title: TB in Vulnerable Populations: The Case of an Indigenous Community in the Peruvian Amazon.
abstract: This article analyzes the factors associated with vulnerability of the Ashaninka, the most populous indigenous Peruvian Amazonian people, to tuberculosis (TB). By applying a human rights-based analytical framework that assesses public policy against human rights standards and principles, and by offering a step-by-step framework for a full assessment of compliance, it provides evidence of the relationship between the incidence of TB among the Ashaninka and Peru's poor level of compliance with its human rights obligations. The article argues that one of the main reasons for the historical vulnerability of the Ashaninka to diseases such as TB is a lack of political will on the part of the national government to increase public health spending, ensure that resources reach the most vulnerable population, and adopt and invest in a culturally appropriate health system.
authors: Researcher at Chr. Michelsen Institute in Bergen, Norway, and post-doc researcher at the Department of Comparative Politics, University of Bergen, Norway.
authors: Camila
authors: C
authors: Gianella
authors: Consultant at Salud Sin Limites Peru, and Research Associate at Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; and PhD student at Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors: César
authors: C
authors: Ugarte-Gil
authors: TB consultant medical doctor at Mantaro Health Network, Junin Health Directorate, Junín, Perú.
authors: Godofredo
authors: G
authors: Caro
authors: Member of the technical team at Indigenous Health Directorade at the Ministry of Health, Lima, Perú.
authors: Rula
authors: R
authors: Aylas
authors: Lecturer at School of Nursing Universidad Peruana Los Andes, Huancayo, Perú.
authors: César
authors: C
authors: Castro
authors: Executive Director at Salud Sin Limites Peru, Lima, Peru.
authors: Claudia
authors: C
authors: Lema
mesh_terms: D006806:Human Rights; D006801:Humans; D007199:Indians, South American; D010568:Peru / Q000453:epidemiology; D011057:Politics; D011640:Public Policy / Q000331:legislation & jurisprudence; D014376:Tuberculosis / Q000453:epidemiology*; D035862:Vulnerable Populations