



{"id":2467,"count":17,"description":"<span style=\"font-weight: 400\">The Amazon rainforest covers about 47% of South America \u2014equivalent to 79% of the area of Europe\u2014 and is shared by 9 countries. The Colombian Amazon represents more than 40% of the continental area of the country, however, this region, despite being at the center of many current discourses, continues to be ignored in practice. The Amazon is often thought of as an untamed and barren jungle, the lungs of the world, devastated at dramatic rates by legal and illegal economic activities. However, for millennia, the region has been inhabited by indigenous peoples who coexist with all the dimensions they conceive of as territory, recognizing themselves as beings in this vast universe. These people have served as guardians of the forest, but their importance in the maintenance of these systems and their great ecological and cultural knowledge is generally ignored.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">Vaup\u00e9s is one of Colombia's six Amazonian Departments, and like the entire Amazon River basin, it is biologically and culturally diverse. Of its nearly 49,000 inhabitants, 82% are indigenous people belonging to 27 different peoples, bearers of knowledge and speakers of diverse linguistic families, several of which are at risk of physical and cultural extinction, most of whom live in dispersed rural communities.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">The Colombian health sector has a limited and difficult-to-access network \u2014concentrated in the municipal capitals\u2014, a primarily assistance-based approach to services, programs that are not adapted to the socio-cultural context, and discontinuous over time. Many communities do not receive services for years. Maternal and infant morbidity and mortality rates are several times higher than national rates, and indicators of access to and use of services are among the lowest in the country. An intolerable situation.<\/span>\r\n\r\n<span style=\"font-weight: 400\">Colombia has innumerable legal instruments aimed at guaranteeing the right to health for indigenous ethnic groups. However, operational advances to make these rights a reality are limited. These conditions are shared by dispersed rural areas throughout the country, where access to health services is fundamental to improving the wellbeing of communities and helping to build and sustain peace.<\/span>\r\n\r\n<span style=\"font-weight: 400\">But what is health and wellbeing for these peoples? How are these concepts constructed in practice? What is needed for this? Who should do it? How are indigenous ancestral medicine and the institutional health system articulated? What services and how should they be provided in this context? When? What prevents people from being able to live in health?<\/span>\r\n\r\n<span style=\"font-weight: 400\">In this context, and trying to answer these and other questions, since 2012 the purpose of improving access to primary health care services for various neglected diseases through an intercultural approach has been developed in 21 indigenous communities in the municipality of Mit\u00fa \u2014capital of Vaup\u00e9s\u2014, this Exhibition portrays that journey. The co-authors of the process are approximately 2,400 indigenous people from 18 different peoples with whom an operational model of health care for the territory has been developed through participatory methods.<\/span>\r\n\r\n<span style=\"font-weight: 400\">The process has required the building of trust with the communities through dialogue, coexistence and agreement on all the actions developed based on the priorities defined in the participation spaces. Likewise, it has been fundamental to generate alliances with local institutions to guarantee the articulation and complementariness of the work, avoid supplanting, and thus leverage the sustainability of these initiatives.<\/span>\r\n\r\n<span style=\"font-weight: 400\">The model is based on 14 components, five of them cross-sectional. The first nine are: 1) Strengthening of local capacities, for communities, indigenous organizations and actors in the health system; 2) Family and community health; 3) Surveillance in epidemiological and community health; 4) Women's health; 5) Children\u2019s health; 6) Mental health; 7) Chronic non-communicable diseases; 8) Neglected infectious diseases; and 9) Basic assistance. The cross-sectional ones: 1) Intercultural approach; 2) Food and nutritional sovereignty; 3) Communication in health; 4) Health information systems; and 5) Accompaniment, advice and supervision. The Exhibition will delve into each of them.