Executive Summary
Guatemala has among the highest rates of maternal mortality in Latin America. Moreover, Mayan women are nearly twice as likely to die from preventable pregnancy-related conditions than non-indigenous women in Guatemala. These disparities are barriers to hospital-level care, including language, culture, distance, cost, and discrimination. Maya Health Alliance | Wuqu' Kawoq eliminates avoidable deaths from childbirth in rural Guatemala by equipping indigenous midwives with a checklist-based smartphone application to detect high-risk complications, connect with clinical support as needed, and provide care navigation when hospital services are required. Partners aim to scale this intervention from approximately 800 births to 5,000 births in rural Guatemala and reduce deaths by 80% across all sites. Since the program launched in 2016, mothers accessing hospital care for conditions such as preeclampsia and cesarean deliveries has increased significantly, and deaths from childbirth have dropped from 10 to .47 per 1,000 in the area where the program operates.
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