Daily life in Xochis

The pilot study took place in Xochistlahuaca, a rural community with majority of indigenous Nancue Ñomndaa (Amuzgo) population in the Costa Chica region of Guerrero state, in southwestern Mexico.

Follow-up survey

We carried out the follow-up survey of the Safe Birth in Cultural Safety pilot in February 2012. Indigenous fieldworkers interviewed women and men in Xochistlahuaca and Tlacoachistlahuaca.

Traditional midwives

Nancue Ñomndaa midwives attend to women in the communities during pregnancy and homebirth. They are providers of choice for most indigenous women and a critical link with government health services.

Baseline focus groups and meetings

We shared the results of the baseline survey in focus groups and meetings with state, district, and municipal health officials and staff, community health promoters and traditional midwives.

Baseline survey interviews

In May 2008 we visited 2616 households in Xochis and Tlacos. We conducted extensive interviews with women, men, traditional midwives, government health staff, and public transport drivers.

Building the traditional birth centres

Following a request from the midwives, we built traditional birth centres in intervention communities in Xochis. There, traditional midwives assisted pregnant women and trained apprentices.


During the pilot study, we trained government health staff, traditional midwives, and community health promoters to build on their skills for maternal and newborn health care in rural communities.


Impact on people's lives

Abraham De Jesús' clinical practice changed as a result of our project.
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What do the numbers say?

We carried out the follow-up survey for the pilot study.
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Intercultural medical school

Evidence from our project feeds into this pioneering effort in Mexico.
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Traditional birth centres