<\/span>\r\n\r\n<span style=\"font-weight: 400\">This Exhibition has been elaborated by <\/span><b>Maria Camila Rodriguez<\/b><span style=\"font-weight: 400\">,<\/span><b> Adelia Prada, Maria Jos\u00e9 Montoya<\/b><span style=\"font-weight: 400\">,<\/span><b> Daniela Rangel Gil<\/b><span style=\"font-weight: 400\">,<\/span><b> Edilma Bastidas<\/b><span style=\"font-weight: 400\">,<\/span><b> Bayron Orrego<\/b><span style=\"font-weight: 400\">,<\/span><b> Juliana Bejarano, Juliana Jaimes<\/b><span style=\"font-weight: 400\">,<\/span><b> Yuli Rubio<\/b><span style=\"font-weight: 400\">,<\/span><b> Valentina Riveros<\/b><span style=\"font-weight: 400\">,<\/span><b> Rosa Gonzalez<\/b><span style=\"font-weight: 400\">, <\/span><b>Jeison Gutierrez<\/b><span style=\"font-weight: 400\">,<\/span><b> Felix Moreno<\/b><span style=\"font-weight: 400\">,<\/span><b> Jos\u00e9 Esteban Valencia<\/b><span style=\"font-weight: 400\">,<\/span><b> Marcela Botero<\/b><span style=\"font-weight: 400\">, <\/span><b>Gabriela Molina<\/b><span style=\"font-weight: 400\">,<\/span><b> Juliana \u00c1ngel<\/b><span style=\"font-weight: 400\">,<\/span><b> Wilber Caballero<\/b><span style=\"font-weight: 400\">,<\/span><b> Emilia C\u00e1rdenas<\/b><span style=\"font-weight: 400\">,<\/span><b> Ana Judith Blanco<\/b><span style=\"font-weight: 400\"> y<\/span><b> Pablo Montoya<\/b><span style=\"font-weight: 400\"> from<\/span><a href=\"https:\/\/www.sinergiasong.org\/\" target=\"_blank\" rel=\"noopener\"><em> <span style=\"font-weight: 400\">Sinergias <\/span><\/em><i><span style=\"font-weight: 400\">Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social <\/span><\/i><span style=\"font-weight: 400\">(<\/span><span style=\"font-weight: 400\">Synergies Strategic Alliances for Health and Social Development)<\/span><i><span style=\"font-weight: 400\">. <\/span><\/i><\/a>\r\n\r\n<span style=\"font-weight: 400\">We would like to acknowledge all the people that have been part of the Sinergias team and helped develop the health model presented in this Exhibition, mainly Matha Bibiana Velasco, Pablo Mart\u00ednez, Jos\u00e9 Francisco Osorio, Luis Hernando Rodr\u00edguez, Alfonso Martinez, Ram\u00f3n Casas, Jair Bayl\u00f3n, Elmer Torres, Leonardo Rodr\u00edguez, Juan Rojas, Hugo Puerto, Naylin Mendoza, Valerin Saurith, Jorge Rodr\u00edgez, Marta Dallos, Danny Mahecha and Carlos Franky.\u00a0<\/span><span style=\"font-weight: 400\">We would also like to thank all the institutions that have been allies through this process like the local health hospital and the Health Directorates.<\/span>\r\n\r\n<span style=\"font-weight: 400\">Our work would not be possible without the support of our funders: CIDA Canada, the Panamerican Health Organization, Fundaci\u00f3n \u00c9xito, FALCK, Pr\u00f3bitas, CLUA, NOUS CIMS, Internews and the Colombian Ministry of Health.<\/span>\r\n\r\nThe interventions by Pablo Montoya, General Director and founder of Sinergias, at the VIII Conference of the Association for the Study of Human Ecology, held in Madrid in December 2022, can be seen in the link <a href=\"https:\/\/ecologiahumana.es\/que-hacemos\/\" target=\"_blank\" rel=\"noopener\">Indigenous peoples of the Amazon facing COVID-19: vulnerability and resilience.<\/a>\r\n\r\n<b>Recommended readings<\/b>\r\n\r\n<span style=\"font-weight: 400\">Mart\u00ednez, P.A., Dallos, M.I., Prada, A.M., Rodr\u00edguez, M.C., Mendoza, N. (2020). <\/span><a href=\"https:\/\/www.sinergiasong.org\/_files\/ugd\/842017_41f4997d68cd461bb2f80a9f409c68c2.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Un modelo explicativo de la conducta suicida de los pueblos ind\u00edgenas del departamento del Vaup\u00e9s, Colombia<\/span><\/a><span style=\"font-weight: 400\">. Revista Colombiana de Psiquiatr\u00eda, 49(3), 170-177. Disponible en:\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2021). <\/span><a href=\"https:\/\/www.sinergiasong.org\/_files\/ugd\/842017_360ee51b4ede40d29d8f50fa015da84e.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Endulzando el coraz\u00f3n: Material de educaci\u00f3n alimentaria y nutricional para gestantes y menores de 2 a\u00f1os<\/span><\/a><span style=\"font-weight: 400\">.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2021). <\/span><a href=\"https:\/\/www.sinergiasong.org\/_files\/ugd\/842017_e908667c3c8546ee88f7c0c1580787e6.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Fortalecimiento de capacidades para la gobernanza territorial en salud.<\/span><\/a><span style=\"font-weight: 400\">\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (2021). <\/span><a href=\"https:\/\/www.sinergiasong.org\/elcantodeltucannomephephiri\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Cartilla Nom\u00e9 phephiri: Sentimiento, pensamiento y poder de las mujeres.<\/span><\/a><span style=\"font-weight: 400\">\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2020). <\/span><a href=\"https:\/\/www.sinergiasong.org\/_files\/ugd\/842017_21c784debda34d95b9694be6fd1ef33d.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">GABAS: Gu\u00edas Alimentarias Basadas en Alimentos. Adaptaci\u00f3n al Vaup\u00e9s<\/span><\/a><span style=\"font-weight: 400\">.