National Policy of Midwives for the Four Native Groups of Guatemala

The National Policy of Midwives for the Four Native Groups of Guatemala was created from 33 round tables in which regional representatives of midwives, state agencies, and civil society and international organizations participated. During these meetings, main ideas for action were envisaged, including the recognition of midwives, the dissemination of their knowledge, the use of traditional medicine and the strengthening of institutions through the eradication of discriminatory practices. In the west of the country, 79% of births are performed by midwives (32% nationwide), and according to data from the Ministry of Health, 23 320 midwives are registered in the country. With the objective of harmonizing the governmental health system and that of indigenous peoples, the points agreed upon during the round tables were taken to a technical board of the Ministry of Public Health and Social Assistance. The policy was then adopted by the Ministry.

Institutional design


Formalization: is the innovation embedded in the constitution or legislation, in an administrative act, or not formalized at all?

Frequency: how often does the innovation take place: only once, sporadically, or is it permanent or regular?

Mode of Selection of Participants: is the innovation open to all participants, access is restricted to some kind of condition, or both methods apply?

Type of participants: those who participate are individual citizens, civil society organizations, private stakeholders or a combination of those?

Decisiveness: does the innovation takes binding, non-binding or no decision at all?

Co-governance: is there involvement of the government in the process or not?

embedded in the constitution/legislation 
Mode of selection of participants
Type of participants
citizens civil society  
democratic innovation yields a binding decision  


  • Deliberation
  • Direct Voting
  • E-Participation
  • Citizen Representation


  • Accountability
  • Responsiveness
  • Rule of Law
  • Political Inclusion
  • Social Equality

Policy cycle

Agenda setting
Formulation and decision-making
Policy Evaluation

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Pogrebinschi, Thamy. (2017). LATINNO Dataset. Berlin: WZB.

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