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

2020 ◽  
Vol 17 (21) ◽  
pp. 7728
Author(s):  
Bárbara Badanta ◽  
Giancarlo Lucchetti ◽  
Sergio Barrientos-Trigo ◽  
Elena Fernández-García ◽  
Lorena Tarriño-Concejero ◽  
...  
Keyword(s):  
Traditional Medicine ◽  
Indigenous People ◽  
Healthcare System ◽  
Indigenous Communities ◽  
Healthcare Services ◽  
Health Problems ◽  
Traditional Healers ◽  
Ethnographic Study ◽  
Peruvian Amazon ◽  
Gastrointestinal Problems

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.

scholarly journals The effects of integrative healthcare on Peruvian Indigenous groups

SURG Journal ◽  
2014 ◽  
Vol 7 (2) ◽  
pp. 5-12
Author(s):  
Rebecca Wolff
Keyword(s):  
Traditional Medicine ◽  
Healthcare System ◽  
Indigenous Health ◽  
Medical Knowledge ◽  
Indigenous Communities ◽  
Healthcare Services ◽  
Indigenous Groups ◽  
Integrative Healthcare ◽  
Integral Role ◽  
Biomedical System

Indigenous communities are vulnerable to a variety of health risks due to political marginalization, socioeconomic challenges and geographic isolation. Most developed and developing nations rely mainly on biomedical healthcare services, which do not adequately incorporate the use of traditional medicinal knowledge. Peru is home to over 50 Indigenous groups, many of which practice holistic and traditional approaches to healthcare. Peruvian healers and medicinal plants play an integral role in such traditional medicinal systems. Integrative healthcare, which incorporates Indigenous medicine into the biomedical healthcare system, is a potential solution to improving healthcare services for an entire nation. However, integrative healthcare fails to address the lack of accessibility and affordability of the Peruvian healthcare system for marginalized populations. Traditional medicine reflects a multi-dimensional, spiritual and individualized approach to healthcare that is in conflict with the scientific and esoteric nature of the biomedical system. Incorporating traditional medicine into the biomedical system could threaten the existence of traditional medicinal knowledge and decrease the need for dissemination of traditional knowledge and culture. In a Peruvian context, integrative healthcare would have a detrimental impact on the maintenance and dissemination of Indigenous Peruvian medical knowledge. Keywords: Peru; Indigenous; health; policy; traditional, complementary and alternative medicine (TCAM)

scholarly journals Rhynchophorus palmarum used in Traditional Medicine in the Peruvian Amazon

2019 ◽  
Vol 10 (1) ◽  
pp. 120-128
Author(s):  
Cesar Delgado ◽  
Rosa Romero ◽  
Rosa Vásquez Espinoza ◽  
Marcial Trigozo ◽  
Rocio Correa
Keyword(s):  
Chemical Analysis ◽  
Traditional Medicine ◽  
Ethnic Groups ◽  
Indigenous Peoples ◽  
Indigenous Communities ◽  
Peruvian Amazon ◽  
Respiratory Illnesses ◽  
Rhynchophorus Palmarum ◽  
Medicinal Use ◽  
Key Questions

Ethnoentomological research focuses on the wealth of knowledge about insects used by indigenous communities. Here, we examine the medicinal use of insects, with a particular focus on Rhynchophorus palmarum, also known as suri, by indigenous peoples in the Peruvian Amazon. Between January 2014 and November 2015, a semi-structured survey was conducted in six communities belonging to Kukama-kukamiria, Tikuna, and Awajum ethnic groups. Each participant answered three key questions: i) what insects do you use to treat your diseases; ii) what diseases do you treat; and iii) how do you treat each disease? A total of 63 people were interviewed. Over half of the interviewees from the three ethnic groups mentioned using the larva of the R. palmarum for medicinal purposes. The oil of the larva is used to treat more than ten diseases, particularly respiratory illnesses. Chemical analysis of the larvae indicates the presence of linoleic and linolenic acids, which confer antimicrobial and anti-inflammatory properties.

