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Justice implications of health and food security policies for Indigenous peoples facing COVID-19: a qualitative study and policy analysis in Peru

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dc.contributor.author Chicmana Zapata, Victoria del Pilar
dc.contributor.author Arotoma-Rojas, Ingrid
dc.contributor.author Anza Ramírez, Cecilia Isabel
dc.contributor.author Ford, James
dc.contributor.author Galappaththi, Eranga K.
dc.contributor.author Pickering, Kerrie
dc.contributor.author Sacks, Emma
dc.contributor.author Togarepi, Cecil
dc.contributor.author Perera, Chrishma D.
dc.contributor.author van Bavel, Bianca
dc.contributor.author Hyams, Keith
dc.contributor.author Akugre, Francis A.
dc.contributor.author Nkalubo, Jonathan
dc.contributor.author Dharmasiri, Indunil
dc.contributor.author Nakwafila, Olivia
dc.contributor.author Mensah, Adelina
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Zavaleta-Cortijo, Carol
dc.coverage.spatial Satipo, Junín, Perú
dc.date.accessioned 2023-12-07T22:33:24Z
dc.date.available 2023-12-07T22:33:24Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14712
dc.description.abstract The spread of COVID-19 in Peru resulted in the declaration of a national health emergency, in which Indigenous peoples were identified as being particularly vulnerable due to their pre-existing poor health indicators and disadvantaged social conditions. The aim of this paper is to examine how the Peruvian government responded to the health and food needs of the Shawi and Ashaninka Indigenous peoples of Peru during the first 18 months of the pandemic (March 2020-August 2021). This study uses both official policy documents and real-world experiences to evaluate policy responses in terms of their immediate impact and their longer-term sustainability and contribution to the improvement of health, well-being and justice for Indigenous communities. Four health and food security responses were evaluated: the Amazon Health Plan and Indigenous Command; food aid; cash aid; and COVID-19 vaccination. We employed the Multidimensional Injustice Framework to analyse the justice implications of the design and implementation of responses. Data collection included 71 interviews with government officials (n = 7), Indigenous leaders (n = 31) and community members (n = 33). The results show how national and regional governments released policies to address the health and food needs of Indigenous peoples directly or indirectly, as part of a broader focus on vulnerable people. However, justice implications were not sufficiently addressed in the design or implementation of the responses. On the distributive dimension, Indigenous communities were prioritized to receive health goods and services, nevertheless, the distribution had shortcomings that impeded their collection and Indigenous food systems and livelihoods were largely overlooked. On the procedural dimension, Indigenous representatives were included to provide culturally sensitive feedback on health interventions, but without funding, and furthermore, the community members had only passive participation. This paper points out the importance of considering and addressing justice implications for more effective and fairer health and food policy responses to current and future health crises. en_US
dc.language.iso eng
dc.publisher Oxford University Press
dc.relation.ispartofseries Health Policy and Planning
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Indigenous en_US
dc.subject Justice en_US
dc.subject COVID-19 en_US
dc.subject Health en_US
dc.subject Food en_US
dc.subject.mesh COVID-19
dc.subject.mesh Pueblos Indígenas
dc.subject.mesh Justicia Social
dc.subject.mesh Salud
dc.subject.mesh Alimentos
dc.title Justice implications of health and food security policies for Indigenous peoples facing COVID-19: a qualitative study and policy analysis in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1093/heapol/czad051
dc.relation.issn 1460-2237


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