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Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador
Background: Indigenous populations are represented among the poor and disadvantaged in rural areas. High rates of infectious diseases are observed in indigenous child populations, and fever as a general symptom is common. Objective: We aim to improve the skills of healers in rural indigenous areas i...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001595/ https://www.ncbi.nlm.nih.gov/pubmed/36900933 http://dx.doi.org/10.3390/ijerph20053923 |
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author | Bautista-Valarezo, Estefanía Espinosa, Maria Elena Arce Guerrero, Narciza Eugenia Verhoeven, Veronique Hendrickx, Kristin Michels, Nele R. M. |
author_facet | Bautista-Valarezo, Estefanía Espinosa, Maria Elena Arce Guerrero, Narciza Eugenia Verhoeven, Veronique Hendrickx, Kristin Michels, Nele R. M. |
author_sort | Bautista-Valarezo, Estefanía |
collection | PubMed |
description | Background: Indigenous populations are represented among the poor and disadvantaged in rural areas. High rates of infectious diseases are observed in indigenous child populations, and fever as a general symptom is common. Objective: We aim to improve the skills of healers in rural indigenous areas in the South of Ecuador for managing children with fevers. Method: We performed participatory action research (PAR) for this study with 65 healers. Results: The PAR focused on the following four phases: (1) ‘observation,’ eight focus groups were used. (2) ‘planning’ phase was developed, and with culturally reflective peer group sessions, a culturally adapted flowchart was constructed titled “Management of children with fever.” In phase (3): ‘action’, the healers were trained to manage children with fever. Phase (4): ‘evaluation’, 50% of the healers used the flowchart. Conclusions: Explicit recognition of the need for traditional healers and health professionals in indigenous communities to work together to improve health indicators such as infant mortality exists. Additionally, strengthening the transfer system in rural areas is based on knowledge and cooperation between the community and the biomedical system. |
format | Online Article Text |
id | pubmed-10001595 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100015952023-03-11 Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador Bautista-Valarezo, Estefanía Espinosa, Maria Elena Arce Guerrero, Narciza Eugenia Verhoeven, Veronique Hendrickx, Kristin Michels, Nele R. M. Int J Environ Res Public Health Article Background: Indigenous populations are represented among the poor and disadvantaged in rural areas. High rates of infectious diseases are observed in indigenous child populations, and fever as a general symptom is common. Objective: We aim to improve the skills of healers in rural indigenous areas in the South of Ecuador for managing children with fevers. Method: We performed participatory action research (PAR) for this study with 65 healers. Results: The PAR focused on the following four phases: (1) ‘observation,’ eight focus groups were used. (2) ‘planning’ phase was developed, and with culturally reflective peer group sessions, a culturally adapted flowchart was constructed titled “Management of children with fever.” In phase (3): ‘action’, the healers were trained to manage children with fever. Phase (4): ‘evaluation’, 50% of the healers used the flowchart. Conclusions: Explicit recognition of the need for traditional healers and health professionals in indigenous communities to work together to improve health indicators such as infant mortality exists. Additionally, strengthening the transfer system in rural areas is based on knowledge and cooperation between the community and the biomedical system. MDPI 2023-02-22 /pmc/articles/PMC10001595/ /pubmed/36900933 http://dx.doi.org/10.3390/ijerph20053923 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bautista-Valarezo, Estefanía Espinosa, Maria Elena Arce Guerrero, Narciza Eugenia Verhoeven, Veronique Hendrickx, Kristin Michels, Nele R. M. Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador |
title | Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador |
title_full | Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador |
title_fullStr | Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador |
title_full_unstemmed | Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador |
title_short | Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador |
title_sort | improving the management of children with fevers by healers in native rural areas in the south of ecuador |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001595/ https://www.ncbi.nlm.nih.gov/pubmed/36900933 http://dx.doi.org/10.3390/ijerph20053923 |
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