scholarly journals Acculturation in Javanese Traditional Medicine Practice in Yogyakarta

2016 ◽  
Vol 8 (1) ◽  
pp. 39-50
Author(s):  
ATIK Triratnawati
Keyword(s):  
Traditional Medicine ◽  
Medical Practice ◽  
Public Interest ◽  
Traditional Healers ◽  
Ethnographic Study ◽  
Business Practices ◽  
Local Television ◽  
Number Of Patients ◽  
Other Information ◽  
Cure Rates

The rampant practice of traditional medicine in the big cities in Java can not be separated from the influence of globalization. The practice of traditional medicine advertised through flyers, pamphlets, signage, television and internet. In medical practice, it can not be separated from the mixture of elements of the local culture, external/ foreign as well as modern medical later adopted in order to enhance public interest in their treatment. The purpose of this article is to analyze the practice of acculturation in traditional medicine both related to methods, tools, how to advertise and meaning behind the ways the adoption of other culture into the traditional practice.An intergrative ethnographic study was conducted in Bantul and Sleman, Yogyakarta, on traditional healers such as gurah, bekham, metaphysical/ spiritual, herbal, traditional massage therapy, as well as traditional healers specifically hemorrhoids. Other information was obtained from interviews with their patients.Medical pluralism by wrapping traditional therapy combined with health culture from the outside to attract consumers with a dogmatic way in order to improve the clients made by Javanese traditional healers. They advertise with testimony on local television screen with the aim of introducing methods, tools, disease cure rates, fees, in order made populair so the number of patients increases. Acculturation appears that more and more people believe in business practices and its treatment.

scholarly journals Conceptual model for pluralistic healthcare behaviour: results from a qualitative study in southwestern Uganda

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e033410 ◽  
Author(s):  
Radhika Sundararajan ◽  
Juliet Mwanga-Amumpaire ◽  
Rachel King ◽  
Norma C Ware
Keyword(s):  
Health Outcomes ◽  
Healthcare Provider ◽  
Healthcare System ◽  
Health Resources ◽  
Healthcare Utilisation ◽  
Healthcare Services ◽  
Traditional Healers ◽  
Medical Pluralism ◽  
Advantages And Disadvantages ◽  
Southwestern Uganda

IntroductionMedical pluralism, or concurrent utilisation of multiple therapeutic modalities, is common in various international contexts, and has been characterised as a factor contributing to poor health outcomes in low-resource settings. Traditional healers are ubiquitous providers in most regions, including the study site of southwestern Uganda. Where both informal and formal healthcare services are both available, patients do not engage with both options equally. It is not well understood why patients choose to engage with one healthcare modality over the other. The goal of this study was to explain therapeutic itineraries and create a conceptual framework of pluralistic health behaviour.MethodsIn-depth interviews were conducted from September 2017 to February 2018 with patients seeking care at traditional healers (n=30) and at an outpatient medicine clinic (n=30) in Mbarara, Uganda; the study is nested within a longitudinal project examining HIV testing engagement among traditional healer-using communities. Inclusion criteria included age ≥18 years, and ability to provide informed consent. Participants were recruited from practices representing the range of healer specialties. Following an inductive approach, interview transcripts were reviewed and coded to identify conceptual categories explaining healthcare utilisation.ResultsWe identified three broad categories relevant to healthcare utilisation: (1) traditional healers treat patients with ‘care’; (2) biomedicine uses ‘modern’ technologies and (3) peer ‘testimony’ influences healthcare engagement. These categories describe variables at thehealthcare provider,healthcare systemandpeerlevels that interrelate to motivate individual engagement in pluralistic health resources.ConclusionsPatients perceive clear advantages and disadvantages to biomedical and traditional care in medically pluralistic settings. We identified factors at the healthcare provider, healthcare system and peer levels which influence patients’ therapeutic itineraries. Our findings provide a basis to improve health outcomes in medically pluralistic settings, and underscore the importance of recognising traditional healers as important stakeholders in community health.

