Skip to main content

Main menu

  • Home
  • Issues
    • Current Issue
    • Advance Access
    • Past Issues
    • Supplements
    • Topic Collections
    • COVID-19 Articles
  • For Authors
    • Instructions for Authors
    • Submit
  • Submit
  • About
    • About GHSP
    • Editorial Team
    • Editorial Board
    • FAQs
    • 5 Year Anniversary Infographic
  • More
    • Instructions for Reviewers
    • Alerts
    • Contact Us
    • Website Policies
  • Other Useful Sites
    • GH eLearning
    • GHJournal Search

User menu

  • My Alerts

Search

  • Advanced search
Global Health: Science and Practice
  • Other Useful Sites
    • GH eLearning
    • GHJournal Search
  • My Alerts

Global Health: Science and Practice

Dedicated to what works in global health programs

Advanced Search

  • Home
  • Issues
    • Current Issue
    • Advance Access
    • Past Issues
    • Supplements
    • Topic Collections
    • COVID-19 Articles
  • For Authors
    • Instructions for Authors
    • Submit
  • Submit
  • About
    • About GHSP
    • Editorial Team
    • Editorial Board
    • FAQs
    • 5 Year Anniversary Infographic
  • More
    • Instructions for Reviewers
    • Alerts
    • Contact Us
    • Website Policies
  • Visit GHSP on Facebook
  • Follow GHSP on Twitter
  • RSS
  • Find GHSP on LinkedIn
COMMENTARIES
Open Access

Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala

Meghna Nandi, Jillian Moore, Marcela Colom, Andrea del Rosario Garcia Quezada, Anita Chary and Kirsten Austad
Global Health: Science and Practice March 2020, 8(1):10-17; https://doi.org/10.9745/GHSP-D-19-00377
Meghna Nandi
aWarren Alpert Medical School, Brown University, Providence, RI, USA.
bWuqu' Kawoq | Maya Health Alliance, Bethel, VT, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jillian Moore
bWuqu' Kawoq | Maya Health Alliance, Bethel, VT, USA.
cDepartment of Family and Community Medicine, University of New Mexico, Albuquerque, NM, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Marcela Colom
bWuqu' Kawoq | Maya Health Alliance, Bethel, VT, USA.
cDepartment of Family and Community Medicine, University of New Mexico, Albuquerque, NM, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrea del Rosario Garcia Quezada
bWuqu' Kawoq | Maya Health Alliance, Bethel, VT, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anita Chary
bWuqu' Kawoq | Maya Health Alliance, Bethel, VT, USA.
dDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kirsten Austad
bWuqu' Kawoq | Maya Health Alliance, Bethel, VT, USA.
eDepartment of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: kirsten.austad@bmc.org
PreviousNext
  • Article
  • Figures & Tables
  • Info & Metrics
  • Comments
  • PDF
Loading

Race, ethnicity, and indigenous status should be considered as potential drivers of provider bias in family planning services globally. Efforts to confront provider bias in family planning counseling should include concrete strategies that promote provider recognition of biases and longitudinal curriculums that allow for sustained feedback and self-reflection.

See related article in Solo and Festin.

Resumen en español al final del artículo.

INTRODUCTION

An article by Solo and Festin1 discusses the importance of addressing provider bias in family planning services. We agree that provider bias in family planning services is a widespread problem that restricts clients' autonomy and empowerment and applaud the authors for directing a spotlight on this important issue.

Our goals in writing this response are 2-fold. First, drawing from our experiences providing family planning services to primarily indigenous Maya women in rural Guatemala, we would like to expand Solo and Festin's discussion on bias against specific groups to include race and ethnicity. In this article, we understand race is defined as a social group based on perceived skin color or other physical qualities and ethnicity is defined as a social group based on common cultural or national traditions.2

Solo and Festin's article highlights sources of client-based bias, including age, parity, and marital status, as well as biases against specific socially marginalized groups, emphasizing youth, women who have HIV, women seeking abortion, those with disabilities, and men seeking permanent contraception. However, race and ethnicity are not singled out as a specific source of bias in their article. In our family planning work, ethnic minority patients report judgment, bias, and coercion in their reproductive health care experiences. We hope to use our professional observations and the current literature on racial and ethnic biases in health care to build on Solo and Festin's article by including race and …

View Full Text
PreviousNext
Back to top

In this issue

Global Health: Science and Practice: 8 (1)
Global Health: Science and Practice
Vol. 8, No. 1
March 30, 2020
  • Table of Contents
  • About the Cover
  • Index by Author
  • Complete Issue (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about Global Health: Science and Practice.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala
(Your Name) has forwarded a page to you from Global Health: Science and Practice
(Your Name) thought you would like to see this page from the Global Health: Science and Practice web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala
Meghna Nandi, Jillian Moore, Marcela Colom, Andrea del Rosario Garcia Quezada, Anita Chary, Kirsten Austad
Global Health: Science and Practice Mar 2020, 8 (1) 10-17; DOI: 10.9745/GHSP-D-19-00377

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala
Meghna Nandi, Jillian Moore, Marcela Colom, Andrea del Rosario Garcia Quezada, Anita Chary, Kirsten Austad
Global Health: Science and Practice Mar 2020, 8 (1) 10-17; DOI: 10.9745/GHSP-D-19-00377
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Statistics from Altmetric.com

Jump to section

  • Article
    • INTRODUCTION
    • OUR CONTEXT
    • PROVIDER BIAS BASED ON RACE AND ETHNICITY
    • RACIAL AND ETHNIC BIAS IN LOW-RESOURCE SETTINGS
    • FINDING SOLUTIONS
    • SHARED DECISION MAKING
    • CONCLUSION
    • Acknowledgments
    • Notes
    • REFERENCES
  • Figures & Tables
  • Info & Metrics
  • Comments
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • National Surgical, Obstetric, and Anesthesia Plans Supporting the Vision of Universal Health Coverage
  • Health Volunteers Overseas: A Model for Ethical and Effective Short-Term Global Health Training in Low-Resource Countries
Show more COMMENTARIES

Similar Articles

Subjects

  • Health Topics
    • Family Planning and Reproductive Health
US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

Follow Us On

  • Twitter
  • Facebook
  • LinkedIn
  • RSS

Articles

  • Current Issue
  • Advance Access Articles
  • Past Issues
  • Topic Collections
  • Most Read Articles
  • Supplements

More Information

  • Submit a Paper
  • Instructions for Authors
  • Instructions for Reviewers
  • GH Journals Database

About

  • About GHSP
  • Editorial Board
  • FAQs
  • Contact Us

© 2021 Creative Commons Attribution 4.0 International License. ISSN: 2169-575X

Powered by HighWire