Abortion Perceptions and Practices Among Traditional Healers in Peru
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Globally, people resort to traditional methods and healers for pregnancy termination; however, research focusing on traditional healers’ perspectives about abortion are scarce. The objective of this qualitative study is to explore the perspectives and practices of traditional healers in Peru in relation to abortion. In-depth interviews were carried out with 20 traditional healers in the Piura Department in 2018. Participants recognized that women in their community seek menstrual regulation services given delayed menses or “retenciones” and acknowledged that pregnancy might or might not be the cause of menstrual delays. While most participants confirmed that they perform menstrual regulations, the majority denied practicing abortion services. This study shows the key role that traditional healers play in supporting their communities' sexual and reproductive health and acknowledges their perspectives and concerns in relation to abortion. It is essential that traditional medicine is respected and honored while developing strategies to eradicate the abortion stigma.
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Araujo-Salas, B. L., Ramos-Abensur, G. E., & Flores-Pimente, M. (2019). Plantas medicinales utilizadas en la salud reproductiva de las mujeres del Perú. Dominguezia, 35(1), 5-74. https://ojs.dominguezia.org/index.php/Dominguezia/article/view/82
Google Scholar CrossrefBocos, J. (2011). Situación de las mujeres en los pueblos indígenas de América Latina. Obstáculos y retos. Máster de Cooperación Internacional y Ayuda Humanitaria. Proyecto Kalú Centro de Estudios de Ayuda Humanitaria. https://kaluinstitute.org/wp-content/uploads/attachments/Situacion-mujeres-indigenas-AL_Judith-Bocos.pdf
Google Scholar CrossrefBrocker, A., Sánchez, G., Arévalo, M., & Espinoza, G. (2001). Promoción de la medicina y prácticas indígenas en la atención primaria de salud: El caso de los Quechua del Perú. Atención del parto con la articulación de la medicina tradicional y la medicina académica. Organización Panamericana de la Salud (OPS). http://www.paho.org/Spanish/HSP/HSO/indi18_esp.pdf
Google Scholar CrossrefBussmann, R. W., & Glenn, A. (2010). Medicinal plants used in Northern Peru for reproductive problems and female health. Journal of Ethnobiology and Ethnomedicine, 6(1), 30. https://doi.org/10.1186/1746-4269-6-30
Google Scholar CrossrefBussmann, R. W., & Sharon, D. (2006). Traditional medicinal plant use in Northern Peru: Tracking two thousand years of healing culture. Journal of Ethnobiology and Ethnomedicine, 2, 47. https://doi.org/10.1186/1746-4269-2-47
Google Scholar CrossrefChávez, F. (2004). “Conmigo vas a trabajar”: Sueño iniciático entre las parteras andinas en Piura, Perú. Dimensión Antropológica, 32, 69–87. https://www.dimensionantropologica.inah.gob.mx/?p=972
Google Scholar CrossrefCrouthamel, B., Pearson, E., Tilford, S., Hurst, S., Paul, D., Aqtar, F., Silverman, J., & Averbach, S. (2021). Out-of-clinic and self-managed abortion in Bangladesh: Menstrual regulation provider perspectives. Reproductive Health, 18(1), 69. https://doi.org/10.1186/s12978-021-01123-w
Google Scholar CrossrefDelgado, H. E. (1984). Salud y Enfermedad en el Mundo Andino I. Serie: Apuntes de Medicina Tradicional, No. 10. https://www.flacsoandes.edu.ec/agora/salud-y-enfermedad-en-el-mundo-andino-i
Google Scholar CrossrefEchevarria Medino, H. A., Flores Asenjo, W. A., Garay-Ortega, J., Roca Moscoso, M. A., & Salazar Granara, A. (2021). Reporte de consumo de plantas medicinales en gestantes del Centro de Salud Viña Alta, La Molina. Lima, Perú. Horizonte Médico, 21(2), e1310. https://doi.org/10.24265/horizmed.2021.v21n2.10
Google Scholar CrossrefFranco, R. G. (2015). Chamanismo y plantas de poder en el mundo precolombino de la costa norte del Perú. Perspectivas Latinoamericanas, Edición Especial-año 2015, 1–40.
