2023-09-28 14:46:10 +00:00
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abstract: 'Introduction: The United Nations presented a set of Millennium
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Development Goals that aimed to improve social and economic development
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and eradicate poverty by 2015. Most low and middle-income countries will
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not meet these goals and today there is a need to set new development
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agenda, especially when it comes to health. The paper presents the
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findings from a community consultation process carried out within the
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Goals and Governance for Global Health (GO4Health) research consortium
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in Guatemala, which aims to identify community needs and expectations
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around public policies and health services.
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Methods: Through a participative and open consultation process with
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experts, civil society organizations and members of the research team,
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the municipalities of Tectitan and Santa Maria Nebaj were selected. A
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community consultation process was undertaken with community members and
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community leaders. Group discussions and in-depth interviews were
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conducted and later analyzed using thematic analysis, a qualitative
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method that can be used to analyze data in a way that allows for the
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identification of recurrent patterns that can be grouped into categories
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and themes, was used.
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Findings: Following the Go4Health framework''s domains for understanding
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health-related needs, the five themes identified were health, social
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determinants of health, essential health needs and their provision,
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roles and responsibilities of relevant stakeholders and community
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participation in decision-making. Participants reported high levels of
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discrimination related to ethnicity, to being poor and to living in
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rural areas. Ethnicity played a major role in how community members feel
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they are cared for in the health system.
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Conclusion: Achieving health goals in a context of deep-rooted
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inequality and marginalization requires going beyond the simple
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expansion of health services and working with developing trusting
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relationships between health service providers and community members.
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Involving community members in decision-making processes that shape
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policies will contribute to a larger process of community empowerment
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and democratization. Still, findings from the region show that tackling
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these issues may prove complicated and require going beyond the health
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system, as this lack of trust and discrimination has permeated to all
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public policies that deal with indigenous and rural populations.'
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affiliation: 'Ruano, AL (Corresponding Author), Univ Bergen, Ctr Int Hlth, Bergen,
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Norway.
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Lorena Ruano, Ana, Univ Bergen, Ctr Int Hlth, Bergen, Norway.
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Lorena Ruano, Ana; Sanchez, Silvia; Jose Jerez, Fernando; Flores, Walter, Ctr Estudios
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Gobernanza Sistemas Salud, Guatemala City, Guatemala.'
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article-number: '57'
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author: Lorena Ruano, Ana and Sanchez, Silvia and Jose Jerez, Fernando and Flores,
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Walter
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author-email: ana.lorena.ruano@cih.uib.no
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author_list:
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- family: Lorena Ruano
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given: Ana
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- family: Sanchez
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given: Silvia
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- family: Jose Jerez
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given: Fernando
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- family: Flores
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given: Walter
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da: '2023-09-28'
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doi: 10.1186/1475-9276-13-57
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eissn: 1475-9276
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files: []
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journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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keywords: 'Guatemala; Community participation; Community consultations; Go4Health;
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Millennium development goals; Sustainable development goals'
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language: English
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month: OCT 10
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number-of-cited-references: '34'
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orcid-numbers: Ruano, Ana Lorena/0000-0003-3913-4228
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papis_id: 3fad851dea1e53272512eaceaa633a31
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ref: Lorenaruano2014makingpostmdg
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researcherid-numbers: Ruano, Ana Lorena/AAA-1656-2021
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times-cited: '10'
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title: 'Making the post-MDG global health goals relevant for highly inequitable societies:
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findings from a consultation with marginalized populations in Guatemala'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000345533000001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '11'
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volume: '13'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2014'
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