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Nuya kankantawa (we are feeling healthy): Understandings of health and wellbeing among Shawi of the Peruvian Amazon

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dc.contributor.author Bussalleu Cavero, Alejandra Estefania
dc.contributor.author King, Nia
dc.contributor.author Pizango, Pedro
dc.contributor.author Ford, James
dc.contributor.author Cárcamo Cavagnaro, César Paul Eugenio
dc.contributor.author Harper, Sherilee L.
dc.contributor.author IHACC Research Team
dc.date.accessioned 2021-10-04T23:00:59Z
dc.date.available 2021-10-04T23:00:59Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9865
dc.description.abstract Promoting and supporting Indigenous health includes ensuring health services reflect local concepts of health. There is, therefore, a need to better understand context-specific Indigenous understandings of health in order to design culturally appropriate health services. To this end, this study characterized two Shawi communities' understandings of what it means to be healthy. Using a community-based participatory research approach, 40 semi-structured interviews and a series of informal interviews were conducted and analysed thematically, using a constant comparative method. The Shawi definition of health extended beyond individual physical welfare and focused on emotional, collective, and environmental wellbeing. The primary factors underlying Shawi perceptions of health and wellbeing included providing for the family, ensuring the welfare of others, maintaining positive social relationships, preserving traditional values and practices, and living harmoniously with the natural environment. Conversely, Shawi classified illnesses according to their cause or treatment. These included illnesses caused by sorcery, those caused by spirits of the forest, and ‘new diseases,’ that first appeared in the communities when they were contacted by the Western civilization, for which no traditional remedies existed. Consequently, according to Shawi, sociocultural, environmental, and climatic changes are posing imminent health threats. This study highlights the differences between biomedical and Indigenous Shawi health understandings, and therefore emphasizes the importance of acknowledging and embracing Shawi culture and beliefs within the formal healthcare system en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Social Science and Medicine
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Amazonia en_US
dc.subject health belief en_US
dc.subject Health beliefs en_US
dc.subject health services en_US
dc.subject Indigenous en_US
dc.subject indigenous population en_US
dc.subject Peru en_US
dc.subject public health en_US
dc.subject Public health en_US
dc.subject Shawi en_US
dc.title Nuya kankantawa (we are feeling healthy): Understandings of health and wellbeing among Shawi of the Peruvian Amazon en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.socscimed.2021.114107
dc.relation.issn 1873-5347


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