Article

Las barreras de acceso a los servicios de salud en la población indígena de Rabinal en Guatemala

Salud publica de Mexico (Impact Factor: 0.94). 04/2007; 49(2). DOI: 10.1590/S0036-36342007000200003
Source: OAI

ABSTRACT

Objetivo. Identificar y documentar las barreras de acceso a los servicios de salud en la población indígena de Rabinal en Guatemala. Material y métodos. Se privilegió el análisis cualitativo y la recopilación de datos se realizó en Rabinal durante dos meses (Guatemala). Se realizaron quince entrevistas semi dirigidas a indígenas achís y cinco entrevistas a profesionales de la salud. Un grupo de discusión fue formado para validar la información recogida durante las entrevistas individuales; la retranscripción de éstas y la compilación de los datos permitieron hacer el análisis de contenido. Resultados. Las barreras de acceso están interrelacionadas y las barreras geográficas están relacionadas con la distancia y con la escasez de transporte; las barreras económicas son los precios de las consultas y de los medicamentos, además, entre las barreras culturales, la lengua española es un obstáculo. Los indígenas tienen otra concepción de la medicina y de los tratamientos y se quejan en ocasiones de trato abusivo por parte de los profesionales sanitarios. A su vez, los profesionales de la salud reconocen que el trauma de la guerra está presente y critican las malas condiciones de vida y la falta de recursos. Conclusiones. Los servicios de salud no son adecuados ni suficientes para responder a las necesidades de la población local.

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