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.
In this first book-length treatment of Maya intellectuals in national and community affairs in Guatemala, Kay Warren presents an ethnographic account of Pan-Maya cultural activism through the voices, writings, and actions of its participants. Challenging the belief that indigenous movements emerge as isolated, politically unified fronts, she shows that Pan-Mayanism reflects diverse local, national, and international influences. She explores the movement's attempts to interweave these varied strands into political programs to promote human and cultural rights for Guatemala's indigenous majority and also examines the movement's many domestic and foreign critics. The book focuses on the years of Guatemala's peace process (1987--1996). After the previous ten years of national war and state repression, the Maya movement reemerged into public view to press for institutional reform in the schools and courts and for the officialization of a "multicultural, ethnically plural, and multilingual" national culture. In particular, Warren examines a group of well-known Mayanist antiracism activists--among them, Demetrio Cojt!, Mart!n Chacach, Enrique Sam Colop, Victor Montejo, members of Oxlajuuj Keej Maya' Ajtz'iib', and grassroots intellectuals in the community of San Andr s--to show what is at stake for them personally and how they have worked to promote the revitalization of Maya language and culture. Pan-Mayanism's critics question its tactics, see it as threatening their own achievements, or even as dangerously polarizing national society. This book highlights the crucial role that Mayanist intellectuals have come to play in charting paths to multicultural democracy in Guatemala and in creating a new parallel middle class.
“[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.
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.
Healing practices in Mesoamerica span a wide range, from traditional folk medicine with roots reaching back into the prehispanic era to westernized biomedicine. These sometimes cooperating, sometimes competing practices have attracted attention from researchers and the public alike, as interest in alternative medicine and holistic healing continues to grow. Responding to this interest, the essays in this book offer a comprehensive, state-of-the-art survey of Mesoamerican healers and medical practices in Mexico and Guatemala. The first two essays describe the work of prehispanic and colonial healers and show how their roles changed over time. The remaining essays look at contemporary healers, including bonesetters, curers, midwives, nurses, physicians, social workers, and spiritualists. Using a variety of theoretical approaches, the authors examine such topics as the intersection of gender and curing, the recruitment of healers and their training, healers' compensation and workload, types of illnesses treated and recommended treatments, conceptual models used in diagnosis and treatment, and the relationships among healers and between indigenous healers and medical and political authorities.
James B. Waldram's groundbreaking study, An Imperative to Cure: Principles and Practice of Q'eqchi' Maya Medicine in Belize, explores how our understanding of Indigenous therapeutics changes if we view them as forms of "medicine" instead of "healing." Bringing an innovative methodological approach based on fifteen years of ethnographic research, Waldram argues that Q'eqchi' medical practitioners access an extensive body of empirical knowledge and personal clinical experience to diagnose, treat, and cure patients according to a coherent ontology and set of therapeutic principles. Not content to leave the elements of Q'eqchi' cosmovision to the realm of the imaginary and beyond human reach, Q'eqchi' practitioners conceptualize the world as essentially material and meta/material, consisting of complex but knowable forces that impact health and well-being in real and meaningful ways--forces with which Q'eqchi' practitioners must engage to cure their patients.
