The role of civil society organizations in the institutionalization of indigenous medicine in Bolivia

Babis, Deby

doi:10.1016/j.socscimed.2014.07.034

Cited by 14 publications

(10 citation statements)

References 30 publications

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“…3,9,11 Before the 1960s, there was no governmental institution responsible for indigenous healthcare in Brazil. In 1967, the National Indian Foundation, linked to the Justice Ministry, was created.…”

Section: Literature Review Indigenous Healthcare In Brazilmentioning

confidence: 99%

“…3,6,11 The Indigenous Healthcare Policy also recommends special attention to indigenous people. In other words, the provision of care should focus on indigenous needs and integrate traditional native medicines.…”

Section: Literature Review Indigenous Healthcare In Brazilmentioning

confidence: 99%

“…[1][2][3] In Brazil, indigenous societies continue to experience the consequences of historical intervention from European colonization. The result is their social marginalization, particularly in relation to access to public health services.…”

Section: Introductionmentioning

confidence: 99%

“…The result is their social marginalization, particularly in relation to access to public health services. [2][3][4] Healthcare for indigenous populations is also affected by cultural, social, historical, economic, and political factors. Health workers involved in indigenous healthcare constantly face perspectives that differ from the classic biomedical model prevalent in Western societies.…”

Section: Introductionmentioning

confidence: 99%

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The work process and care production in a Brazilian indigenous health service

et al. 2017

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Processo de trabalho e produção do cuidado em um serviço de saúde indígena no BrasilProceso de trabajo y producción de la atención en una institución brasileña de salud indígena AbstrActObjective: To understand the constitutive elements of the work process and care production in an Indigenous Health Support Service. Methods: Case study. Systematic observation and semi-structured interviews were conducted in January and February of 2012. The participants were 10 nursing professionals of an Indigenous Health Support Center, located in Mato Grosso do Sul state, Brazil. The work process was used as a conceptual and analytical category. Results: Through interpretative analysis, the data were organized into three categories. The results showed that care production was focused on procedures and guided by rigid institutional rules and bureaucracy. The prioritization of institutional rules and procedures was detrimental to the provision of person-centered care. Conclusion: The temporary employment contracts and rigid bureaucratic organization generated a tense work environment. These aspects do not maximize the efforts of the nursing staff to provide person-centered care. resumen Objetivo: Comprender los elementos constitutivos del proceso de trabajo y la producción de la atención en una institución de apoyo a la salud indígena. Métodos: Estudio de caso realizado en una casa de apoyo de salud indígena, en Mato Grosso do Sul, Brasil. Fueron realizadas entrevistas semiestructuradas y la observación sistemática con 10 profesionales de enfermería. Se realizó el análisis temático, utilizando el proceso de trabajo como referencial teórico. Resultados: Emergieron tres categorías: la atención se centra en procedimientos técnicos y es guiada por burocracia y normas institucionales; hay una priorización de las normas; y procedimientos institucionales a expensas de la atención centrada en el sujeto. Conclusiones: El contrato de trabajo temporal y la organización burocrática producen un ambiente tenso en el trabajo, lo que no potencializa los esfuerzos del personal de enfermería en prestar una atención centrada al indígena.

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Section: Literature Review Indigenous Healthcare In Brazilmentioning

confidence: 99%

Section: Literature Review Indigenous Healthcare In Brazilmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The work process and care production in a Brazilian indigenous health service

et al. 2017

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“…Yet by the early 1990s, Bolivian state tactics had shifted from the assimilation of indigenous peoples to their recognition as rights‐bearing subjects—including the right to cultural practices like indigenous healing and midwifery. The shift was both a reflection of global trends—as numerous global agencies moved to recognize indigenous rights (Niezen )—and internal pressures—as traditional healer and midwifery federations mobilized for the legalization of their practices (Babis ; Nigenda et al. ).…”

Section: Hospital (Re)constructionsmentioning

confidence: 99%

There Is No Place Like Home: Imitation and the Politics of Recognition in Bolivian Obstetric Care

Morales

2018

Med Anthropol Q

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This article examines how efforts to "culturally adapt" birthing spaces in a rural Bolivian hospital are generating debates among doctors about what constitutes proper obstetric care. Working at the intersection of national and transnational projects, NGOs in Bolivia have remade the birthing rooms of some public health institutions to look more like a home, with the goal of making indigenous women feel more comfortable and encouraging them to come to the clinic to give birth. Yet narratives of transformation also obscure ongoing conditions of racial and gendered inequality in health services. I demonstrate how doctors' use of culturally adapted technologies enacts shifting affective relations-warm, cold, gentle, harsh-that draws on preoccupations with indigenous culture as a threat to maternal and infant life. In tracing practices of care, I argue that culturally adapted birthing in many ways extends historically rooted practices of doing biomedical work on indigenous bodies.

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Interventions to increase participation of NGOs in preventive care: A scoping review

Sajadi

Ghadirian

Rajabi

et al. 2022

Health Science Reports

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Background and Aims Nongovernmental organizations (NGOs) have enormous potential to effectively prevent and manage diseases; however, little research is available on interventions used to improve NGOs' participation in this area. A scoping review was conducted to identify options proposed or implemented to improve the participation of the NGOs in preventive care. Methods Pubmed, Web of Science, and ProQuest were extensively searched. Google Scholar was also searched to find potential studies related to the subject. Relevant keywords were used in the English language. The reference list of relevant studies was also scanned. Studies were screened with defined inclusion and exclusion criteria. Relevant data were then extracted. Two individuals independently screened and extracted studies. The interventions implemented or proposed to promote the participation of the NGOs in the implementation of preventive interventions were deductively identified and classified. Results Eighteen articles were included in our review. We identified 31 interventions and categorized them into 11 strategies, including (1) building strong collaboration among NGOs and with governments; (2) expanding networks and sustained relations among NGOs; (3) evaluating the NGOs' performance; (4) increasing intersectoral collaboration; (5) advocating for the role of NGOs; (6) supporting NGOs from the side of government; (7) empowering the abilities and capabilities of NGOs; (8) defining the precise roles and responsibilities of the parties; (9) strengthening the health system governance; (10) increasing the health literacy of the community; and (11) developing required regulations, rules, and policies. None of the interventions identified had evidence of its effectiveness. Conclusion The current evidence on effective interventions to strengthen NGOs' participation in implementing health care is scanty. It means there is an information gap in the effect of interventions to improve NGOs' participation in health.

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The role of civil society organizations in the institutionalization of indigenous medicine in Bolivia

Cited by 14 publications

References 30 publications

The work process and care production in a Brazilian indigenous health service

The work process and care production in a Brazilian indigenous health service

There Is No Place Like Home: Imitation and the Politics of Recognition in Bolivian Obstetric Care

Interventions to increase participation of NGOs in preventive care: A scoping review

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