Meanings of ‘Tuberculosis’ in Rural Indigenous Communities from a Municipality in the Colombian Amazon
DOI:
https://doi.org/10.17533/udea.iee.v35n2a05Keywords:
Health knowledge, attitudes, practice, tuberculosis, focus groups, qualitative research, indigenous population.Abstract
Objective. The purpose herein was to describe the meanings on tuberculosis (TB) in rural indigenous communities from a municipality in the Colombian Amazon.
Methods. This was an ethnographic study with theoretical reference of dialectical hermeneutics, which created focus groups, one for each rural community of Puerto Nariño, for a total of 15 focus groups. The participants were community leaders and health referents.
Results. Seventy-nine subjects participated, mostly midwives, kurakas, traditional physicians, and shamans. The analysis yielded four categories: knowledge of TB, attitudes regarding TB, community practices of TB, and the intervention proposal on TB by the participants. It was found that community leaders recognize TB as a disease that can cause death, but which can be cured if timely care is secured. The study also identified the need to conjugate western medicine with traditional medicine.
Conclusion. It is recognized that meanings may impact upon knowledge, attitudes, and practices that affect early detection and treatment of the disease. In addition, this work corroborates the need to strengthen and develop educational programs on tuberculosis supported by the real needs of the communities to enhance their knowledge, attitudes, and practices on the disease
How to cite this article: Muñoz AI, Rubiano YL. Meanings of ‘Tuberculosis’ in Rural Indigenous Communities from a Municipality in the Colombian Amazon. Invest. Educ. Enferm. 2017; 35(2): 165-173.
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(1) World Health Organization. Global tuberculosis Report [Internet]. 2016 [cited Apr 4, 2017]. Switzerland. Available from: http://reliefweb.int/sites/reliefweb.int/files/resources/gtbr2016_main_text.pdf
(2) Culqui DR, Trujillo OV, Cueva N, Aylas R, Salaverry O, Bonilla C. Tuberculosis en la población indígena del Perú 2008. Rev. Peru Md. Exp. Salud Pública. 2010; 27(1): 8-15.
(3) Orzuza ST. Problemas de salud de niñas y niños indígenas. Mejorar sus condiciones de vida para garantizar el derecho a la salud. Direito em Debate. 2013; 24 (44):91-117.
(4) Herrera T. Grupos de riesgo para tuberculosis en Chile. Rev. Chil. Infectol. 2015; 32(1):15-8.
(5) Sánchez M, López AM. Tuberculosis, experiencia de cinco años en el territorio indígena de Cabécar de Chirripó. Rev Med Costa Rica. 2011; 68(597):223-7.
(6) Instituto Nacional de Salud. Boletín Epidemiológico Semanal. 2016; (Semana 36):30-32.
(7) Así vamos en salud. Tasa de mortalidad por Tuberculosis [Internet]. 2016 [cited Apr 4, 2017]. Available from: http://www.asivamosensalud.org/indicadores/estado-de-salud/tasa-de-mortalidadpor-tuberculosis-georeferenciado
(8) Muñoz AI, Cruz OA, Rubiano YL. Trabajadores de la salud y sus significados en torno a la adherencia al tratamiento de la tuberculosis. Enferm. Global. 2013; 31:86-108.
(9) Gianella C, Ugarte-Gil C, Caro G, Aylas R, Castro C, Lema C. TB in Vulnerable Populations: The Case of an Indigenous Community in the Peruvian Amazon. Health Hum. Rights; 2016; 18(1):55-68.
(10) Barros D, Costa R, De Albuquerque BC, Sadahiro M, Ueleres J. The socioeconomic factors and the indigenous component of the tuberculosis in Amazonas. PLOS ONE. 2016; 11(6):1-10.
(11) Escobar J, Bonilla FI. Grupos focales: una guía conceptual y metodológica. Cuad. Hispanoam. Psicol. 2010; 9(1):51-67.
(12) Da Silva DS, Colomé CL, Heck T, Da Silva MN, Viero V. Grupo focal y análisis de contenido en investigación cualitativa. Index Enferm. 2015; 24(1-2):71-5.
(13) Muñoz AI, Rubiano YL, Laza C, Cruz OA. Introducción a la metodología de la investigación cualitativa: la perspectiva hermenéutica dialéctica. In: Experiencia de Investigación Cualitativa en Salud: adherencia al tratamiento de la tuberculosis. Bogotá: Universidad Nacional de Colombia; 2011. P: 23-35.
(14) De Sousa PV, Ferreira MJ, Basta PC. Ethnic and racial inequalities in notified cases of tuberculosis in Brasil. PLOS ONE. 2016; 11(5): e0154658.
(15) Viney KA, Johnson P, Tagaro M, Fanai S, Linh NN, Kelly P, et al., Tuberculosis patients knowledge and beliefs about tuberculosis: a mixed methods study from the Pacific Island nation of Vanuatu. BMC Public Health. 2014; 14:467.
(16) Cardona J, Hernández A. Conocimientos, actitudes y prácticas en tuberculosis en indígenas zenúes y habitantes de una zona rural colombiana. Cienc. Salud. 2013; 11(2):159-73.
(17) Colvin C, Mugyabuso J, Munuo G, Lyimo J, Oren E, Mkomwa Z, et al., Evaluation of communitybased interventions to improve TB case detection in a rural district of Tanzania. Global Health Sci. Pract. 2014; 2(2):219-25.
(18) Giraldo DP, Malacarne J, Corréa LC, Couto C, Bastos LA, Basta PC. Tuberculose em indígenas da Amazônia brasileira: estudo epidemiológico na região do Alto Rio Negro. Rev. Panam. Salud Pública. 2013; 33(1):22-9.
(19) Hasen FN. Interculturalidad en salud: Competencias en prácticas de salud con población indígena. Cienc. Enferm. 2012; 18(3):17-24.
(20) Gerbasi R, De Almeida J, Ruffino A, Duarte L, Medeiros AT, Scatena TC. La búsqueda activa de sintomáticos respiratorios para el control de la tuberculosis en el escenario indígena Potiguara, estado de Paraíba, Brasil. Rev Latino-Am Enferm. 2010; 18(6): 1-8.
(21) Herce ME, Chapman JA, Castro A, García G, Khoshnood K. A Role for Community Health Promoters in Tuberculosis Control in the State of Chiapas, Mexico. J. Community Health. 2010; 35(2):182-9.
(22) Patiño AE, Sandín M. Dialogue and respect: the basis for constructing an intercultural health system for indigenous communities in Puerto Nariño, Amazonas, Colombia. Salud Colectiva. 2014; 10(3):379-96.
(23) Álvarez GG, Van DD, Colquhoun H, Sanita M, Graham ID. Developing and Field Testing a Community Based Youth Initiative to Increase Tuberculosis Awareness in Remote Arctic Inuit Communities. PLOS ONE. 2016; 11(7): e0159241.
(24) Naascimento E, Yamall J, Levino A, Basta P. Tuberculose nos municípios amazonenses da fronteira Brasil-Colômbia-Peru-Venezuela: situação epidemiológica e fatores associados ao abandono. Rev. Panam. Salud Pública. 2013; 34(5):321-9.
(25) Scopel D, Paiva R, Langdon EJ. Actuación de los agentes indígenas de Salud en la Tierra Indígena Kwata-naranjal, Amazonas-Brasil. Cad. Saúde Pública. 2015; 31(12):2559-68.
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