scholarly journals Towards a better understanding of attitudes and beliefs held by traditional healers and recipients of traditional medicine concerning mental health conditions in post-conflict Liberia: a qualitative investigation

2021 ◽  
Vol 21 (3) ◽  
pp. 1396-1409
Author(s):  
Samuel J Pullen ◽  
Augusta R Herman ◽  
Brittany CL Lange ◽  
Nicole Christian-Brathwaite ◽  
Melissa Ulloa ◽  
...  
Keyword(s):  
Mental Health ◽  
Traditional Medicine ◽  
Social Factors ◽  
Mental Health Problems ◽  
Mental Healthcare ◽  
Health Problems ◽  
Traditional Healers ◽  
Health Conditions ◽  
Attitudes And Beliefs ◽  
Modern Health Care

Background: A better understanding of attitudes and beliefs held by traditional healers and utilizers of traditional medicine concerning mental health conditions in Liberia is important as Liberia seeks to improve its delivery of mental healthcare in the context of scarce resources and recovery from civil war. Methods: A qualitative research design was used to collect data from 24 Liberian traditional healers, and 11 utilizers of Liberian traditional medicine. Participants were queried about mental health problems in Liberia, treatments, and attitudes towards modern healthcare. Qualitative data were probed and aggregated using content analysis. Results: Mental health problems described by study participants included: Open Mole, African Science, Epilepsy, Depres- sion and Mental Illness (trauma/substance use). Mental health problems were often associated with socioeconomic distress, and participants described their attitudes and beliefs concerning mental healthcare, traditional medicine, and modern health- care. Conclusion: Traditional medicine is an important part of mental healthcare in Africa. Mental illness, social factors, and healthcare access were important problems in Liberia. Mental health problems blended local cultural beliefs with Western- ized nosology and social factors. Traditional healer’s attitudes towards Western medicine reflected ambivalence. There is a desire for collaboration with ‘modern’ health care providers, but this will require reciprocal trust-building. Keywords: Traditional healer; mental healthcare; Liberia; qualitative research.

Health and Health Care Problems Among the Kumiai of San Antonio Necua and Their Indigenous Relatives in Baja California

2003 ◽  
Vol 1 (1) ◽  
pp. 140-157 ◽  
Author(s):  
K. Jill Fleuriet
Keyword(s):  
Health Care ◽  
Baja California ◽  
San Antonio ◽  
Rural Poverty ◽  
Indigenous Communities ◽  
Traditional Healers ◽  
Medical Pluralism ◽  
Indigenous Groups ◽  
Health And Illness ◽  
Care Problems

The rural Kumiai community of San Antonio Necua is one of the few remaining indigenous communities in Baja California, Mexico. Necuan health and health care problems are best understood through a consideration of the effects of colonialism and marginalization on indigenous groups in northern Baja California as well as a tradition of medical pluralism in Mexico. The lack of traditional healers and biomedical providers in the community, high rates of preventable or manageable illnesses, and a blend of biomedical, folk mestizo, and traditional indigenous beliefs about health and illness reflect current conditions of rural poverty and economic isolation. Descriptions of health and health care problems are based on ethnographic fieldwork among the Kumiai, their Paipai relatives, and their primary nongovernmental aid organization.

Aboriginal and Torres Strait Islander Health — Current Policy Issues

1998 ◽  
Vol 26 (1) ◽  
pp. 18-24
Keyword(s):  
Indigenous People ◽  
Torres Strait Islander ◽  
Health Problems ◽  
Australian Bureau ◽  
Government Policies ◽  
Current Policy ◽  
Policy Issues ◽  
Torres Strait ◽  
Australian Bureau Of Statistics ◽  
Torres Strait Islander Health

This article addresses Aboriginal and Torres Strait Islander health problems and critically investigates current government policies which are attempting to raise the health standards of these Indigenous people. Particular emphasis will be placed on the Queensland Aboriginal and Torres Strait Islander population, which, according to the Australian Bureau of Statistics census in 1986, stood at just over 61,000 or 2.4 per cent of the State's population.

