Table 1 Dimensions of accessibility explored for the care of indigenous pregnant women
DIMENSION | Definition | Analysis category | Operational definition |
|---|---|---|---|
Geographical accessibility | Possibility of pregnant woman to arrive at a health facility with a resolution capacity to address her maternal health needs or problems. | Time/distance | Time it takes for the pregnant woman to arrive at a health facility to attend a maternal health event. |
Means of transportation | Most common means of transportation used in the area. | ||
Financial accessibility | Possibility of the pregnant woman or her family to cover the costs demanded by the use of maternal health services. | Financial Resources | Availability of financial resources in real-time to cover the costs of transportation, accommodation, food, and clothing for the pregnant woman and the newborn. |
Strategies to subsidize expenses | Strategies to provide accommodation and temporary food to pregnant women and their close companions in order to attend a maternal health event. | ||
Cultural Accessibility | Disposition of the pregnant woman and her relatives, as well as maternal health care providers, to establish a horizontal, respectful, and effective dialogue in care. | Language difference | Ability to establish effective communication between the indigenous pregnant woman and the health service provider. |
Differences in cultural conception | Differences between the conceptions, knowledge, and practices of the native pregnant woman and the care providers regarding maternal health. | ||
Establishment of empathy and trust | Establishment of empathic and permanent interpersonal links between native pregnant women and health care providers. | ||
Respectful Treatment | Equal, horizontal, and respectful treatment that the native pregnant woman or her companions receive when demanding maternal health care. | ||
Organizational accessibility | Operating conditions of health services to facilitate maternal health care. | Care Regulations | Norms, procedures, and standards of care that incorporate maternal health care options with an intercultural approach. |
Resources and infrastructure | Installed capacity in terms of infrastructure and sufficiency of resources that facilitate maternal health care. | ||
Care processes | Organizational arrangements and procedures to facilitate maternal health care for native pregnant women. | ||
Culturally relevant technology | Availability of equipment or instruments for maternal health care with an intercultural and socially relevant approach. |