“Two Cultures in Favor of a Dying Patient”: Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon
In the Brazilian Amazon, deaths and disabilities from snakebite envenomations (SBEs) are a major and neglected problem for the indigenous population. However, minimal research has been conducted on how indigenous peoples access and utilize the health system for snakebite treatment. A qualitative stu...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Toxins |
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| Online Access: | https://www.mdpi.com/2072-6651/15/3/194 |
| _version_ | 1797608754483560448 |
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| author | Felipe Murta Eleanor Strand Altair Seabra de Farias Felipe Rocha Alícia Cacau Santos Evellyn Antonieta Tomé Rondon Ana Paula Silva de Oliveira Hiran Satiro Souza da Gama Yasmim Vieira Rocha Gisele dos Santos Rocha Mena Ferreira Vinícius Azevedo Machado Marcus Lacerda Manuela Pucca Felipe Cerni João Ricardo Nickenig Vissoci Anna Tupetz Charles J. Gerardo Ana Maria Moura-da-Silva Fan Hui Wen Jacqueline Sachett Wuelton Monteiro |
| author_facet | Felipe Murta Eleanor Strand Altair Seabra de Farias Felipe Rocha Alícia Cacau Santos Evellyn Antonieta Tomé Rondon Ana Paula Silva de Oliveira Hiran Satiro Souza da Gama Yasmim Vieira Rocha Gisele dos Santos Rocha Mena Ferreira Vinícius Azevedo Machado Marcus Lacerda Manuela Pucca Felipe Cerni João Ricardo Nickenig Vissoci Anna Tupetz Charles J. Gerardo Ana Maria Moura-da-Silva Fan Hui Wen Jacqueline Sachett Wuelton Monteiro |
| author_sort | Felipe Murta |
| collection | DOAJ |
| description | In the Brazilian Amazon, deaths and disabilities from snakebite envenomations (SBEs) are a major and neglected problem for the indigenous population. However, minimal research has been conducted on how indigenous peoples access and utilize the health system for snakebite treatment. A qualitative study was conducted to understand the experiences of health care professionals (HCPs) who provide biomedical care to indigenous peoples with SBEs in the Brazilian Amazon. Focus group discussions (FGDs) were carried out in the context of a three-day training session for HCPs who work for the Indigenous Health Care Subsystem. A total of 56 HCPs participated, 27 in Boa Vista and 29 in Manaus. Thematic analysis resulted in three key findings: Indigenous peoples are amenable to receiving antivenom but not to leaving their villages for hospitals; HCPs require antivenom and additional resources to improve patient care; and HCPs strongly recommend a joint, bicultural approach to SBE treatment. Decentralizing antivenom to local health units addresses the central barriers identified in this study (e.g., resistance to hospitals, transportation). The vast diversity of ethnicities in the Brazilian Amazon will be a challenge, and additional studies should be conducted regarding preparing HCPs to work in intercultural contexts. |
| first_indexed | 2024-03-11T05:49:08Z |
| format | Article |
| id | doaj.art-416e14257ea043ad8d2bb11bc321addd |
| institution | Directory Open Access Journal |
| issn | 2072-6651 |
| language | English |
| last_indexed | 2024-03-11T05:49:08Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Toxins |
| spelling | doaj.art-416e14257ea043ad8d2bb11bc321addd2023-11-17T14:14:10ZengMDPI AGToxins2072-66512023-03-0115319410.3390/toxins15030194“Two Cultures in Favor of a Dying Patient”: Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian AmazonFelipe Murta0Eleanor Strand1Altair Seabra de Farias2Felipe Rocha3Alícia Cacau Santos4Evellyn Antonieta Tomé Rondon5Ana Paula Silva de Oliveira6Hiran Satiro Souza da Gama7Yasmim Vieira Rocha8Gisele dos Santos Rocha9Mena Ferreira10Vinícius Azevedo Machado11Marcus Lacerda12Manuela Pucca13Felipe Cerni14João Ricardo Nickenig Vissoci15Anna Tupetz16Charles J. Gerardo17Ana Maria Moura-da-Silva18Fan Hui Wen19Jacqueline Sachett20Wuelton Monteiro21Escola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilDepartment of Emergency Medicine, Duke University School of Medicine, Durham, NC 27708, USAEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilDiretoria de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus 69040-000, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilCurso de Medicina, Universidade Federal de Roraima, Boa Vista 69310-000, BrazilCurso de Medicina, Universidade Federal de Roraima, Boa Vista 69310-000, BrazilDepartment of Emergency Medicine, Duke University School of Medicine, Durham, NC 27708, USADepartment of Emergency Medicine, Duke University School of Medicine, Durham, NC 27708, USADepartment of Emergency Medicine, Duke University School of Medicine, Durham, NC 27708, USAInstituto Butantan, São Paulo 05503-900, BrazilInstituto Butantan, São Paulo 05503-900, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, BrazilIn the Brazilian Amazon, deaths and disabilities from snakebite envenomations (SBEs) are a major and neglected problem for the indigenous population. However, minimal research has been conducted on how indigenous peoples access and utilize the health system for snakebite treatment. A qualitative study was conducted to understand the experiences of health care professionals (HCPs) who provide biomedical care to indigenous peoples with SBEs in the Brazilian Amazon. Focus group discussions (FGDs) were carried out in the context of a three-day training session for HCPs who work for the Indigenous Health Care Subsystem. A total of 56 HCPs participated, 27 in Boa Vista and 29 in Manaus. Thematic analysis resulted in three key findings: Indigenous peoples are amenable to receiving antivenom but not to leaving their villages for hospitals; HCPs require antivenom and additional resources to improve patient care; and HCPs strongly recommend a joint, bicultural approach to SBE treatment. Decentralizing antivenom to local health units addresses the central barriers identified in this study (e.g., resistance to hospitals, transportation). The vast diversity of ethnicities in the Brazilian Amazon will be a challenge, and additional studies should be conducted regarding preparing HCPs to work in intercultural contexts.https://www.mdpi.com/2072-6651/15/3/194snakebite envenomationsantivenomindigenous peoplesaccess to health careBrazilian Amazonintercultural health care |
| spellingShingle | Felipe Murta Eleanor Strand Altair Seabra de Farias Felipe Rocha Alícia Cacau Santos Evellyn Antonieta Tomé Rondon Ana Paula Silva de Oliveira Hiran Satiro Souza da Gama Yasmim Vieira Rocha Gisele dos Santos Rocha Mena Ferreira Vinícius Azevedo Machado Marcus Lacerda Manuela Pucca Felipe Cerni João Ricardo Nickenig Vissoci Anna Tupetz Charles J. Gerardo Ana Maria Moura-da-Silva Fan Hui Wen Jacqueline Sachett Wuelton Monteiro “Two Cultures in Favor of a Dying Patient”: Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon Toxins snakebite envenomations antivenom indigenous peoples access to health care Brazilian Amazon intercultural health care |
| title | “Two Cultures in Favor of a Dying Patient”: Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon |
| title_full | “Two Cultures in Favor of a Dying Patient”: Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon |
| title_fullStr | “Two Cultures in Favor of a Dying Patient”: Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon |
| title_full_unstemmed | “Two Cultures in Favor of a Dying Patient”: Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon |
| title_short | “Two Cultures in Favor of a Dying Patient”: Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon |
| title_sort | two cultures in favor of a dying patient experiences of health care professionals providing snakebite care to indigenous peoples in the brazilian amazon |
| topic | snakebite envenomations antivenom indigenous peoples access to health care Brazilian Amazon intercultural health care |
| url | https://www.mdpi.com/2072-6651/15/3/194 |
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