Manríquez-Hizaut Mónica N, Lagos-Fernández Cristián, Rebolledo-Sanhuesa Jame, Figueroa-Huencho Verónica
MM: Kinesióloga. M. Sc. Salud Pública, Profesora Asistente Departamento de Kinesiología, Universidad de Chile. Santiago, Chile.
CL: Antropólogo. Kinesiólogo. Doctor en Filología, Profesor Asociado Universidad de Chile. Santiago, Chile. kinelagos@uchile.
Rev Salud Publica (Bogota). 2018 Nov 1;20(6):759-763. doi: 10.15446/rsap.V20n6.65625.
In 1992, Chile implemented for the first time a health program for indigenous peoples, the Health Program for the Mapuche Population (PROMAP), whose objective was to provide health care with cultural relevance, favoring the complementarity between the indigenous medical systems and the official system The current version of this initiative - named PESPI - has managed to reach almost all the Health Services in the country with this approach. The review that the academic world has made of these experiences, based on public health or medical anthropology, has focused on the analysis of the initiatives taken in rural indigenous contexts, from the point of view of the difficulties they have had to face and the meaning of the interculturality in health that they have managed to consolidate. However, little has been said about this program in urban contexts (currently, a space which our indigenous peoples are occupying progresively) or from the point of view of the notions of interculturality in health that they imply. Considering the above, the article offers a thematic review of national and international scientific publications on the subject, a critical analysis of intercultural health programs developed in Chile and a reflection on their challenges in the framework of urban indigenous dynamics.
1992年，智利首次为原住民实施了一项健康计划，即马普切人口健康计划（PROMAP），其目标是提供具有文化相关性的医疗保健，促进本土医疗体系与官方医疗体系之间的互补。该倡议的当前版本——名为PESPI——已通过这种方式覆盖了该国几乎所有的医疗服务机构。学术界基于公共卫生或医学人类学对这些经验进行的审视，聚焦于从农村原住民背景下所采取举措面临的困难以及他们所巩固的健康领域跨文化性的意义这一视角进行分析。然而，对于城市背景下的这个计划（目前，我们的原住民正日益占据这一空间）或从它们所蕴含的健康领域跨文化性概念的角度，却鲜有提及。鉴于上述情况，本文对关于该主题的国内外科学出版物进行了专题综述，对智利开展的跨文化健康计划进行了批判性分析，并对它们在城市原住民动态发展框架下所面临的挑战进行了思考。
