Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective

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dc.contributor.authorNogueira, Laura Maria Vidal
dc.contributor.authorTeixeira, Elizabeth
dc.contributor.authorBasta, Paulo Cesar
dc.contributor.authorMotta, Maria Catarina Salvador da
dc.creator.affilliationUniversidade do Estado do Pará. Departamento de Enfermagem Comunitária. Belém, PA, Brasilen_US
dc.creator.affilliationUniversidade do Estado do Pará. Departamento de Enfermagem Comunitária. Belém, PA, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Endemias. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationUniversidade Federal do Rio de Janeiro. Escola de Enfermagem Anna Nery. Departamento de Saúde Pública. Rio de Janeiro, RJ, Brasilen_US
dc.date.accessioned2019-10-08T17:23:54Z
dc.date.available2019-10-08T17:23:54Z
dc.date.issued2015
dc.description.abstractenOBJECTIVE To analyze explanations for tuberculosis and therapeutic itineraries of Brazilian indigenous people. METHODS Case study with a qualitative-descriptive approach. We conducted semi-structured interviews with 11 Munduruku indigenous, including direct observation of treatment for tuberculosis in the municipality of Jacareacanga, south-western region of the state of Para, Brazil. To identify explanations for tuberculosis and therapeutic itineraries, we performed thematic content analysis. RESULTS Traditional medicine was the first therapeutic option chosen by the indigenous. However, biomedicine was also employed, which indicates a circulation between different therapeutic contexts and health concepts among the Munduruku. The explanations provided ranged from recognition of the signs and symptoms specific to tuberculosis to the attribution of the disease to a spirit that leaves the body and wanders in the woods, returning ill into the body. Unlike the biomedical model, which links tuberculosis transmission strictly to interpersonal contact, in closed spaces without natural lighting and ventilation (preferably domestic environments), the Munduruku associate the disease to an indirect contact between people socially distant (enemies or adversaries) in public and open places. CONCLUSIONS The explanations made by the indigenous are unique and deserve the attention of those who are responsible for developing health public policies, as well as of the teams who work on the villages. To guarantee an efficient control of tuberculosis in these regions, it is necessary that the developed actions integrate biomedicine knowledge and the traditional medicine of the indigenous people, in addition to respecting and welcoming local culture manifestations.en_US
dc.identifier10.1590/S0034-8910.2015049005904
dc.identifier0034-8910 1518-8787
dc.identifier.citationNOGUEIRA, Laura Maria Vidal. et al. Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective. Revista de Saúde Pública, v. 49, n. 96, p. 1-7, 2015.en_US
dc.identifier.doi10.1590/S0034-8910.2015049005904
dc.identifier.issn0034-8910
dc.identifier.issn1518-8787
dc.identifier.urihttps://repositorio.bvspovosindigenas.fiocruz.br/handle/bvs/1204
dc.language.isopor
dc.publisherFaculdade de Saúde Pública da Universidade de São Pauloen_US
dc.rightsopen accessen_US
dc.subject.decsBrasilen_US
dc.subject.decsSaúde de Populações Indígenasen_US
dc.subject.decsÍndios Sul-Americanosen_US
dc.subject.decsEcossistema Amazônicoen_US
dc.subject.decsMedicina Tradicionalen_US
dc.subject.decsPesquisa Qualitativaen_US
dc.subject.decsConhecimentos, Atitudes e Prática em Saúdeen_US
dc.subject.decsMundurukuen_US
dc.subject.decsBiomedicinaen_US
dc.subject.otherBrasilen_US
dc.subject.otherÍndios Sul-Americanosen_US
dc.subject.otherRegião Norteen_US
dc.subject.otherSaúde de Populações Indígenasen_US
dc.subject.otherRegião Amazônicaen_US
dc.subject.otherParáen_US
dc.subject.otherDSEI Rio Tapajósen_US
dc.subject.otherTuberculoseen_US
dc.subject.otherMedicina Tradicionalen_US
dc.subject.otherMundurukuen_US
dc.subject.otherBiomedicinaen_US
dc.subject.otherPesquisa Qualitativaen_US
dc.subject.otherConhecimentos, Atitudes e Prática em Saúdeen_US
dc.subject.otherSistemas Médicosen_US
dc.subject.otherItinerários Terapêuticosen_US
dc.titleTherapeutic itineraries and explanations for tuberculosis: an indigenous perspectiveen_US
dc.typeArticleen_US
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