We need to "ikarar the kutipados": intercultural understanding and health care in the Peruvian Amazon.
The scope of this qualitative research was to describe and analyze how the Kukamas Kukamirias indigenous population from the Peruvian Amazon perceives and evaluates the healthcare offered by health workers at the local San Regis health post. An ethnographic-based study was conducted among the San Regis community on the Marañon River in the Loreto district of Peru, including interviews and participative observations with female and male patients as well as with traditional healers and professional health workers. An intercultural perspective is adopted to discuss the evaluations made by the Kukamas Kukamirias about the healthcare offered by professionals at their local health post. Issues examined include the intercultural matches and mismatches that affect vulnerable groups of the population in their interactions with the health services. The frequent preference shown for traditional treatment implies a close relationship between the healer and the person who is sick. This means that conventional forms of healthcare should be seen from an intercultural perspective and taken into account when organizing and articulating health services.
Departamento de Saúde Materno-Infantil, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, BR, ravellaneday@yahoo.es.
Rosário Avellaneda
RA
Yajahuanca
Departamento de Saúde Materno-Infantil, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, BR, ravellaneday@yahoo.es.
Carmen Simone Grilo
CS
Diniz
Departamento de Saúde Materno-Infantil, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, BR, ravellaneday@yahoo.es.
Cristiane da Silva
Cda S
Cabral
D065246:Culturally Competent Care; D003695:Delivery of Health Care; D005260:Female; D006282:Health Personnel; D006303:Health Services, Indigenous; D006801:Humans; D008297:Male; D008519:Medicine, Traditional; D010568:Peru; D036301:Qualitative Research