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Challenges of design, implementation, acceptability, and potential for, biomedical technologies in the Peruvian Amazon

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dc.contributor.author Bressan, Tiana
dc.contributor.author Valdivia-Gago, Andrea
dc.contributor.author Silvera Ccallo, Rosa Mercedes
dc.contributor.author Llanos Cuentas, Elmer Alejandro
dc.contributor.author Cóndor Camara, Daniel Flavio
dc.contributor.author Padilla-Huamantinco, Pierre G.
dc.contributor.author Vilcarromero, Stalin
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Zavaleta Cortijo, Claudia Carol
dc.date.accessioned 2023-01-06T13:40:11Z
dc.date.available 2023-01-06T13:40:11Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12985
dc.description.abstract Background: Biomedical technologies have the potential to be advantageous in remote communities. However, information about barriers faced by users of technology in general and in remote Indigenous communities is scarce. The purpose of this study was to characterize the leading challenges faced by researchers who have used biomedical technologies in the Peruvian Amazon. Methods: This exploratory, qualitative study with a phenomenological approach depicts the lived experience of participants who were researchers with experience working with biomedical technologies in the Peruvian Amazon in the past five years. Analysis was based on three core themes: design, implementation, and acceptability. Sub-themes included environment, community, and culture. Of the 24 potential participants identified and contacted, 14 agreed to participate, and 13 met inclusion criteria and completed semi-structured interviews. Results were sent to each participant with the opportunity to provide feedback and partake in a 30-minute validation meeting. Five participants consented to a follow-up meeting to validate the results and provide further understanding. Results: Participants recognized significant challenges, including technologies designed out-of-context, difficulty transporting the technologies through the Amazon, the impact of the physical environment (e.g., humidity, flooding), and limited existing infrastructure, such as electricity and appropriately trained health personnel. Participants also identified cultural factors, including the need to address past experiences with technology and health interventions, understand and appropriately communicate community benefits, and understand the effect of demographics (e.g., age, education) on the acceptance and uptake of technology. Complementary challenges, such as corruption in authority and waste disposal, and recommendations for technological and health interventions such as co-design were also identified. Conclusions: This study proposes that technological and health interventions without efforts to respect local cultures and health priorities, or understand and anticipate contextual challenges, will not meet its goal of improving access to healthcare in remote Amazon communities. Furthermore, the implications of corruption on health services, and improper waste disposal on the environment may lead to more detrimental health inequities. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries International Journal for Equity in Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Biomedical engineering en_US
dc.subject Technology en_US
dc.subject Challenges en_US
dc.subject Healthcare access en_US
dc.subject Amazon en_US
dc.subject Peru en_US
dc.title Challenges of design, implementation, acceptability, and potential for, biomedical technologies in the Peruvian Amazon en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12939-022-01773-7
dc.relation.issn 1475-9276


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