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Objective. To determine the prevalence and risk factors for syphilis transmission of the male indigenous population of Paraguay during 2017. Materials and methods. An observational, descriptive cross-sectional study was conducted with multi-epic stratified probabilistic sampling. They were included in the study indigenous male, over 15 years of age, of five linguistic families resident in Paraguay during the study period. Results. The prevalence of syphilis in men of the indigenous population of Paraguay was 4.50%. Indigenous people who were 15 to 20 years old had 2.70 times the probability of presenting syphilis, as well as the participants who reported multiple partners in the last year, transaccional sex and consumed alcohol in the last sexual intercourse had 2.69, 3.06 and 2.16 times the probability of presenting syphilis. Conclusions. A moderate prevalence of syphilis was found in the male indigenous population. In turn, an opportunity was found twice more to acquire syphilis infection for those who had more than two sexual partners, transactional sex and those who involved alcohol during sexual practice. [ABSTRACT FROM AUTHOR]

Objective. To reflect on the process of committing to participation in the implementation of a health strategic plan, using Participative Systematization of Social Experiences as a tool. Materials and methods. Our study was a qualitative research-intervention study, based on the Dialectical Methodological Conception approach. We designed and implemented a two-day workshop, six hours daily, using Systematization methodology with a Community Work Group (CWG). During the workshop, women systematized their experience, with compromise as axis of the process. Using Grounded Theory techniques, we applied micro-analysis to data in order to identify and strengthen categories that emerged during the systematization process. We completed open and axial coding. Results. The CWG identified that commitment and participation itself is influenced by group dynamics and structural determinants. They also reconsidered the way they understood and exercised commitment and participation, and generated knowledge, empowering them to improve their future practice. Conclusions. Commitment and participation were determined by group dynamics and structural factors such as socioeconomic conditions and gender roles. These determinants must be visible and understood in order to generate proposals that are aimed at strengthening the participation and organization of groups.

Objective. To discuss the role of indigenous health agents in the implementation of the model of differentiated attention or intercultural health in Brazil. Materials and methods. We revised the scientific literature about the work and professional education of indigenous health agents in the Brazilian indigenous health system. Results. There is a subordination of the agents to the hegemonic medical model. With regards to professional education, we observe the absence and irregularity of these processes, with a general emphasis the biomedicine. There are conflicts with the health team and community, with devaluation of the agents. The agent does not plays the role of mediator between the different health knowledge and practices. Conclusions. We suggest that the discussion of the model of differentiated attention should strengthen the relationship between the health system and the selfcare.

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Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)