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2020). <\/span><a href=\"https:\/\/www.sinergiasong.org\/_files\/ugd\/842017_7f68adf6b2e044bd96c32d04140aa840.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Manual para facilitadores: gu\u00eda del buen comer basada en calendarios ecol\u00f3gicos, saberes y sabores locales<\/span><\/a><span style=\"font-weight: 400\">.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (2020). <\/span><a href=\"https:\/\/www.sinergiasong.org\/observatorio-de-salud-amazonico\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Observatorio de Salud Amaz\u00f3nico<\/span><\/a><span style=\"font-weight: 400\">.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (2020). <\/span><a href=\"https:\/\/www.sinergiasong.org\/el-canto-del-tuc%C3%A1n\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Programa radial El Canto del Tuc\u00e1n.<\/span><\/a>\r\n\r\n<span style=\"font-weight: 400\">Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social, Universidad Nacional de Colombia e Instituto Colombiano de Bienestar Familiar (2020). <\/span><a href=\"https:\/\/www.icbf.gov.co\/system\/files\/boletin-conductasuicida-vaupes._oct-2020._version_web.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Conducta suicida en ni\u00f1os, ni\u00f1as, adolescentes y j\u00f3venes ind\u00edgenas de Pueblo Nuevo y Macaqui\u00f1o, Vaup\u00e9s: Orientaciones para la prevenci\u00f3n y atenci\u00f3n.<\/span><\/a><span style=\"font-weight: 400\"> Bogot\u00e1 DC.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400\">Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social, Universidad Nacional de Colombia, Instituto Colombiano de Bienestar Familiar (2020). <\/span><a href=\"http:\/\/www.icbf.gov.co\/system\/files\/boletin_amazonas_16.06.21._version_final.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Conducta suicida en ni\u00f1as, ni\u00f1os, adolescentes y j\u00f3venes ind\u00edgenas de Nazareth, Amazonas: orientaciones para la prevenci\u00f3n y atenci\u00f3n<\/span><\/a><span style=\"font-weight: 400\">. Bogot\u00e1 DC.\u00a0<\/span>","link":"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/year-2023\/co-construyendo-salud-con-pueblos-indigenas-amazonicos-en\/","name":"Co-building health with Amazonian indigenous communities in Colombia","slug":"co-construyendo-salud-con-pueblos-indigenas-amazonicos-en","taxonomy":"espacio","parent":2468,"meta":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Co-building health with Amazonian indigenous communities in Colombia archivos - Museo de Ecolog\u00eda Humana<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/year-2023\/co-construyendo-salud-con-pueblos-indigenas-amazonicos-en\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Co-building health with Amazonian indigenous communities in Colombia archivos - Museo de Ecolog\u00eda Humana\" \/>\n<meta property=\"og:description\" content=\"The Amazon rainforest covers about 47% of South America \u2014equivalent to 79% of the area of Europe\u2014 and is shared by 9 countries. The Colombian Amazon represents more than 40% of the continental area of the country, however, this region, despite being at the center of many current discourses, continues to be ignored in practice. The Amazon is often thought of as an untamed and barren jungle, the lungs of the world, devastated at dramatic rates by legal and illegal economic activities. However, for millennia, the region has been inhabited by indigenous peoples who coexist with all the dimensions they conceive of as territory, recognizing themselves as beings in this vast universe. These people have served as guardians of the forest, but their importance in the maintenance of these systems and their great ecological and cultural knowledge is generally ignored.\u00a0 Vaup\u00e9s is one of Colombia&#8217;s six Amazonian Departments, and like the entire Amazon River basin, it is biologically and culturally diverse. Of its nearly 49,000 inhabitants, 82% are indigenous people belonging to 27 different peoples, bearers of knowledge and speakers of diverse linguistic families, several of which are at risk of physical and cultural extinction, most of whom live in dispersed rural communities.\u00a0 The Colombian health sector has a limited and difficult-to-access network \u2014concentrated in the municipal capitals\u2014, a primarily assistance-based approach to services, programs that are not adapted to the socio-cultural context, and discontinuous over time. Many communities do not receive services for years. Maternal and infant morbidity and mortality rates are several times higher than national rates, and indicators of access to and use of services are among the lowest in the country. An intolerable situation. Colombia has innumerable legal instruments aimed at guaranteeing the right to health for indigenous ethnic groups. However, operational advances to make these rights a reality are limited. These conditions are shared by dispersed rural areas throughout the country, where access to health