Universidad Peruana Cayetano Heredia

Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Peru

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dc.contributor.author Calderon, Maria
dc.contributor.author Alvarado-Villacorta, Rosa
dc.contributor.author Barrios, Miguel
dc.contributor.author Quiroz-Robladillo, Devy
dc.contributor.author Guzman Naupay, Doris Rocio
dc.contributor.author Obregon, Ana
dc.contributor.author Calderon Chavez, Sthefanny
dc.contributor.author Glaser, Lisa
dc.contributor.author Carnero, Andres M.
dc.contributor.author Cortez-Vergara, Carla
dc.contributor.author Iglesias Quilca, David
dc.contributor.author Colque Gonzales, Jose
dc.contributor.author Moore, David Alexander James
dc.date.accessioned 2019-07-04T17:00:15Z
dc.date.available 2019-07-04T17:00:15Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/6814
dc.description.abstract BACKGROUND: Health needs and access to health care is a huge challenge in developing countries, especially in some isolated indigenous communities. Amantani is an island located at 3854m above sea level in Lake Titicaca, Peru. There is no official date on key local health needs and determinants, which precludes the prioritization and efficient implementation of health interventions. The objective of this study is to validate a health need assessment tool and ascertain the main health needs of the indigenous high-altitude population living on Amantani. METHODS: We conducted a cross-sectional study to describe the health needs of the indigenous population of Amantani using a questionnaire based on the "Peruvian Demographic and Health Survey". The questionnaire underwent expert and field-work validation. We selected a random sample of the island residents using two-stage cluster sampling. We estimated the prevalence of key health needs and determinants, and evaluated their distribution by age, sex and education through prevalence ratio. All analyses accounted for the complex sampling design. RESULTS: We surveyed 337 individuals (223 adults and 144 children) in 151 houses. The most frequent health needs were: (i) lack of access to medical screening for a)non-communicable diseases (>63.0%) and b)eye problems (76.5%); and (ii) poor knowledge about communicable diseases (>54.3%), cancer (71.4%) and contraception (>32.9%). Smoking and alcohol use was more frequent in males (PR=4.70 IC95%:1.41-15.63 and PR=1.69 95% CI:1.27-2.25, respectively). People with higher education had more knowledge about TB/HIV and cancer prevention (p<0.05). Regarding children's health, >38% have never undergone eye or dental examination. Corporal punishment and physical bullying at school in the last month were relatively common (23 and 33%, respectively). CONCLUSION: The main health needs in Amantani are related to poor healthcare access and lack of awareness of disease prevention. Our findings can be used to develop and implement efficient health interventions to improve the health and quality of life of indigenous populations living in the islands in Southern Peru/Northern Bolivia. 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 Amantani en_US
dc.subject Peru en_US
dc.subject Health need assessment en_US
dc.subject Indigenous en_US
dc.title Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Peru en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1186/s12939-019-0993-3
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1475-9276


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