From: Best practices in intercultural health: five case studies in Latin America
 | Suriname | Guatemala | Chile | Ecuador | Colombia |
---|---|---|---|---|---|
Case Study | Medical Mission & Amazon Conservation Team clinics in Trio villages. | Comadronas (Midwives) Association in Comalapa, Kaslen Foundation, health center | Makewe Pelale Hospital, Boroa Health Centre, Mapuche Pharmacy | Jambi Huasi Clinic/Midwife Association/Yachac Association | Consejo Regional IndÃgena del Cauca/Asociación IndÃgena del Cauca/Instituciones Prestadores de Servicios de Salud |
Place | Kwamalasamutu & Pëlele Tëpu | Comalapa & surrounding areas | Temuco & surrounding areas | Otavalo & surrounding areas | Popayan & other areas in Cauca region |
Description of Initiatives | -Western medical clinic & Traditional Shaman's clinic operate independently in remote indigenous villages. -Joint collaborations: workshops, mutual referrals, etc. | -Comadronas association supported by a local health promotion NGO (Kaslen) provide approximately 85% of childbirth services to Mayan women in remote areas -Comadronas receive training from government health centre | -Makewe Hospital and Boroa Health Centre run by Mapuche indigenous organizations offer both western medical services and traditional services with funding for western services provided by national government. Indigenous services are supported by both patients and administrative savings. -Mapuche operated Pharmacy in Temuco sells traditional medicines | -Jambi Huasi Clinic provides western and indigenous health services simultaneously in private fee-for service clinic. Fees for both western and indigenous healers are modest and identical. Patients select appropriate service and cross-referrals occur regularly. -Collaborates with Indigenous Midwife Association -Collaborates with Yachac's (traditional healers) Association | -Health Insurance Company (owned and operated by the indigenous regional council) enrolls indigenous clients and purchases indigenous and western services on their behalf from Health services providers mostly owned and operated by indigenous organizations. |
Individual Interviews | 10 | 10 | 7 | 12 | 10 |
Group Interviews /Meetings | 12 | 7 | 11 | 14 | 12 |
Total participants | 73 | 57 | 39 | 96 | 93 |
Community Events | None | None | 1 (250 people) | 1 (50 people) | 1 (150 people) |
Locations Observed | 8 | 9 | 7 | 5 | 12 |
Documents/data files | 12 | 12 | 42 | 25 | 23 |