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Kaniuwatewara (when we get sick): understanding health-seeking behaviours among the Shawi of the Peruvian Amazon.
Bussalleu, Alejandra; Pizango, Pedro; King, Nia; Ford, James; Team, I H A C C Research; Harper, Sherilee L.
Afiliação
  • Bussalleu A; Faculty of Public Health and Administration, Universidad Peruana Cayetano Heredia, Honorio Delgado, 430, Lima, Peru. alejandra.bussalleu@upch.pe.
  • Pizango P; Communidad Nativa Balsapuerto, Alto Amazonas, Communidad Nativa, Loreto, Peru.
  • King N; Department of Population Medicine, University of Guelph, 50 Stone Road East, Guelph, Ontario, Canada.
  • Ford J; Department of Medicine, Queen's University, 99 University Avenue, Kingston, Ontario, Canada.
  • Team IHACCR; Priestly International Centre for Climate, University of Leeds, Leeds, UK.
  • Harper SL; Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford, Cesar Carcamo, Patricia Garcia, Shuaib Lwasa, Didacus B. Namanya, Edmonton, Canada.
BMC Public Health ; 21(1): 1552, 2021 08 16.
Article em En | MEDLINE | ID: mdl-34399726
BACKGROUND: Detailed qualitative information regarding Indigenous populations' health-seeking behaviours within Peru's plural healthcare system is lacking. Such context-specific information is prerequisite to developing evidence-based health policies and programs intended to improve health outcomes for Indigenous populations. To this end, this study aimed to characterize health-seeking behaviours, factors affecting health-seeking behaviours, and barriers to obtaining healthcare in two Indigenous Shawi communities in Peru. METHODS: Community-based approaches guided this work, and included 40 semi-structured interviews and a series of informal interviews. Data were analysed thematically, using a constant comparative method; result authenticity and validity were ensured via team debriefing, member checking, and community validation. RESULTS: Shawi health-seeking behaviours were plural, dynamic, and informed by several factors, including illness type, perceived aetiology, perceived severity, and treatment characteristics. Traditional remedies were preferred over professional biomedical healthcare; however, the two systems were viewed as complementary, and professional biomedical healthcare was sought for illnesses for which no traditional remedies existed. Barriers impeding healthcare use included distance to healthcare facilities, costs, language barriers, and cultural insensitivity amongst professional biomedical practitioners. Nevertheless, these barriers were considered within a complex decision-making process, and could be overridden by certain factors including perceived quality or effectiveness of care. CONCLUSIONS: These findings emphasize the importance of acknowledging and considering Indigenous culture and beliefs, as well as the existing traditional medical system, within the professional healthcare system. Cultural competency training and formally integrating traditional healthcare into the official healthcare system are promising strategies to increase healthcare service use, and therefore health outcomes.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção à Saúde / Política de Saúde Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: America do sul / Peru Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Peru País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção à Saúde / Política de Saúde Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: America do sul / Peru Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Peru País de publicação: Reino Unido