Estrategias para el funcionamiento integral de los servicios de salud para la comunidad indígena Nükak del Guaviare

Abstract

The NUKAK are a nomadic tribe of northeastern Amazon, located in the department of Guaviare which bases its survival on hunting and gathering practices primarily. Since its contact with the majority society, this population has been found threatened in its survival as a tribe, in particular because of the characteristics of the settler population that entered to their territory and the armed conflict that impacts them causing death and displacement, with this plus the social, political and economic situation of a new department as the Guaviare and its institutions; being NUKAK’s health one of the hardest victims in the middle of this complex context. Given this need, it is imperative to create a strategy for the integrated operation of the specified health services to this community, to recognize in one hand, the local reality and its influence in that town and by other, the perception that people have about health, analyzing the context of the nukaks from a state of arts and how they feel based on surveys from married women in this town. This study is a novel expression and intercultural Primary care from health promotion and disease prevention, the operativity of the first and second level of care, diagnosis, rehabilitation, and comprehensive integrated and integral networks, participation and intersectorial adapted to NUKAK’s culture that articulated, are the strategy for the overall operation of the health service for the NUKAK people from San José del Guaviare.