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