Chiapas is one of the states with the highest maternal mortality rates in Mexico. For this reason, the government has implemented policies aimed at the medicalization of pregnancy, childbirth and puerperium. However, this population demands services from traditional healers and midwives for delivery care. In Mexico and particularly in Chiapas, various efforts have been made to help close the access gaps in these populations. One of these attempts is observed with the implementation of hospital units that incorporate the presence of midwives and healers to encourage attendance, so that in case of complications or need of major procedures they can be performed at the hospital.

The objective of this project is to show how health systems can be more inclusive and make sure that no one is left behind in the provision of services. This series of photographs was taken during the Winter Session on health systems organized by the TH. School of Public Health of the Harvard University in Mexico. 

Submitted by:

Cinthya Lucio

Inclusive health services, hospital of the cultures, Chiapas, Mexico

This photo shows an indigenous woman from Chiapas upon her arrival at the Hospital de las Culturas. Her face reflects the uncertainty because it was the first time she went to the services; her family had told her that nothing would resolve there but she wanted to know if they could solve her condition.

Photographer: Cinthya Ayerim Lucio García

Inclusive health services, hospital of the cultures, Chiapas, Mexico

Here we see a traditional midwife outside the Hospital of San Juan Chamula, Chiapas. Here the traditional birth attendants can attend the births inside the unit. A team of medical and paramedical professionals monitor procedures in case of complications.

Photographer: Cinthya Ayerim Lucio García