"有什么意义,当我们已经死了?" 对秘鲁亚马逊土著人民的COVID-19公共政策的实施挑战:一个连续的多方法定性研究
Andrea Valdivia-Gago1, Patricia J García2, Sherilee L Harper3
1Intercultural Citizenship and Indigenous Health Unit (UCISI), Universidad Peruana Cayetano Heredia, Lima, Peru.
PloS one
|January 9, 2026
概括
秘鲁 秘鲁 秘鲁 秘鲁 是一个
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 土著健康土著健康
背景情况:
- 秘鲁亚马逊地区的COVID-19政策缺乏针对土著人民的实际文件.
- 了解政策实施对于弱势群体至关重要.
研究的目的:
- 评估秘鲁亚马逊土著人民的COVID-19政策的实际实施情况.
- 确定政策交付中的挑战和促进者.
主要方法:
- 使用政策文件审查 (n=20) 和采访卫生和文化官员 (n=13) 的定性研究.
- 在Loreto和Junin地区的顺序混合方法方法.
- 三角化自上而下的政策分析和自下而上的实践者经验.
主要成果:
- 政策往往缺乏跨文化指导,监测指标和专门预算.
- 实施者报告了预算问题,供应延迟和连接障碍,优先考虑数据而不是护理.
- 偏远地区面临更大的挑战;土著联盟的参与在洛雷托有所帮助,但资金参与在Junin.有限.
结论:
- 疫情防控需要制度化的跨文化方法和可持续的资金.
- 与土著组织共同设计,专门预算和明确的问责制对于未来的卫生紧急情况至关重要.
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