Concerted Model of Healthcare for Awá Indigenous of Nariño, Colombia

Harold Mauricio Casas Cruz, Blanca Estela Pelcastre-Villafuerte (), Luz Arenas-Monreal and Myriam Ruiz-Rodríguez
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Harold Mauricio Casas Cruz: Faculty of Health Sciences, Medicine Program, University of Nariño, Pasto 52001, Colombia
Blanca Estela Pelcastre-Villafuerte: Centre for Health Systems Research, National Institute of Public Health, Cuernavaca 62100, Mexico
Luz Arenas-Monreal: Centre for Health Systems Research, National Institute of Public Health, Cuernavaca 62100, Mexico
Myriam Ruiz-Rodríguez: Department of Public Health, Medicine School, Universidad Industrial de Santander-UIS, Bucaramanga 680002, Colombia

IJERPH, 2022, vol. 19, issue 19, 1-15

Abstract: Indigenous communities in Colombia are facing a critical health situation; alternative health care models based on the vision of the communities themselves are needed. The objective of this research was to create a health care model that decreases health inequities for the Indigenous Awá population of Nariño, Colombia. This study was guided by the paradigm of community-based participatory action research; the process was carried out in 2015 and 2016. The proposed Intercultural Health Care Model is essentially based on health promotion, disease prevention, community empowerment, social participation in health, decentralized health care and coordination between the two medicines (traditional and allopathic). Strategies such as those reported herein, with concerted efforts rather than imposition, maintain human rights and respect for the sovereignty and autonomy of Indigenous people.

Keywords: Indigenous; healthcare model; primary health care; social determinants of health; community-based participatory action research; Colombia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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