Pueblos indígenas y sistemas de salud: participación local en el contexto de las reformas neoliberales y multiculturales en Colombia.

This article proposes elements to analyzethe possibilities and modalities of an effective participation of indigenous peoples in the local adaptation of health systems within the framework of neoliberal and multicultural reforms. These reforms haveconditioned in the last 20 years the developmentof the Colombian health system, but they have alsoconditioned the role played by all stakeholders. Indigenous peoples are conceived here both as agentsof the system, and as users. It is stated that intercultural models of health care must be built from a necessary integral socio-spatial approach to wellbeing,since indigenous conceptions of health are inextricably linked with “being well” as a resulting element ofthe socio-environmental dynamics including beingwell and having a good territory, having livelihoods,maintaining the social order, among other factors.Social participation remains a central topic in theconfiguration of local health systems. Nevertheless,in spite of the increasing participation spaces andmechanisms, economic and political “global” dynamics prevail over the health system and the effectiveness of this social participation.

• Tipo de recurso: Article of journal
• Fecha de publicación: 2019
• Institución: Universidad Católica de Pereira
• Repositorio: Repositorio Institucional - RIBUC
• Idioma: spa
• OAI Identifier: oai:repositorio.ucp.edu.co:10785/15543
• Acceso en línea: https://revistas.ucp.edu.co/index.php/textosysentidos/article/view/1015; http://hdl.handle.net/10785/15543
• Rights: openAccess
• License: Derechos de autor 2019 Textos y Sentidos