Google Scholar CrossrefGerdts, C., Raifman, S., Daskilewicz, K., Momberg, M., Roberts, S., & Harries, J. (2017). Women’s experiences seeking informal sector abortion services in Cape Town, South Africa: A descriptive study. BMC Women’s Health, 17(1), 95. https://doi.org/10.1186/s12905-017-0443-6
Google Scholar CrossrefGlass-Coffin, B. (2015). La perspectiva de género en el curanderismo en el norte del Perú: Metáforas, modelos y manifestaciones de la diferencia. In T. Fujii, L. Millones, & H. Tomoeda (Eds.), Entre Dios y el Diablo: Magia y poder en la costa norte del Perú (pp. 93–119). Institut français d’études andines. http://books.openedition.org/ifea/4862
Google Scholar CrossrefGold, C. L., & Clapp, R. A. (2011). Negotiating Health and Identity: Lay Healing, Medicinal Plants, and Indigenous Healthscapes in Highland Peru. Latin American Research Review, 46(3), 93–111. doi:10.1353/lar.2011.0053
Google Scholar CrossrefGuillaume, A., & Lerner, S. (2007). El aborto en América Latina y El Caribe. Una revisión de la literatura de los años 1990 a 2005. Les Numériques Du CEPED. https://archives.ceped.org/avortement_ameriquelatine_2007/es/infos/introduction.html
Google Scholar CrossrefHarries, J., Daskilewicz, K., Bessenaar, T., & Gerdts, C. (2021). Understanding abortion seeking care outside of formal health care settings in Cape Town, South Africa: A qualitative study. Reproductive Health, 18(1), 190. https://doi.org/10.1186/s12978-021-01243-3
Google Scholar CrossrefIpsos Global Advisor. (2022). Global Views on Abortion. Ipsos. https://www.ipsos.com/sites/default/files/ct/news/documents/2022-07/Global%20Advisor-Global%20Opinion%20on%20Abortion%202022-Graphic%20Report.pdf
Google Scholar CrossrefJewkes, R. K., Gumede, T., Westaway, M. S., Dickson, K., Brown, H., & Rees, H. (2005). Why are women still aborting outside designated facilities in metropolitan South Africa? BJOG: An International Journal of Obstetrics and Gynaecology, 112(9), 1236–1242. https://doi.org/10.1111/j.1471-0528.2005.00697.x
Google Scholar CrossrefJoralemon, D., Sharon, D., & Giddings, J. C. (1993). Sorcery and Shamanism. Curanderos and Clients in Northern Peru. The University of Utah Press. https://uofupress.lib.utah.edu/sorcery-and-shamanism/
Google Scholar CrossrefKhan, R., Khanom, A., Sultana, M., Akhter, R., Bilkis, S., & Ali, N. A. (2016). Menstrual regulation: A decision tainted with stigma, pain, and suffering; an anthropological study. EKN, Marie Stopes Bangladesh, and ICDDR. http://dspace.icddrb.org:80/jspui/handle/123456789/9055
Google Scholar CrossrefMatzumura, J., Gutierrez-Crespo, H., Guevara, E., Meza, L., & Rosa, M. L. (2022). Support Systems and Limitations in Therapeutic Abortion Care by the Gynecologist-Obstetrician of Public Hospitals in Peru. Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics, 44(6), 560–566. https://doi.org/10.1055/s-0042-1746198
Google Scholar CrossrefMokwena, R. A., & Van Wyk, N. C. (2013). Traditional healers’ views on the termination of pregnancies in Mamelodi, South Africa. Africa Journal of Nursing and Midwifery, 15(2), 131–143.
