Best practices in intercultural health: five case studies in Latin America

Mignone, Javier; Bartlett, Judith; O’Neil, John; Orchard, Treena

doi:10.1186/1746-4269-3-31

Cited by 69 publications

(51 citation statements)

References 8 publications

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“…Para lograrlo se hace necesario atender las condiciones de exclusión social de la que son objeto, con perspectivas multiculturales y modelos de atención en salud diferenciados, según la etnia y la región, sobre los cuales existen experiencias en Colombia y en América Latina 22,41,60 , que permita superar las barreras existentes para la atención de la salud reproductiva de las mujeres del país, como un deber ético y de justicia social del Estado. Colaboradores C. Noreña-Herrera participó en la concepción del estudio y en todas las etapas de la producción de este artícu-lo y fue el responsable de elaborar la versión de este artículo para ser sometida a publicación.…”

Section: Conclusiónunclassified

Inequidad en la utilización de servicios de salud reproductiva en Colombia en mujeres indígenas y afrodescendientes

et al. 2015

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Resumen Se analizó la utilización de servicios de salud reproductiva (atención prenatal, parto y posparto), según la etnia de las mujeres, a partir de la Encuesta Nacional de Demografía y Salud 2010 de Colombia. La etnia fue medida por auto- reconocimiento (indígenas, afrodescendientes y ninguna) y se estimaron modelos logísticos para cada servicio. Encontramos que, respecto a quienes no pertenecen a ninguna etnia, la utilización de servicios de salud reproductiva es menor en las mujeres indígenas y afrodescendientes. En los modelos de regresión se encontró que mujeres indígenas tienen menores posibilidades de un número adecuado de controles prenatales (OR = 0,61), así como también afrodescendientes. Igual situación para la atención institucional del parto: indígenas (OR = 0,33), afrodescendientes (OR = 0,60); y en control posparto: indígenas (OR = 0,80), afrodescendientes (OR = 0,80). En conclusión, existen inequidades en la utilización de servicios de salud reproductiva en las mujeres de grupos étnicos de Colombia que deben ser atendidas con estrategias gubernamentales que garanticen el derecho a la salud.

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Section: Conclusiónunclassified

Inequidad en la utilización de servicios de salud reproductiva en Colombia en mujeres indígenas y afrodescendientes

et al. 2015

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“…High value of F IC indicates the agreement of selection of taxa between informants, whereas a low value indicates disagreement (Heinrich 2000;Ragupathy et al 2008;Heinrich et al 2009). F IC is used to test the homogeneity among informants knowledge, to test falsifiable hypothesis concerning informant's selection and use of a plant taxa, as a decision-making factor, and to test reliability of traditional knowledge (Heinrich et al 1998;Heinrich 2000;Gazzaneo et al 2005;Njoroge and Bussmann 2006;Almeida et al 2006;Mignone et al 2007;Ragupathy et al 2008;Upadhyay et al 2010). Canales et al (2005) have shown experimentally that the plant species having high F IC value possesses higher antibacterial activity in comparison to species having low F IC value.…”

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confidence: 99%

Documentation and determination of consensus about phytotherapeutic veterinary practices among the Tharu tribal community of Uttar Pradesh, India

Kumar

Pandey

Tewari³

2011

Trop Anim Health Prod

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Study reveals that there is great agreement among informants for the usages of Azadirachta indica A Juss, Bombax ceiba L, Bambusa arundinacea (Retz) Willd, Corianderum sativum L, Cuscuta reflexa Roxb, Datura metal L, Nelumbo nucifera Gaertn, and Parthenium hysterophorus L. These species may be used for the development of new, cheep, effective, and eco-friendly herbal formulations for veterinary healthcare management. Further investigation of these herbal formulations for veterinary healthcare management will require safety and efficacy testing. There is an urgent need to formulate suitable conservation strategies for wildly growing phytotherapeutics to overcome their depletion from natural resources and to make these practices more eco-friendly.

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“…As the benefits of intercultural initiatives have been demonstrated in other cultural contexts [42], the development of cultural competence in Eeyou Istchee with a focus on providers' communication skills and opportunities to exchange knowledge bilaterally could improve the autonomy of patients and health professionals. Valuing Indigenous knowledge and local implicit protocols of communication may lead to an increase in trust and efficiency.…”

Section: Discussionmentioning

confidence: 99%

Anthropological perspectives on Miyupimaatisiiun and the integration of oral health in primary care in the Cree communities of Northern Quebec

et al. 2020

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The integration of primary oral health care has a pivotal role in improving oral health outcomes and providing accessible and affordable health care. This article contributes to the deep understanding of the cultural aspects of the integration of oral health into primary health care at an Indigenous health organization. Proceeding from a collaborative and interdisciplinary research project evaluating the integration of oral health care within primary care in Eeyou Istchee, this research is based on group discussions (6) and individual interviews (36) with 74 participants (care providers, administrators, and patients) held in four Eastern James Bay Cree communities. This study anthropologically explored participants' perceptions about primary health care conceptualizations, culturally based approaches, and experiences of oral care services at this organization using a "two-eyed seeing" Indigenous framework. The study identified three key factors related to the integration of primary oral health care: Cree perception of primary health and oral health care, cultural safety, and health provider-patient communication and the role of silence. Study findings reflected a dichotomy of perception of primary health care and the relevant units of care between the Cree structural and cultural perspective and the non-Cree professional perspective. The Cree people perceived "household" as a unit of care in comparison to non-Cree who viewed "health care services" as units of care. Our results also underline the role of cultural safety agents to address the needs for cultural competence and the role of silence as implicit cultural protocol. Our anthropological analysis illustrates the potential for increasing the level of appreciation for both users and workers in oral care in the future by ameliorating communication skills and intercultural knowledge.

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Best practices in intercultural health: five case studies in Latin America

Cited by 69 publications

References 8 publications

Inequidad en la utilización de servicios de salud reproductiva en Colombia en mujeres indígenas y afrodescendientes

Inequidad en la utilización de servicios de salud reproductiva en Colombia en mujeres indígenas y afrodescendientes

Documentation and determination of consensus about phytotherapeutic veterinary practices among the Tharu tribal community of Uttar Pradesh, India

Anthropological perspectives on Miyupimaatisiiun and the integration of oral health in primary care in the Cree communities of Northern Quebec

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