Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)

<h4>Background</h4> The provision of care and monitoring of health are essential for indigenous Venezuelans from the Warao ethnic group, who are at risk of decimation. <h4>Objective</h4> Analyze a Local Action Plan (LAP) to promote access to the health system of indigenous Ve...

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Autores principales:	Sonia Vivian de Jezus, Adriana Ilha da Silva, Ricardo Alexandre Arcêncio, Nahari de Faria Marcos Terena, Jair dos Santos Pinheiro, Daniel Souza Sacramento, Paula de Souza Silva Freitas, Priscila Carminati Siqueira, Helaine Jacinta Salvador Mocelin, Vania Maria Silva Araújo, Rogério da Silva Lima, Thiago Nascimento do Prado, Carolina Maia Martins Sales, Ethel Leonor Noia Maciel
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/97b2ed9baac543c1b7f9035473320120
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spelling	oai:doaj.org-article:97b2ed9baac543c1b7f90354733201202021-11-25T06:10:55ZLocal action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)1932-6203https://doaj.org/article/97b2ed9baac543c1b7f90354733201202021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592448/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> The provision of care and monitoring of health are essential for indigenous Venezuelans from the Warao ethnic group, who are at risk of decimation. <h4>Objective</h4> Analyze a Local Action Plan (LAP) to promote access to the health system of indigenous Venezuelans from the Warao ethnic group (IVWEG) in Manaus, Brazil. <h4>Method</h4> A mixed-methods study was performed. Quantitative data were collected to assess the provision of care and monitoring of health conditions in IVWEG through a survey that was self-completed by healthcare providers. Qualitative narrative data were collected to gain insight into IVWEG that seek care. We applied descriptive statistics, grouping analysis (GA) by hierarchical levels, and multiple correspondence analysis (MCA). Content analysis was applied to qualitative data. <h4>Results</h4> 106 healthcare providers participated in the study, with the following characteristics: 94 (88.7%) females, 67 (63.2%) pardo race/color, 40 (37.7%) working in primary healthcare, and 49 (46.2%) nurses. In addition, 43 (40.6%) of the healthcare providers reported providing care to IVWEG. Among the providers, 89 (84%) had received training for assisting IVWEG. Additionally, 30 IVWEG were enrolled for interviews in the qualitative phase. The barriers to seeking care were language, distance to health units, and lack of money for transportation. The LAP proved to facilitate access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus. The study contributed to knowledge on a LAP addressed to IVWEG and helped improved their access to the health system, providing appropriate training for healthcare providers and other relevant actors by implementing a coherent and consistent public health policy at the local level.Sonia Vivian de JezusAdriana Ilha da SilvaRicardo Alexandre ArcêncioNahari de Faria Marcos TerenaJair dos Santos PinheiroDaniel Souza SacramentoPaula de Souza Silva FreitasPriscila Carminati SiqueiraHelaine Jacinta Salvador MocelinVania Maria Silva AraújoRogério da Silva LimaThiago Nascimento do PradoCarolina Maia Martins SalesEthel Leonor Noia MacielPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sonia Vivian de Jezus Adriana Ilha da Silva Ricardo Alexandre Arcêncio Nahari de Faria Marcos Terena Jair dos Santos Pinheiro Daniel Souza Sacramento Paula de Souza Silva Freitas Priscila Carminati Siqueira Helaine Jacinta Salvador Mocelin Vania Maria Silva Araújo Rogério da Silva Lima Thiago Nascimento do Prado Carolina Maia Martins Sales Ethel Leonor Noia Maciel Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)
description	<h4>Background</h4> The provision of care and monitoring of health are essential for indigenous Venezuelans from the Warao ethnic group, who are at risk of decimation. <h4>Objective</h4> Analyze a Local Action Plan (LAP) to promote access to the health system of indigenous Venezuelans from the Warao ethnic group (IVWEG) in Manaus, Brazil. <h4>Method</h4> A mixed-methods study was performed. Quantitative data were collected to assess the provision of care and monitoring of health conditions in IVWEG through a survey that was self-completed by healthcare providers. Qualitative narrative data were collected to gain insight into IVWEG that seek care. We applied descriptive statistics, grouping analysis (GA) by hierarchical levels, and multiple correspondence analysis (MCA). Content analysis was applied to qualitative data. <h4>Results</h4> 106 healthcare providers participated in the study, with the following characteristics: 94 (88.7%) females, 67 (63.2%) pardo race/color, 40 (37.7%) working in primary healthcare, and 49 (46.2%) nurses. In addition, 43 (40.6%) of the healthcare providers reported providing care to IVWEG. Among the providers, 89 (84%) had received training for assisting IVWEG. Additionally, 30 IVWEG were enrolled for interviews in the qualitative phase. The barriers to seeking care were language, distance to health units, and lack of money for transportation. The LAP proved to facilitate access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus. The study contributed to knowledge on a LAP addressed to IVWEG and helped improved their access to the health system, providing appropriate training for healthcare providers and other relevant actors by implementing a coherent and consistent public health policy at the local level.
format	article
author	Sonia Vivian de Jezus Adriana Ilha da Silva Ricardo Alexandre Arcêncio Nahari de Faria Marcos Terena Jair dos Santos Pinheiro Daniel Souza Sacramento Paula de Souza Silva Freitas Priscila Carminati Siqueira Helaine Jacinta Salvador Mocelin Vania Maria Silva Araújo Rogério da Silva Lima Thiago Nascimento do Prado Carolina Maia Martins Sales Ethel Leonor Noia Maciel
author_facet	Sonia Vivian de Jezus Adriana Ilha da Silva Ricardo Alexandre Arcêncio Nahari de Faria Marcos Terena Jair dos Santos Pinheiro Daniel Souza Sacramento Paula de Souza Silva Freitas Priscila Carminati Siqueira Helaine Jacinta Salvador Mocelin Vania Maria Silva Araújo Rogério da Silva Lima Thiago Nascimento do Prado Carolina Maia Martins Sales Ethel Leonor Noia Maciel
author_sort	Sonia Vivian de Jezus
title	Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)
title_short	Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)
title_full	Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)
title_fullStr	Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)
title_full_unstemmed	Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)
title_sort	local action plan to promote access to the health system by indigenous venezuelans from the warao ethnic group in manaus, brazil: analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/97b2ed9baac543c1b7f9035473320120
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Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020)

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