Google Scholar CrossrefMotti, R., Bonanomi, G., Emrick, S., & Lanzotti, V. (2019). Traditional Herbal Remedies Used in women’s Health Care in Italy: A Review. Human Ecology, 47(6), 941–972. https://doi.org/10.1007/s10745-019-00125-4
Google Scholar CrossrefNorris, A., Harrington, B. J., Grossman, D., Hemed, M., & Hindin, M. J. (2016). Abortion experiences among Zanzibari women: A chain-referral sampling study. Reproductive Health, 13(1), 23. https://doi.org/10.1186/s12978-016-0129-9
Google Scholar CrossrefOblitas, G., Hernández-Córdova, G., Chiclla, A., Artich-Barrientos, M., Ccorihuamán-Cusitito, L., & Romaní, F. (2013). Empleo de plantas medicinales en usuarios de dos hospitales referenciales del Cusco, Perú. Revista Peruana de Medicina Experimental y Salud Pública, 30(1). https://doi.org/10.17843/rpmesp.2013.301.159
Google Scholar CrossrefOrganización Mundial de la Salud. (2013). Estrategia de la OMS sobre medicina tradicional 2014-2023. Organización Mundial de la Salud. https://apps.who.int/iris/handle/10665/95008
Google Scholar CrossrefPadmanabhan, M., & Paulos, Y. (2018). Beliefs and Practices of Traditional Medicine towards Women’s Reproductive Healthcare: Evidences from Wolaytta Zone, Ethiopia. Italian Sociological Review, 8(2), 157–185.
Google Scholar CrossrefPalomino, N., Padilla, M. R., Talledo, B. D., Mazuelos, C. G., Carda, J., & Bayer, A. M. (2011). The social constructions of unwanted pregnancy and abortion in Lima, Peru. Global Public Health, 6(sup1), S73–S89. https://doi.org/10.1080/17441692.2011.590813
Google Scholar CrossrefPolia, M. (1988). Glosario del curanderismo andino en el departamento de Piura, Perú. Anthropologica, 6(6), 177-238. https://revistas.pucp.edu.pe/index.php/anthropologica/article/view/10292
Google Scholar CrossrefPresidencia de la República del Perú. (1991). Decreto Legislativo No. 635, Artículo No. 119. Código Penal. http://www.mimp.gob.pe/files/direcciones/dgfc/diff/normatividad_nacional_general/3_Codigo_Penal.pdf
Google Scholar CrossrefRamos Abensur, G. E. V. (2015). Plantas medicinales de uso ginecológico de cuatro comunidades del Distrito de Huambos, Provincia de Chota, Departamento de Cajamarca [Universidad Nacional Agraria La Molina. Facultad de Ciencias.]. http://repositorio.lamolina.edu.pe/handle/UNALM/1884
Google Scholar CrossrefSamon, C. & Bazán, C. (2022, January 21). ¿Por qué las mujeres no acceden al aborto terapéutico en Perú? Salud con lupa. https://saludconlupa.com/noticias/por-que-las-mujeres-no-acceden-al-aborto-terapeutico-pese-a-que-es-legal-en-peru/
Google Scholar CrossrefValenzuela-Oré, F., Romaní-Romaní, F., Monteza-Facho, B. M., Fuentes-Delgado, D., Vilchez-Buitron, E., & Salaverry-García, O. (2018). Prácticas culturales vinculadas al cuidado de la salud y percepción sobre la atención en establecimientos de salud en residentes de centros poblados alto-andinos de Huancavelica, Perú. Revista Peruana de Medicina Experimental y Salud Pública, 35(1), 84-92. https://doi.org/10.17843/rpmesp.2018.351.3603
Google Scholar Crossrefvan Andel, T., de Boer, H. J., Barnes, J., & Vandebroek, I. (2014). Medicinal plants used for menstrual disorders in Latin America, the Caribbean, sub-Saharan Africa, South and Southeast Asia and their uterine properties: A review. Journal of Ethnopharmacology, 155(2), 992–1000. https://doi.org/10.1016/j.jep.2014.06.049
Google Scholar CrossrefWHO (World Health Organization). (2022). Abortion Care Guideline. World Health Organization. https://www.who.int/publications/i/item/9789240039483
Google Scholar CrossrefZamberlin, N. (2015). El estigma asociado al aborto como objeto de estudio: Los primeros pasos en América Latina. En: Investigación sobre aborto en América Latina y el Caribe. Una agenda renovada para informar políticas públicas e incidencia (S. Ramos (Coord.)). Consorcio Latinoamericano contra el Aborto Inseguro. https://repositorio.cedes.org/handle/123456789/4301
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Copyright (c) 2024 Kathia V. Villar, Alicia D. Diaz; Erika E. Atienzo; Sofia Filippa; Sarah Baum; Diana Santana, Claire Tebbets
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