Indigenous traditional medicine and intercultural healthcare in Bolivia: a case study from the Potosi region.
Indigenous peoples have the worst socio-demographic indicators and the largest inequalities in terms of access to social services and health in the Latin American region, Bolivia included. In the last few years, attempts to implement policies that support indigenous people's health rights led to the development of intercultural health approaches. Yet, acceptance and integration of indigenous medicine into the biomedical health system presents a major challenge to intercultural health in Latin America. The objective of this article is to analyze the case of a health center in Tinguipaya, one of the first and few examples of intercultural health initiatives in Bolivia. This intercultural health project, which represents a pioneer experience with regard to the creation of intercultural health services in Bolivia, aims to create a network between local communities, traditional healers, and biomedical staff and offer a more culturally sensitive and holistic health service for indigenous people living in the area. The aim of this article is to critically assess this initiative and to analyze the main challenges met in the creation of a more effective intercultural health policy. The extent to which this initiative succeeded in promoting the integration between indigenous health practitioners and biomedical staff as well as in improving access to health care for local indigenous patients will also be examined.
a University of New Brunswick , Fredericton Campus , Fredericton , New Brunswick , Canada.
Maria Costanza
MC
Torri
Daniel
D
Hollenberg
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001838:Bolivia; D054521:Cultural Competency / Q000458:organization & administration*; D005260:Female; D006303:Health Services, Indigenous / Q000458:organization & administration*; D006801:Humans; D007199:Indians, South American; D007407:Interviews as Topic; D008297:Male; D008519:Medicine, Traditional / Q000379:methods*; D008875:Middle Aged; D015397:Program Evaluation; D035502:Trust; D055815:Young Adult