Healthcare and Health Problems from the Perspective of Indigenous Population of the Peruvian Amazon: A Qualitative Study.

Healthcare and Health Problems from the Perspective of Indigenous Population of the Peruvian Amazon: A Qualitative Study.
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DOI:
10.3390/ijerph17217728
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发表时间:
2020-10-22
影响因子:
--
通讯作者:
de Diego-Cordero R
de Diego-Cordero R
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Badanta B;Lucchetti G;Barrientos-Trigo S;Fernández-García E;Tarriño-Concejero L;Vega-Escaño J;de Diego-Cordero R

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与非土著社区相比,土著社区的死亡率通常较高,获得保健服务的机会较少。本研究旨在了解秘鲁亚马逊地区Asháninka土著社区最普遍的健康问题及其治疗方法。我们进行了一项民族志研究,以探讨感知的健康问题,传统医学的使用和秘鲁官方医疗保健系统提供的资源。现场记录和半结构化访谈。共访谈了16名土著人和4名非土著人,并采用解释性分析来确定主题。Asháninka社区是一个被忽视的群体,由于距离限制、误解和种族差异,他们远离适当的保健系统,并患有感染和胃肠道问题等急性疾病。这一群体倾向于寻求传统医学,主要是草药和传统治疗师。使用保健专业人员被视为最后手段。虽然秘鲁的官方卫生系统纳入了社区参与战略,以改善土著人民的保健,但由于缺乏物质、人力资源和文化敏感性,这一点很难做到。应制定和实施医疗保健策略,以最大限度地减少该人群的健康不平等。
Indigenous communities usually experience higher levels of mortality and poorer access to healthcare services compared to non-indigenous communities. This study aims to understand the most prevalent health problems and their treatment in the Asháninka indigenous communities of the Peruvian Amazon. We conducted an ethnographic study in order to explore the perceived health problems, the use of traditional medicine and the resources offered by the official Peruvian healthcare system. Field notes and semi-structured interviews were used. A total of 16 indigenous and four non-indigenous people were interviewed, and interpretative analysis was used to identify themes. The Asháninka community is an overlooked population, which, due to distance restrictions, misconceptions and ethnical disparities, is far away from an appropriate healthcare system and is subjected to acute medical conditions such as infections and gastrointestinal problems. This group tends to seek traditional medicine, mostly herbal medications and traditional healers. The use of a health professional is seen as a last resort. Although the official Peruvian health system incorporates community participation strategies to improve the healthcare of indigenous people, the shortage of material, human resources and cultural sensitivity makes this difficult. Healthcare strategies should be devised and implemented in order to minimize health inequality in this population.
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