Why and how will traditional medicine be integrated into public health in Mexico?

During the morning press conference on November 1, 2022, President AAndrew Manuel Lopez Obrador (AMLO) ensured that, in addition doctors foreign and citizens, midwives and doctors will also be integrated traditional in the Mexican public health system. This is part of the plan announced in September of this year, when the intention to promote, promote and protect this knowledge as cultural heritage was announced.

As explained by Mexican Social Security Institute (IMSS), the constitution recognizes law cultural indigenous peoples to the practice of traditional medicine, when it is carried out under appropriate conditions. Regarding traditional midwifery, the Undersecretary for Prevention and Health Promotion, Hugo López-Gatell he stated in September that this activity, in context Plan for strengthening and federalization of healthcareIt does not contravene any rule or law. The aforementioned model contemplates the creation of medical care through community action, followed by the organized, active and co-responsible participation of communities, individuals and families, he explained at the time Zoe Robledogeneral director of IMSS.

After almost two months of work, at the conference on November 1, it was examined how this integration into the IMSS Welfare program is progressing, especially in terms of rewards. Robledo mentioned that more than a thousand midwives receive a support of fifteen hundred pesos, although they are volunteers and not hired, and assured that there are plans to increase this amount. He said, it is a model similar to that of voluntary rural workers, of whom there are more than 15 thousand in the country and they receive five hundred pesos for transfers. Asked for his opinion on the lack of a contract for midwives, President López Obrador commented: “they will be incorporated, but it is a process, we are moving“.

Delving into this voluntary nature, the federal executive branch called for tequiothat is, the radio collective Not paid within native communities, which are carried out for the benefit of the community itself. As part of his explanation regarding this usage and custom, he detailed: “There is volunteer work in the cities, deep in Mexico“. In addition, he added: “now when we make craft paths they are supported by the budget but they don’t stop giving tequio to contribute to their community, it’s not all about payHowever, given the insistence on the question of whether it was thought about and what will happen payment only When hiring midwives and traditional doctors, he recognized that this aspect has not yet been defined.

In the current six-year mandate, the creation of the IMSS social care program was promoted in order to provide access to medical care to the population that does not have security social. Included in this program are midwives traditional and from there care is also provided in the native language with support 754 traditional doctors. To expand health coverage in rural and highly marginalized areas, the federal government has also hired Cuban doctors who they hope will eventually fill 500 vacant positions.

By integrating midwives and traditional healers, the federal government seeks to protect this knowledge and prevent its privatization, through a regulatory framework with scientific criteria. Although traditional midwives currently work in the IMSS Bienestar program according to a voluntary model, López Obrador assures that they will be involved gradually.

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