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1. Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020).

Author

Sonia Vivian de Jezus, Adriana Ilha da Silva, Ricardo Alexandre Arcêncio, Nahari de Faria Marcos Terena, Jair Dos Santos Pinheiro, Daniel Souza Sacramento, Paula de Souza Silva Freitas, Priscila Carminati Siqueira, Helaine Jacinta Salvador Mocelin, Vania Maria Silva Araújo, Rogério da Silva Lima, Thiago Nascimento do Prado, Carolina Maia Martins Sales, and Ethel Leonor Noia Maciel

Subjects
Medicine, Science
Abstract

BackgroundThe provision of care and monitoring of health are essential for indigenous Venezuelans from the Warao ethnic group, who are at risk of decimation.ObjectiveAnalyze a Local Action Plan (LAP) to promote access to the health system of indigenous Venezuelans from the Warao ethnic group (IVWEG) in Manaus, Brazil.MethodA mixed-methods study was performed. Quantitative data were collected to assess the provision of care and monitoring of health conditions in IVWEG through a survey that was self-completed by healthcare providers. Qualitative narrative data were collected to gain insight into IVWEG that seek care. We applied descriptive statistics, grouping analysis (GA) by hierarchical levels, and multiple correspondence analysis (MCA). Content analysis was applied to qualitative data.Results106 healthcare providers participated in the study, with the following characteristics: 94 (88.7%) females, 67 (63.2%) pardo race/color, 40 (37.7%) working in primary healthcare, and 49 (46.2%) nurses. In addition, 43 (40.6%) of the healthcare providers reported providing care to IVWEG. Among the providers, 89 (84%) had received training for assisting IVWEG. Additionally, 30 IVWEG were enrolled for interviews in the qualitative phase. The barriers to seeking care were language, distance to health units, and lack of money for transportation. The LAP proved to facilitate access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus. The study contributed to knowledge on a LAP addressed to IVWEG and helped improved their access to the health system, providing appropriate training for healthcare providers and other relevant actors by implementing a coherent and consistent public health policy at the local level.

Published
2021
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2. Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)

Author

Ricardo Alexandre Arcêncio, Ethel Leonor Noia Maciel, Adriana Ilha da Silva, Helaine Jacinta Salvador Mocelin, Priscila Carminati Siqueira, Thiago Nascimento do Prado, Daniel Souza Sacramento, Carolina Maia Martins Sales, Paula de Souza Silva Freitas, Vania Maria Silva Araujo, Nahari de Faria Marcos Terena, Jair dos Santos Pinheiro, Rogério da Silva Lima, and Sonia Vivian de Jezus

Subjects
Bacterial Diseases, Health Care Providers, Science, MEDLINE, Ethnic group, Nurses, Social Sciences, Qualitative property, Human Geography, Geographical locations, Health Services Accessibility, Indigenous, Urban Geography, Medical Conditions, Nursing, Multiple correspondence analysis, Medicine and Health Sciences, Ethnicity, Tuberculosis, Health Services, Indigenous, Humans, Public and Occupational Health, Medical Personnel, Sociology, Cities, Allied Health Care Professionals, Health Care Policy, Multidisciplinary, Geography, Descriptive statistics, South America, Tropical Diseases, Socioeconomic Aspects of Health, Health Care, Professions, Infectious Diseases, Content analysis, Action plan, Earth Sciences, GRUPOS INDÍGENAS, Medicine, Population Groupings, Female, People and places, Brazil, Research Article
Abstract

Background The provision of care and monitoring of health are essential for indigenous Venezuelans from the Warao ethnic group, who are at risk of decimation. Objective Analyze a Local Action Plan (LAP) to promote access to the health system of indigenous Venezuelans from the Warao ethnic group (IVWEG) in Manaus, Brazil. Method A mixed-methods study was performed. Quantitative data were collected to assess the provision of care and monitoring of health conditions in IVWEG through a survey that was self-completed by healthcare providers. Qualitative narrative data were collected to gain insight into IVWEG that seek care. We applied descriptive statistics, grouping analysis (GA) by hierarchical levels, and multiple correspondence analysis (MCA). Content analysis was applied to qualitative data. Results 106 healthcare providers participated in the study, with the following characteristics: 94 (88.7%) females, 67 (63.2%) pardo race/color, 40 (37.7%) working in primary healthcare, and 49 (46.2%) nurses. In addition, 43 (40.6%) of the healthcare providers reported providing care to IVWEG. Among the providers, 89 (84%) had received training for assisting IVWEG. Additionally, 30 IVWEG were enrolled for interviews in the qualitative phase. The barriers to seeking care were language, distance to health units, and lack of money for transportation. The LAP proved to facilitate access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus. The study contributed to knowledge on a LAP addressed to IVWEG and helped improved their access to the health system, providing appropriate training for healthcare providers and other relevant actors by implementing a coherent and consistent public health policy at the local level.

Published
2021

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