Hernández SJM, Cardona PM, Montoya ÁS, Vargas HC, Torres CE

Language: Spanish
References: 12
Page: 40-44
PDF size: 160.03 Kb.

ABSTRACT

Indigenous peoples are a very vulnerable population group to contract tuberculosis (TB) disease; The incidence of TB in Colombia during 2020 was 27 per 100 thousand inhabitants, while in the indigenous peoples of Choco it has been reported at 192 per 100 thousand inhabitants. This work shows the results of a qualitative study, with an ethnographic approach, in which the unstructured interview, participant observation and field diary were used to know and understand the cultural practices of the emberá dobidá people regarding this disease.
For the emberá dobidá of Choco, TB known in their language as osso jai has a spiritual origin, in which an evil “spirit” is involved that enters the body, destroying the lung, until causing death. The reasons why this “spirit” enters the body are two: for transgressing any collective norm that threatens the territory (punishment); or by a “done thing”, that is, obeying the bad intention of someone who sends this “spirit”. The treatment for its cure is in charge of the jaibaná, who must expel the spirit through a ritual.
This town does not consider that TB is transmitted between people, which can favor its spread. The symbolic efficacy of the treatment ritual used generates beneficial effects on patients. It would be important to establish a dialogue of knowledge that complements this traditional knowledge and allows and improves the control of the disease.

REFERENCES

1. World Health Organization, Global tuberculosis report 2021, Ginebra, who, 2021.

2. Romero-Hernández, C., “Creencias y consecuencias socialesde la tuberculosis pulmonar en dos comunidadesindígenas del estado de Oaxaca”, Rev Inst Nal Enf RespMex, 1999, 12 (4): 235-249.

3. Welch, J.R. y Coimbra, C.E.A., “Perspectivas culturaissobre transmissão e tratamento da tuberculose entreos Xavánte de Mato Grosso, Brasil”, Cadernos de SaúdePública, 2011, 27 (1): 190-194.

4. Organización Panamericana de la Salud, Enfoque intercultural,prevención de la tuberculosis en pueblosindígenas, ops, Bogotá, 2010, Serie Buenas Prácticas enSalud Pública en Colombia.

5. Restrepo, E., Técnicas Etnográficas iii: Escritura etnográfica.Métodos y técnicas de investigación en cienciassociales, fucla, 2010.

6. Organización Mundial de la Salud, Preguntas más frecuentes,Ginebra, oms. Consultado el 15 de octubre de2023. Disponible en: https://www.who.int/es/about/frequently-asked-questions.

7. Cardona-Arias, J.A., Rivera-Palomino, Y. y Carmona-Fonseca,J., “Expresión de la interculturalidad en salud enun pueblo emberá-chamí de Colombia”, Revista Cubanade Salud Pública, 2015, 41 (1): 77-93. Consultado el15 de octubre de 2023. Disponible en: https://www.redalyc.org/articulo.oa?id=21438819008.

8. Leyton, D., “La beneficencia médica como eficacia simbólica.Etnografía en la gota de leche de Santiago deChile”, Revista Chilena de Antropología, 2021, (43): 187-202. Consultado el 15 de octubre de 2023. Disponibleen: https://doi.org/10.5354/0719-1472.2021.64439.

9. Basta, P.C., “Survey for tuberculosis in an indigenouspopulation of Amazonia: the Suruı of Rondonia, Brazil”,Transactions of the Royal Society of Tropical Medicineand Hygiene, 2006, 100 (6): 579-585.

10. León-Giraldo, H., Rivera-Lozada, O., Castro-Alzate, E.S.,Aylas-Salcedo, R., Pacheco-López, R. y Bonilla-Asalde,C.A., “Factors associated with mortality with tuberculosisdiagnosis in indigenous populations in Peru 2015-2019”, Int J Environ Res Public Health, 2022, 19 (22):15019. doi: 10.3390/ijerph192215019. pmid: 36429736;pmcid: pmc9690768.

11. Belo, E.N., Orellana, J.D., Levino, A. y Basta, P.C., “Tuberculosenos municípios amazonenses da fronteira Brasil-Colômbia-Peru-Venezuela: situação epidemiológicae fatores associados ao abandono”, Rev Panam SaludPublica, 2013, 34 (5): 321-329. pmid: 24553759.

12. Culqui, D.R., Trujillo, O.V., Cueva, N., Aylas, R., Salaverry,O. y Bonilla, C., “Tuberculosis en la población indígenadel Perú 2008”, Rev Peru Med Exp Salud Publica, 2010,27 (1): 8-15. doi: 10.1590/s1726-46342010000100003.PMID: 21072444.