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Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective

OBJECTIVE: To analyze explanations for tuberculosis and therapeutic itineraries of Brazilian indigenous people. METHODS: Case study with a qualitative-descriptive approach. We conducted semi-structured interviews with 11 Munduruku indigenous, including direct observation of treatment for tuberculosi...

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Autores principales: Nogueira, Laura Maria Vidal, Teixeira, Elizabeth, Basta, Paulo Cesar, da Motta, Maria Catarina Salvador
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760712/
https://www.ncbi.nlm.nih.gov/pubmed/26815161
http://dx.doi.org/10.1590/S0034-8910.2015049005904
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author Nogueira, Laura Maria Vidal
Teixeira, Elizabeth
Basta, Paulo Cesar
da Motta, Maria Catarina Salvador
author_facet Nogueira, Laura Maria Vidal
Teixeira, Elizabeth
Basta, Paulo Cesar
da Motta, Maria Catarina Salvador
author_sort Nogueira, Laura Maria Vidal
collection PubMed
description OBJECTIVE: To analyze explanations for tuberculosis and therapeutic itineraries of Brazilian indigenous people. METHODS: Case study with a qualitative-descriptive approach. We conducted semi-structured interviews with 11 Munduruku indigenous, including direct observation of treatment for tuberculosis in the municipality of Jacareacanga, south-western region of the state of Para, Brazil. To identify explanations for tuberculosis and therapeutic itineraries, we performed thematic content analysis. RESULTS: Traditional medicine was the first therapeutic option chosen by the indigenous. However, biomedicine was also employed, which indicates a circulation between different therapeutic contexts and health concepts among the Munduruku. The explanations provided ranged from recognition of the signs and symptoms specific to tuberculosis to the attribution of the disease to a spirit that leaves the body and wanders in the woods, returning ill into the body. Unlike the biomedical model, which links tuberculosis transmission strictly to interpersonal contact, in closed spaces without natural lighting and ventilation (preferably domestic environments), the Munduruku associate the disease to an indirect contact between people socially distant (enemies or adversaries) in public and open places. CONCLUSIONS: The explanations made by the indigenous are unique and deserve the attention of those who are responsible for developing health public policies, as well as of the teams who work on the villages. To guarantee an efficient control of tuberculosis in these regions, it is necessary that the developed actions integrate biomedicine knowledge and the traditional medicine of the indigenous people, in addition to respecting and welcoming local culture manifestations.
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spelling pubmed-47607122016-03-04 Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective Nogueira, Laura Maria Vidal Teixeira, Elizabeth Basta, Paulo Cesar da Motta, Maria Catarina Salvador Rev Saude Publica Original Article OBJECTIVE: To analyze explanations for tuberculosis and therapeutic itineraries of Brazilian indigenous people. METHODS: Case study with a qualitative-descriptive approach. We conducted semi-structured interviews with 11 Munduruku indigenous, including direct observation of treatment for tuberculosis in the municipality of Jacareacanga, south-western region of the state of Para, Brazil. To identify explanations for tuberculosis and therapeutic itineraries, we performed thematic content analysis. RESULTS: Traditional medicine was the first therapeutic option chosen by the indigenous. However, biomedicine was also employed, which indicates a circulation between different therapeutic contexts and health concepts among the Munduruku. The explanations provided ranged from recognition of the signs and symptoms specific to tuberculosis to the attribution of the disease to a spirit that leaves the body and wanders in the woods, returning ill into the body. Unlike the biomedical model, which links tuberculosis transmission strictly to interpersonal contact, in closed spaces without natural lighting and ventilation (preferably domestic environments), the Munduruku associate the disease to an indirect contact between people socially distant (enemies or adversaries) in public and open places. CONCLUSIONS: The explanations made by the indigenous are unique and deserve the attention of those who are responsible for developing health public policies, as well as of the teams who work on the villages. To guarantee an efficient control of tuberculosis in these regions, it is necessary that the developed actions integrate biomedicine knowledge and the traditional medicine of the indigenous people, in addition to respecting and welcoming local culture manifestations. Faculdade de Saúde Pública da Universidade de São Paulo 2016-01-14 /pmc/articles/PMC4760712/ /pubmed/26815161 http://dx.doi.org/10.1590/S0034-8910.2015049005904 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Nogueira, Laura Maria Vidal
Teixeira, Elizabeth
Basta, Paulo Cesar
da Motta, Maria Catarina Salvador
Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective
title Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective
title_full Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective
title_fullStr Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective
title_full_unstemmed Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective
title_short Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective
title_sort therapeutic itineraries and explanations for tuberculosis: an indigenous perspective
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760712/
https://www.ncbi.nlm.nih.gov/pubmed/26815161
http://dx.doi.org/10.1590/S0034-8910.2015049005904
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