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[对墨西哥(1990 - 2016年)与原住民健康、传统医学和跨文化性相关公共政策的批判性审视]

[A critical examination of public policies related to indigenous health, traditional medicine, and interculturality in Mexico (1990-2016)].

作者信息

Navarro Roberto Campos, Sánchez Edith Yesenia Peña, Maya Alfredo Paulo

机构信息

Doctor en Antropología. Profesor titular y coordinador, Posgrado de Antropología en Salud, Universidad Nacional Autónoma de México, México.

Doctora en Antropología. Investigadora, Instituto Nacional de Antropología e Historia; docente, Posgrado de Antropología en Salud, Universidad Nacional Autónoma de México, México.

出版信息

Salud Colect. 2017 Jul-Sep;13(3):443-455. doi: 10.18294/sc.2017.1115.

DOI:10.18294/sc.2017.1115
PMID:29340511
Abstract

Over the last 26 years, the Mexican government has developed a number of activities and discourses around what has been called "intercultural health," directed especially at indigenous peoples in Mexico (some 62, according to linguistic criteria). In this way, the government has built health care institutions (rural centers, clinics, and hospitals) in states like Puebla, Nayarit, Oaxaca, Chiapas, Queretaro, and Jalisco, proposing the implementation of cultural pertinence indicators (which are minimal and inadequate). Nevertheless, the health conditions among indigenous populations and the quality of health care provided by public institutions continue to be precarious in terms of human and material resources (health personnel, drugs, etc.) and discriminatory with respect to the form and content of the provided services. This paper describes some of the governmental interventions that purport to be institutional improvements in the field of interculturality, but that actually represent the continuity of arbitrary and exclusive policies.

摘要

在过去26年里,墨西哥政府围绕所谓的“跨文化健康”开展了一系列活动并进行了诸多论述,这些活动尤其针对墨西哥的原住民(根据语言标准约有62个群体)。通过这种方式,政府在普埃布拉、纳亚里特、瓦哈卡、恰帕斯、克雷塔罗和哈利斯科等州建立了医疗保健机构(农村中心、诊所和医院),并提议实施文化相关性指标(这些指标极少且不充分)。然而,就人力和物力资源(卫生人员、药品等)而言,原住民的健康状况以及公共机构提供的医疗保健质量仍然不稳定,并且在提供服务的形式和内容方面存在歧视性。本文描述了一些政府干预措施,这些措施旨在改善跨文化领域的机构状况,但实际上却代表了任意和排他性政策的延续。

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