American cutaneous leishmaniasis among Xakriaba indians: images, ideas, conceptions, and strategies for prevention and control

作者:Costa Santos Juliana Lucia; Melo Marilene de Barros; Ferreira Raquel Aparecida; Quintao Fonseca Ana Flavia; Ferreira Vargas Michely de Lima; Ferreira Gontijo Celia Maria
来源:Saude e Sociedade, 2014, 23(3): 1033-1048.
DOI:10.1590/S0104-12902014000300024

摘要

American cutaneous leishmaniasis (ACL) is an infectious disease expanding in Xakriaba indigenous community, located in northern Minas Gerais. The ACL is a important public health problem due to poor living conditions of indigenous, high incidence and disorders that causes the life of affected individuals. This study aimed to identify the images, ideas, conceptions, attitudes and conditions related to practices of prevention and care of ACL in the indigenous community Xakriaba. This is an action research qualitative approach, interviews were conducted with: indigenous leaders, health professionals, managers in the field of health and education; Focus groups were conducted with:health professionals and education, as well as users of the Unified Health System. Speeches were recorded by signature a Letter of Consent. The recordings were transcribed and analyzed using the technique of content analysis. The content seized from the speeches outlined the following categories:images, ideas and conceptions about the disease; understanding of the elements disease cycle; socioeconomic and cultural aspects that hinder prevention. It was evident that the prevention and control of ACL in Indian Village Xakriaba is not a simple problem to be solved. Thus, educational activities are important tools for understanding the disease, formulation and implementation of prevention strategies. Therefore, it is important apprehension about the conceptions, images and ideas that people have about the disease, before any intervention in the community, in order to create control and prevention strategies together with them.

  • 出版日期2014-9

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