PMID: 11322753Apr 27, 2001Paper

Assessing community health among indigenous populations in Ecuador with a participatory approach: implications for health reform

Journal of Community Health
B Puertas, M Schlesser

Abstract

Health reform is an important movement in countries throughout the region of the Americas, which could profoundly influence how basic health services are provided and who receives them. Goals of health sector reform include to improve quality, correct inefficiencies, and reduce inequities in current systems. The latter may be especially important in countries with indigenous populations, which are thought to suffer from excess mortality and morbidity related to poverty. The purpose of this paper is to report the results of a community health assessment conducted in 26 indigenous communities in the Province of Cotopaxi in rural Ecuador. It is hoped that this information will inform the health reform movement by adding to the current understanding of the health and socioeconomic situation of indigenous populations in the region while emphasizing a participatory approach toward understanding the social forces impacting upon health. This approach may serve as a model for empowering people through collective action. Recommended health reform strategies include: 1) Develop a comprehensive plan for health improvement in conjunction with stakeholders in the general population, including representatives of minority groups; 2) Conduct re...Continue Reading

Citations

Sep 7, 2007·Journal of Ethnobiology and Ethnomedicine·Javier MignoneTreena Orchard
Dec 21, 2007·Journal of Community Health Nursing·Alice RunningLauren Woodward Tolle
Jul 31, 2008·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Sok-Goo Lee, So-Youn Jeon
Oct 28, 2011·Cadernos de saúde pública·Naydú Acosta RamírezRonald Labonté
Jan 25, 2006·The Breast Journal·Benjamin O AndersonUNKNOWN Global Summit Health Care Systems and Public Policy Panel
Mar 24, 2009·The Journal of Ambulatory Care Management·Sonia Ruiz Chiriboga
May 23, 2006·Globalization and Health·William F Waters

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