Incorporación del enfoque intercultural en el sistema de salud peruano

La atención del parto vertical

Dados Bibliográficos

ID14965178
AutoresCésar R Nureña (0000-0002-3290-7948, National University of San Marcos, autor correspondente)
Ano2009
Volume26
Fascículo4
Páginas368-76
Data de publicação2009-10-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoRevista Panamericana de Salud Pública (JOURNAL)
Identificadores do periódicoISSN: 1020-4989 • E-ISSN: 1680-5348
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s1020-49892009001000013
PMID20107687
OpenAlexW2130488284
SCIELO_PIDS1020-49892009001000013
IdiomaES
Citações recebidas13

Peru has a large indigenous population (40% of the total), made of 72 distinct groups. These peoples are at a great disadvantage compared to the mestizos and other groups that are more closely connected with the dominant culture. The political and economic inequality and inequities are particularly stark with regard to health conditions. National policy and plans have not considered the indigenous peoples' values and identity, nor their right to self-determination and control of their land and resources, and even less so, their health knowledge and practices, inasmuch western 'modern medicine' has been imposed upon them by the dominant culture. Since 1992, as a result of international forums and academia, as well as a growing movement in Peru to acknowledge the value of cultural diversity and the rights of indigenous peoples, Government proposals, initiatives, and programs were undertaken to incorporate and empower cultural contributions and traditional practices in a way that would not only benefit the indigenous, but also enrich, through various intercultural venues, the stock of cultural traditions and ethnic roots of the greater Peruvian society. This article explores specifically how these intercultural strategies have been rolled out in health care to institutionalize the vertical birth method in rural, predominantly indigenous, communities, and endeavors to assess the decrease in maternal mortality, as well as the difficulties encountered, and mostly overcome, by expressing multiculturalism in the health field

Cultural diversity · Cultural identity · Disadvantage · Economic growth · Ethnic group · Ethnology · Government (linguistics · Health care · Indigenous · Multiculturalism · Political science · Politics · Population · Social science · Sociology · Anthropology · Gender Studies · Migration, Education, Indigenous Social Dynamics · Public Health and Social Inequalities