Role of bilingual guides in access to health care among Indigenous Wayuu population of Colombia

Javier Mignone, Beda Suárez Aguilar, Aynslie Hinds, Yercine Duarte, Dorian Ospina, John Harold Gómez Vargas
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Abstract

Anas Wayuu is an Indigenous-led non-profit health insurance organization in Colombia. It provides health care coverage to approximately 220,000 people, mostly Indigenous Wayuu, the largest Indigenous population in Columbia, living in La Guajira, the northeast region of the country, and in neighboring Venezuela. Anas Wayuu offers several intercultural health initiatives, among them the inclusion of bilingual guides for Wayuu families. The objective of the study was to describe the use of Anas Wayuu’s bilingual guides and determine whether use was associated with access and quality of care. A 34-item survey was conducted in 2020 to 2021 with a final sample of 2,113 Anas Wayuu enrollees and non-enrollees. Study findings demonstrated the relevance of bilingual guides programming. They suggested that bilingual guides improved individual’s capabilities to navigate the health care system, increased access to care, and increased their experience of quality of care. The findings strengthen the case for Indigenous self-governance over health care.
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双语指南在哥伦比亚土著瓦尤族人获得保健服务方面的作用
Anas Wayuu是哥伦比亚土著居民领导的非营利健康保险组织。它为大约22万人提供医疗保健服务,其中大多数是居住在哥伦比亚东北部拉瓜希拉地区和邻国委内瑞拉的土著瓦尤人,他们是哥伦比亚最大的土著人口。Anas Wayuu提供了若干跨文化卫生倡议,其中包括为Wayuu家庭提供双语指南。本研究的目的是描述Anas Wayuu双语指南的使用情况,并确定使用是否与护理的可及性和质量有关。2020年至2021年进行了一项34项调查,最终样本为2113名阿纳斯瓦尤人登记和非登记。研究结果证明了双语导游节目的相关性。他们认为,双语指南提高了个人在卫生保健系统中导航的能力,增加了获得护理的机会,并增加了他们对护理质量的体验。调查结果加强了土著居民在保健方面实行自治的理由。
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CiteScore
2.40
自引率
10.50%
发文量
72
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