Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Facing a double burden of inequity

A qualitative participatory study of the experiences of a remote Indigenous population in Andean Peru during the Covid-19 pandemic

Bibliographic Data

ID15541017
AuthorsHattie Lowe (0000-0001-7110-3873, University College London, corresponding author), Jennie Gamlin (0000-0003-1213-3380, University College London), Blenda Milagros Abarca Diaz (0000-0003-4148-1077, Ministerio de Salud), Renan Espezua (Ministerio de Salud), María Calderon (0000-0003-1346-718X, Ministerio de Salud), Linda J Brown (0000-0003-0717-5105, University College London), Jenevieve Mannell (0000-0002-7456-3194, University College London)
Year2025
Volume20
Issue1
Pages2579684-2579684
Publication date2025-11-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2025.2579684
PMID41292101
OpenAlexW4416730531
LanguageEN
References cited49

The COVID-19 pandemic profoundly impacted Indigenous populations worldwide, extending far beyond the biomedical outcomes of disease and mortality. This study explores the experiences of a Quechua-speaking Indigenous community on Amantaní Island, Peru, through a critical medical anthropology lens. Employing a participatory approach, we engaged with community members to explore the multifaceted impacts of COVID-19 on their health and wellbeing. Local facilitators used participatory methods to collect qualitative data from 10 men and 8 women during 2-day gender-segregated workshops within a larger four-year research study. The data were analysed thematically. Our findings reveal that COVID-19 intensified economic instability, social isolation, and educational disparities in Amantaní, with significant impacts on wellbeing. The interruption of tourism, a primary income source, caused severe financial hardship, while lockdowns disrupted social cohesion and access to services. Despite these challenges, the Amantaní communities implemented autonomous coping strategies: reviving ancestral practices such as bartering, developing new income-generating activities, and leveraging social networks for support. This study underscores the importance of addressing the structural determinants of health and integrating Indigenous knowledge systems into public health strategies. By highlighting pre-existing systemic inequities and community strengths, we advocate for equity-driven pandemic preparedness and response, emphasising the need for culturally competent healthcare and inclusive policymaking

Citizen journalism · Community-based participatory research · Health care · Health equity · Indigenous · Pandemic · Participatory action research · Population · Public health · Qualitative research · Indigenous Cultures and Socio-Education · Indigenous Health and Education · Migration, Education, Indigenous Social Dynamics

  • Covid‐19 and Indigenous Peoples

    Open Access•Timothy Power, Denise Wilson Ngāti Tahinga et al.•Journal of Clinical Nursing•2020

  • Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration)

    Open Access•Ian Anderson, Bridget Robson et al.•The Lancet•2016

  • The Social Determinants of Health

    Open Access•Paula Braveman, Laura Gottlieb et al.•Public Health Reports•2014

  • Social determinants of health inequalities

    Open Access•Michael Marmot•The Lancet•2005

  • Impact of the Coronavirus Pandemic on the Life of Arctic Regions in Population Estimates

    Anatoly Sleptsov, Evgeniya Potravnaya et al.•Sotsiologicheskie issledovaniya•2020

  • Centring a critical medical anthropology of Covid-19 in global health discourse

    Open Access•Jennie Gamlin, J Segata et al.•BMJ Global Health•2021

  • Healthcare of Indigenous Amazonian Peoples in response to Covid-19

    Open Access•Doreen Montag, Marco Barboza et al.•BMJ Global Health•2021

  • Intimate Enemies

    Kimberly Theidon, Kimberly Susan Theidon•Intimate Enemies•2013

  • Why language matters

    Open Access•Jennifer Spiegel, Jaime Breilh et al.•Globalization and Health•2015

  • Covid-19 and the marginalisation of indigenous groups in Argentina

    Open Access•Benjamin Haas, Tobias Mönch et al.•Race & Class•2021

  • Community‐based tourism, peasant agriculture and resilience in the face of Covid‐19 in Peru

    Open Access•Jordi Gascón-Gutiérrez, Kevin S Mamani•Journal of Agrarian Change•2022

  • Justice implications of health and food security policies for Indigenous peoples facing Covid-19

    Open Access•Victoria Chicmana-Zapata, Ingrid Arotoma‐Rojas et al.•Health Policy and Planning•2023

  • Indigenous peoples and the Covid-19 pandemic

    Open Access•Kerrie Pickering, Eranga K Galappaththi et al.•Environmental Research Letters•2023

  • The social determination of health and the transformation of rights and ethics

    Open Access•Jaime Breilh•Global Public Health•2023

  • Challenges, inequalities and Covid-19

    Open Access•J H Cohen, Nydia Delhi Mata-Sánchez•Global Public Health•2021

  • Healthcare and Health Problems from the Perspective of Indigenous Population of the Peruvian Amazon

    Open Access•Bárbara Badanta, Giancarlo Lucchetti et al.•International Journal of…•2020

  • Assessing essential service provision for prevention and management of violence against women in a remote indigenous community in Amantaní, Peru

    Open Access•María Calderon, Carla Cortez-Vergara et al.•International Journal for Equity…•2023

  • Decolonising violence against women research

    Open Access•Jenevieve Mannell, Safua Akeli Amaama et al.•BMC Public Health•2021

  • Addressing Food Insecurity Through Community Kitchens During the Covid-19 Pandemic

    Open Access•Joana Bezerra, Thandiswa Nqowana et al.•Urban Science•2025

  • Mexican intercultural education in times of Covid-19 pandemic

    Gunther Dietz, Laura Selene Mateos Cortés•European Journal of Intercultural…•2020

  • To care and improve little by little, that's how we can do it”

    Open Access•Linda J Brown, Hannah Buddry et al.•Environmental Science & Policy•2025

  • Shaping alternatives to development

    Open Access•Diana Cordoba, Ana Maria Peredo et al.•World Development•2020

  • Pathologies of power

    Paul Farmer•American Journal of Public Health•1999

  • Under-Reporting of Covid-19 Cases Among Indigenous Peoples in Brazil

    Open Access•Martha Fellows, Valéria Paye et al.•Frontiers in Psychiatry•2021

  • From violence to strength

    Open Access•Linda J Brown, Blenda Milagros Abarca Diaz et al.•Methodological Innovations•2025

  • Sumak Kawsay, coloniality and the criminalisation of violence against women in Ecuador

    Open Access•Silvana Tapia Tapia•Feminist Theory•2016

  • Identifying Indigenous strengths for health and wellbeing

    Open Access•Ria Mukerji, Jenevieve Mannell et al.•Social Science & Medicine•2025

  • Decolonizing Environmental Justice Studies

    Lina Álvarez, Brendan Coolsaet•Capitalism Nature Socialism•2020

  • Debilidad

    Open Access•K S Oths•Medical Anthropology Quarterly•1999

  • Thematic networks

    Open Access•Jennifer Attride-Stirling, Jennifer Attride‐Stirling•Qualitative Research•2001

  • Pushed to the Margins

    Open Access•Kasi Eswarappa, Atrayee Saha•Critical Sociology•2021

Citation velocityhistorical
Highly citedNo

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae