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Table 1 Summary Information of each Case Study

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 Indígena del Cauca/Asociación Indígena 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