Mobile Applications as Tools for Virtual Education in Indigenous Communities During the COVID-19 Pandemic in the Peruvian Amazon

2020 ◽  
Author(s):  
Isaac Ocampo Yahuarcani ◽  
Lelis Antony Saravia Llaja ◽  
Angela Milagros Nunez Satalaya ◽  
Evelin Alana Rojas Alva ◽  
Alejandro Reategui Pezo ◽  
...  
Keyword(s):  
Mobile Applications ◽  
Indigenous Communities ◽  
Virtual Education ◽  
Peruvian Amazon

scholarly journals A meta-ethnographic study of fathers’ experiences of caring for a child with a life-limiting illness

2020 ◽  
pp. 026921632097915
Author(s):  
Gianina-Ioana Postavaru ◽  
Helen Swaby ◽  
Rabbi Swaby
Keyword(s):  
English Language ◽  
Psychosocial Interventions ◽  
Healthcare Services ◽  
Ethnographic Study ◽  
Qualitative Studies ◽  
Future Research ◽  
Care Experience ◽  
Care Giving ◽  
Critical Appraisal Skills ◽  
Limiting Condition

Background: There is a growing body of qualitative studies examining parents’ experiences of caring for a child with a life-limiting condition, coinciding with recent evidence that indicates an increasing incidence of paediatric life-limiting conditions. However, research focusing on fathers’ needs remains sparse and is often diluted among a predominant ‘mother’s voice’, raising questions about whether practices in clinical settings meet fathers’ needs. Aim: To provide an in-depth assembly of the current state of knowledge around fathers’ experiences of caring for their children diagnosed with life-limiting conditions and understand the implications for healthcare services and policies. Design: A meta-ethnography was conducted to synthesise findings from existing qualitative studies exploring fathers’ experiences of caring. Data sources: Four electronic databases (PubMed, PsycINFO, CINAHL and Science Direct) were searched up until April 2020. Qualitative studies exploring fathers’ care experience and published in English language were included. The Critical Appraisal Skills Programme (CASP) checklist was employed for study quality appraisal. No temporal limits were used. Results: Sixty-three studies met the inclusion criteria. Thirty life-limiting conditions were included. Based on responses from 496 fathers, a conceptual model was developed which translates key experiences within the fathers’ caregiving journeys. The overarching concepts identified were: the paradox of support, challenges in the caring process, ‘nobody thinks of men’, impact on family life and the fall of the curtain: an irrevocably altered world. These and associated sub-concepts are discussed, with recommendations for future research and practice provided. Conclusion: The findings indicate the value of a family-oriented approach to develop psychosocial interventions and support channels for fathers, thus empowering them whilst reducing the care-giving burden on the family unit.

scholarly journals Indigenous People, Organized Crime and Natural Resources: Borders, Incentives and Relations

2021 ◽  
Author(s):  
Daan P. van Uhm ◽  
Ana G. Grigore
Keyword(s):  
Natural Resources ◽  
Indigenous People ◽  
Organized Crime ◽  
Indigenous Communities ◽  
Economic Incentives ◽  
Environmental Harm ◽  
Criminological Perspective ◽  
History Of ◽  
Organized Crime Groups ◽  
Criminal Groups

AbstractThis article explores the relationship between the Emberá–Wounaan and Akha Indigenous people and organized crime groups vying for control over natural resources in the Darién Gap of East Panama and West Colombia and the Golden Triangle (the area where the borders of Laos, Myanmar (Burma), and Thailand meet), respectively. From a southern green criminological perspective, we consider how organized crime groups trading in natural resources value Indigenous knowledge. We also examine the continued victimization of Indigenous people in relation to environmental harm and the tension between Indigenous peoples’ ecocentric values and the economic incentives presented to them for exploiting nature. By looking at the history of the coloniality and the socioeconomic context of these Indigenous communities, this article generates a discussion about the social framing of the Indigenous people as both victims and offenders in the illegal trade in natural resources, particularly considering the types of relationships established with dominant criminal groups present in their ancestral lands.

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