This book examines medical systems and institutions in three K'iche' Maya communities to reveal the conflicts between indigenous medical care and the Guatemalan biomedical system. It shows the necessity of cultural understanding if poor people are to have access to medicine that combines the best of both local tradition and international biomedicine.
Privatization and the New Medical Pluralism is the first collection of its kind to explore the contemporary terrain of healthcare in Guatemala through reflective ethnography. This volume offers a nuanced portrait of the effects of healthcare privatization for indigenous Maya people, who have historically endured numerous disparities in health and healthcare access. The collection provides an updated understanding of medical pluralism, which concerns not only the tensions and exchanges between ethnomedicine and biomedicine that have historically shaped Maya people’s experiences of health, but also the multiple competing biomedical institutions that have emerged in a highly privatized, market-driven environment of care. The contributors examine the macro-structural and micro-level implications of the proliferation of non-governmental organizations, private fee-for-service clinics, and new pharmaceuticals against the backdrop of a deteriorating public health system. In this environment, health seekers encounter new challenges and opportunities, relationships between the public, private, and civil sectors transform, and new forms of inequality in access to healthcare abound. This volume connects these themes to critical studies of global and public health, exposing the strictures and apertures of healthcare privatization for marginalized populations in Guatemala.
“[S]heds light not only on the obstacles to making motherhood safer, but to improving the health of poor populations in general.”—Social Anthropology Since 1987, when the global community first recognized the high frequency of women in developing countries dying from pregnancy-related causes, little progress has been made to combat this problem. This study follows the global policies that have been implemented in Sololá, Guatemala in order to decrease high rates of maternal mortality among indigenous Mayan women. The author examines the diverse meanings and understandings of motherhood, pregnancy, birth and birth-related death among the biomedical personnel, village women, their families, and midwives. These incongruous perspectives, in conjunction with the implementation of such policies, threaten to disenfranchise clients from their own cultural understandings of self. The author investigates how these policies need to meld with the everyday lives of these women, and how the failure to do so will lead to a failure to decrease maternal deaths globally. From the Introduction: An unspoken effect of reducing maternal mortality to a medical problem is that life and death become the only outcomes by which pregnancy and birth are understood. The specter of death looms large and limits our full exploration of either our attempts to curb maternal mortality, or the phenomenon itself. Certainly women’s survival during childbirth is the ultimate measure of success of our efforts. Yet using pregnancy outcomes and biomedical attendance at birth as the primary feedback on global efforts to make pregnancy safer is misguided.
The possibility of violence beneath a thin veneer of civil society is a fact of daily life for twenty-first-century Guatemalans, from field laborers to the president of the country. Crisis of Governance in Maya Guatemala explores the causes and consequences of governmental failure by focusing on life in two K’iche’ Maya communities in the country’s western highlands. The contributors to this volume, who lived among the villagers for some time, include both undergraduate students and distinguished scholars. They describe the ways Mayas struggle to survive and make sense of their lives, both within their communities and in relation to the politico-economic institutions of the nation and the world. Since Guatemala’s thirty-six-year civil war ended in 1996, the state has been dysfunctional, the country’s economy precarious, and physical safety uncertain. The intrusion of Mexican cartels led the U.S. State Department to declare Guatemala “the epicenter of the drug threat” in Central America. Rapid cultural change, weak state governance, organized crime, pervasive corruption, and ethnic exclusion provide the backdrop for the studies in this volume. Seven nuanced ethnographies collected here reveal the complexities of indigenous life and describe physical and cultural conflicts within and between villages, between insiders and outsiders, and between local and federal governments. Many of these essays point to a tragic irony:the communities seem largely forgotten by the government until the state seeks to capture their resources—timber, minerals, votes. Other chapters portray villages responding to criminal activity through lynch mobs and by labeling nonconformist youth as gang members. In focusing on the internal dynamics of poor, marginal communities in Guatemala, this book explores the realities of life for indigenous people on all continents who are faced with the social changes brought about by war and globalization.
The Maya created one of the world's most brilliant civilizations, famous for its art, astronomy, and deep fascination with the mystery of time. Despite collapse in the ninth century, Spanish invasion in the sixteenth, and civil war in the twentieth, eight million people in Guatemala, Belize, and southern Mexico speak Mayan languages and maintain their resilient culture to this day. Traveling through Central America's jungles and mountains, Ronald Wright explores the ancient roots of the Maya, their recent troubles, and prospects for survival. Embracing history, anthropology, politics, and literature, Time Among the Maya is a riveting journey through past magnificence and the study of an enduring civilization with much to teach the present. "Wright's unpretentious narrative blends anthropology, archaeology, history, and politics with his own entertaining excursions and encounters." -- The New Yorker; "Time Among the Maya shows Wright to be far more than a mere storyteller or descriptive writer. He is an historical philosopher with a profound understanding of other cultures." -- Jan Morris, The Independent (London).
This book discusses the indigenous people of Tecpan Guatemala, a predominantly Kaqchikel Maya town in the Guatemalan highlands. It seeks to build on the traditional strengths of ethnography while rejecting overly romantic and isolationist tendencies in the genre.
Across Guatemala, Mayan peoples are struggling to recover from decades of cataclysmic upheaval--religious conversions, civil war, displacement, military repression. Richard Wilson carried out long-term research with Q’eqchi’-speaking Mayas in the province of Alta Verapaz to ascertain how these events affected social organization and identity. He finds that their rituals of fertility and healing--abandoned in the 1970s during Catholic and Protestant evangelizations--have been reinvented by an ethnic revivalist movement led by Catholic lay activists, who seek to renovate the earth cult in order to create a new pan-Q’eqchi’ ethnic identity.
A woman with hypertension refuses vegetables. A man with diabetes adds iron-fortified sugar to his coffee. As death rates from heart attacks, strokes, and diabetes in Latin America escalate, global health interventions increasingly emphasize nutrition, exercise, and weight loss—but much goes awry as ideas move from policy boardrooms and clinics into everyday life. Based on years of intensive fieldwork, The Weight of Obesity offers poignant stories of how obesity is lived and experienced by Guatemalans who have recently found their diets—and their bodies—radically transformed. Anthropologist Emily Yates-Doerr challenges the widespread view that health can be measured in calories and pounds, offering an innovative understanding of what it means to be healthy in postcolonial Latin America. Through vivid descriptions of how people reject global standards and embrace fatness as desirable, this book interferes with contemporary biomedicine, adding depth to how we theorize structural violence. It is essential reading for anyone who cares about the politics of healthy eating.
Informative and beautifully illustrated.... It is both a detailed anthropological study, which delves into aspects of Mayan culture and examines historical and sociological forces brought to bear on Mayan communities of Guatemala, and a catalog of the stunning collections, containing descriptions of techniques, dying processes, and textile production. -- Booklist
