针对墨西哥土著人口的健康倡议:批判性视角
Alejandra Maldonado-Esquer1, Blanca Estela Pelcastre-Villafuerte2, Sergio Meneses-Navarro3
1Center for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico.
Health research policy and systems
|January 24, 2026
概括
墨西哥政府的卫生倡议经常使用跨文化方法,但未能解决土著人民 (IP) 的结构性不平等问题. 然而,社区主导的倡议显著改善了土著妇女的健康和权利.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 土著研究土著研究.
背景情况:
- 墨西哥政府的举措旨在利用跨文化视角解决土著人民 (IP) 的健康问题.
- 然而,关注文化方面可能会忽视健康不平等的结构性决定因素.
- 20世纪80年代以来的政治和制度变化影响了将IP纳入国家卫生议程.
研究的目的:
- 在2000年至2012年期间,对墨西哥的知识产权健康倡议进行批判性分析.
- 评估包括土著领导人参与和跨文化视角的倡议.
主要方法:
- 定性批判分析. 定性批判分析.
- 四个选定的倡议的多源文档审查.
- 分析的重点是涉及土著领袖的举措和明确的跨文化方法.
主要成果:
- 政府的举措 (APV,PROSANI,EEM) 延续了文化本质主义,并没有使助产士等传统医学从业者受益.
- 20多年来,基于社区的CAMIA倡议为土著妇女的健康和权利赋予了力量.
结论:
- 跨文化在许多举措中充当了国家辩论战略的合法化.
- 计划中的设计,实施和动力动态决定了它们的变革潜力.
- 关键的跨文化和基于社区的方法对于改善土著妇女的健康和自决是至关重要的.
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