de Jezus Sonia Vivian, Ilha da Silva Adriana, Alexandre Arcêncio Ricardo, de Faria Marcos Terena Nahari, Dos Santos Pinheiro Jair, Souza Sacramento Daniel, de Souza Silva Freitas Paula, Carminati Siqueira Priscila, Mocelin Helaine Jacinta Salvador, Maria Silva Araújo Vania, da Silva Lima Rogério, Nascimento do Prado Thiago, Maia Martins Sales Carolina, Noia Maciel Ethel Leonor
Graduate Studies Program in Public Health, Universidade Federal do Espírito Santo, Vitória, Espírito Santo, Brazil.
Instituto de Ciências da Saúde, Universidade Federal de Mato Grosso, Sinop, Mato Grosso, Brazil.
PLoS One. 2021 Nov 15;16(11):e0259189. doi: 10.1371/journal.pone.0259189. eCollection 2021.
The provision of care and monitoring of health are essential for indigenous Venezuelans from the Warao ethnic group, who are at risk of decimation.
Analyze a Local Action Plan (LAP) to promote access to the health system of indigenous Venezuelans from the Warao ethnic group (IVWEG) in Manaus, Brazil.
A mixed-methods study was performed. Quantitative data were collected to assess the provision of care and monitoring of health conditions in IVWEG through a survey that was self-completed by healthcare providers. Qualitative narrative data were collected to gain insight into IVWEG that seek care. We applied descriptive statistics, grouping analysis (GA) by hierarchical levels, and multiple correspondence analysis (MCA). Content analysis was applied to qualitative data.
106 healthcare providers participated in the study, with the following characteristics: 94 (88.7%) females, 67 (63.2%) pardo race/color, 40 (37.7%) working in primary healthcare, and 49 (46.2%) nurses. In addition, 43 (40.6%) of the healthcare providers reported providing care to IVWEG. Among the providers, 89 (84%) had received training for assisting IVWEG. Additionally, 30 IVWEG were enrolled for interviews in the qualitative phase. The barriers to seeking care were language, distance to health units, and lack of money for transportation. The LAP proved to facilitate access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus. The study contributed to knowledge on a LAP addressed to IVWEG and helped improved their access to the health system, providing appropriate training for healthcare providers and other relevant actors by implementing a coherent and consistent public health policy at the local level.
对面临灭绝风险的委内瑞拉瓦劳族原住民而言，提供医疗保健和健康监测至关重要。
分析一项地方行动计划（LAP），以促进巴西马瑙斯的瓦劳族委内瑞拉原住民（IVWEG）获得卫生系统服务。
开展了一项混合方法研究。通过医疗服务提供者自行填写的调查问卷收集定量数据，以评估IVWEG的医疗保健提供情况和健康状况监测。收集定性叙述性数据，以深入了解寻求医疗服务的IVWEG。我们应用了描述性统计、分层分组分析（GA）和多重对应分析（MCA）。对定性数据进行了内容分析。
106名医疗服务提供者参与了该研究，其特征如下：94名（88.7%）为女性，67名（63.2%）为混血种族/肤色，40名（37.7%）在初级医疗保健机构工作，49名（46.2%）为护士。此外，43名（40.6%）医疗服务提供者报告为IVWEG提供过护理。在这些提供者中，89名（84%）接受过协助IVWEG的培训。此外，在定性阶段有30名IVWEG参与了访谈。寻求医疗服务的障碍包括语言、到卫生机构的距离以及缺乏交通费用。事实证明，该地方行动计划有助于马瑙斯的瓦劳族委内瑞拉原住民获得卫生系统服务。该研究为有关针对IVWEG的地方行动计划的知识做出了贡献，并有助于改善他们获得卫生系统服务的机会，通过在地方层面实施连贯一致的公共卫生政策，为医疗服务提供者和其他相关行为者提供适当培训。
