Perspectivas culturais sobre transmissão e tratamento da tuberculose entre os Xavánte de Mato Grosso, Brasil

Welch, James R.; Coimbra, Carlos E. A.

doi:10.1590/s0102-311x2011000100020

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…Similarly, Welch and Coimbra Jr 22 observed that although the Xavante Indigenous from Pimentel Barbosa, MT, Midwestern Brazil, consider witchcraft to be the main cause of TB, some informants stated that the disease might also be caused by microorganisms. They found that the Xavantes believe in two types of TB, characterized by the speed of its progression: the faster type is caused by spells, and the slower one by microbes.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective

et al. 2015

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OBJECTIVE To analyze explanations for tuberculosis and therapeutic itineraries of Brazilian indigenous people.METHODS Case study with a qualitative-descriptive approach. We conducted semi-structured interviews with 11 Munduruku indigenous, including direct observation of treatment for tuberculosis in the municipality of Jacareacanga, south-western region of the state of Para, Brazil. To identify explanations for tuberculosis and therapeutic itineraries, we performed thematic content analysis.RESULTS Traditional medicine was the first therapeutic option chosen by the indigenous. However, biomedicine was also employed, which indicates a circulation between different therapeutic contexts and health concepts among the Munduruku. The explanations provided ranged from recognition of the signs and symptoms specific to tuberculosis to the attribution of the disease to a spirit that leaves the body and wanders in the woods, returning ill into the body. Unlike the biomedical model, which links tuberculosis transmission strictly to interpersonal contact, in closed spaces without natural lighting and ventilation (preferably domestic environments), the Munduruku associate the disease to an indirect contact between people socially distant (enemies or adversaries) in public and open places.CONCLUSIONS The explanations made by the indigenous are unique and deserve the attention of those who are responsible for developing health public policies, as well as of the teams who work on the villages. To guarantee an efficient control of tuberculosis in these regions, it is necessary that the developed actions integrate biomedicine knowledge and the traditional medicine of the indigenous people, in addition to respecting and welcoming local culture manifestations.

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Section: Discussionmentioning

confidence: 99%

Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective

et al. 2015

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“…This is because many in IT also do not provide primary health care services (5,10) , so that the geographical access is a barrier for assistance. International studies find that living in remote areas in particular can affect the health of patients by increasing the level of risk due to isolation and lack of access to health services (11) .…”

Section: Discussionmentioning

confidence: 99%

“…Because of the socio-economic difficulties, the Indians depend exclusively on features offered by SUS (10) . This situation is worse in some regions of Brazil because even though the indigenous live in precarious economic conditions and there is limited transport in the villages, there is still a shortage of primary care services in IT to meet the population (5) , conditions also observed in international studies (6,12) .…”

Section: The Nursing Strategy To Minimize the Geographical Barrier Bementioning

confidence: 99%

Cultural singularities: indigenous elderly access to Public Health Service

Borghi

Álvarez

Marcon

et al. 2015

Rev. esc. enferm. USP

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OBJECTIVEDescribing how Kaingang seniors and their primary caregivers experience access to public health services.METHODA qualitative study guided by ethnography, conducted with 28 elderly and 19 caregivers. Data were collected between November 2010 and February 2013 through interviews and participative observation analyzed by ethnography.RESULTSThe study revealed the benefits and difficulties of the elderly access to health services, the facility to obtain health care resources such as appointments, medications and routine procedures, and the difficulties such as special assistance service problems and delays in the dispatching process between reference services.CONCLUSIONThe importance of knowing and understanding the cultural specificities of the group in order to offer greater opportunities for the elderly access to health services was reinforced.

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“…Baniwa cosmology operates like a reception system for biomedicine information, which is appropriated and resignified according to the logic of mythical thought” (p. 281). Other studies undertaken among different ethnic groups in Amazonia show that in general Indigenous peoples are receptive to medicines provided by biomedical professionals, although they may come to be reinterpreted according to the Indigenous peoples’ own concepts regarding curative substances [ 30 , 31 , 32 ].…”

Section: Case Studies Of Nursing In Practice Among Indigenous Peoples In Brazilmentioning

confidence: 99%

Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective

et al. 2021

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Our objective is to critically review the literature addressing the strategic role of nurses in the daily primary care of arterial hypertension in Indigenous communities in Brazil. We selected studies based on an initial keyword search of major bibliographic indexing databases for the years 2000 to 2020 and manual search. Further selection was based on topical, methodological, and thematic relevance, as well as evaluation of scholarship quality and pertinence to our chosen narrative. The literature demonstrates Indigenous peoples do not receive health services that measure up to national standards in large part due to a marked lack of academic and employer preparation for nurses operating in transcultural settings. Inequities were apparent in recurrent reports of victim-blaming, deficient clinical communication with patients, clinical malpractice, devaluation of hypertension as a problem for Indigenous peoples, insufficient intercultural training for nurses, and discrimination against Indigenous students in nursing education programs. This systemic problem needs to be addressed by universities and the Indigenous Health Care Subsystem in Brazil.

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Perspectivas culturais sobre transmissão e tratamento da tuberculose entre os Xavánte de Mato Grosso, Brasil

Cited by 6 publications

References 5 publications

Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective

Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective

Cultural singularities: indigenous elderly access to Public Health Service

Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective

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