services is fundamental to improving the wellbeing of communities and helping to build and sustain peace. But what is health and wellbeing for these peoples? How are these concepts constructed in practice? What is needed for this? Who should do it? How are indigenous ancestral medicine and the institutional health system articulated? What services and how should they be provided in this context? When? What prevents people from being able to live in health? In this context, and trying to answer these and other questions, since 2012 the purpose of improving access to primary health care services for various neglected diseases through an intercultural approach has been developed in 21 indigenous communities in the municipality of Mit\u00fa \u2014capital of Vaup\u00e9s\u2014, this Exhibition portrays that journey. The co-authors of the process are approximately 2,400 indigenous people from 18 different peoples with whom an operational model of health care for the territory has been developed through participatory methods. The process has required the building of trust with the communities through dialogue, coexistence and agreement on all the actions developed based on the priorities defined in the participation spaces. Likewise, it has been fundamental to generate alliances with local institutions to guarantee the articulation and complementariness of the work, avoid supplanting, and thus leverage the sustainability of these initiatives. The model is based on 14 components, five of them cross-sectional. The first nine are: 1) Strengthening of local capacities, for communities, indigenous organizations and actors in the health system; 2) Family and community health; 3) Surveillance in epidemiological and community health; 4) Women&#8217;s health; 5) Children\u2019s health; 6) Mental health; 7) Chronic non-communicable diseases; 8) Neglected infectious diseases; and 9) Basic assistance. The cross-sectional ones: 1) Intercultural approach; 2) Food and nutritional sovereignty; 3) Communication in health; 4) Health information systems; and 5) Accompaniment, advice and supervision. The Exhibition will delve into each of them. This Exhibition has been elaborated by Maria Camila Rodriguez, Adelia Prada, Maria Jos\u00e9 Montoya, Daniela Rangel Gil, Edilma Bastidas, Bayron Orrego, Juliana Bejarano, Juliana Jaimes, Yuli Rubio, Valentina Riveros, Rosa Gonzalez, Jeison Gutierrez, Felix Moreno, Jos\u00e9 Esteban Valencia, Marcela Botero, Gabriela Molina, Juliana \u00c1ngel, Wilber Caballero, Emilia C\u00e1rdenas, Ana Judith Blanco y Pablo Montoya from Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (Synergies Strategic Alliances for Health and Social Development). We would like to acknowledge all the people that have been part of the Sinergias team and helped develop the health model presented in this Exhibition, mainly Matha Bibiana Velasco, Pablo Mart\u00ednez, Jos\u00e9 Francisco Osorio, Luis Hernando Rodr\u00edguez, Alfonso Martinez, Ram\u00f3n Casas, Jair Bayl\u00f3n, Elmer Torres, Leonardo Rodr\u00edguez, Juan Rojas, Hugo Puerto, Naylin Mendoza, Valerin Saurith, Jorge Rodr\u00edgez, Marta Dallos, Danny Mahecha and Carlos Franky.\u00a0We would also like to thank all the institutions that have been allies through this process like the local health hospital and the Health Directorates. Our work would not be possible without the support of our funders: CIDA Canada, the Panamerican Health Organization, Fundaci\u00f3n \u00c9xito, FALCK, Pr\u00f3bitas, CLUA, NOUS CIMS, Internews and the Colombian Ministry of Health. The interventions by Pablo Montoya, General Director and founder of Sinergias, at the VIII Conference of the Association for the Study of Human Ecology, held in Madrid in December 2022, can be seen in the link Indigenous peoples of the Amazon facing COVID-19: vulnerability and resilience. Recommended readings Mart\u00ednez, P.A., Dallos, M.I., Prada, A.M., Rodr\u00edguez, M.C., Mendoza, N. (2020). Un modelo explicativo de la conducta suicida de los pueblos ind\u00edgenas del departamento del Vaup\u00e9s, Colombia. Revista Colombiana de Psiquiatr\u00eda, 49(3), 170-177. Disponible en:\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2021). Endulzando el coraz\u00f3n: Material de educaci\u00f3n alimentaria y nutricional para gestantes y menores de 2 a\u00f1os.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2021). Fortalecimiento de capacidades para la gobernanza territorial en salud.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (2021). Cartilla Nom\u00e9 phephiri: Sentimiento, pensamiento y poder de las mujeres.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2020). GABAS: Gu\u00edas Alimentarias Basadas en Alimentos. Adaptaci\u00f3n al Vaup\u00e9s.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2020). Manual para facilitadores: gu\u00eda del buen comer basada en calendarios ecol\u00f3gicos, saberes y sabores locales.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (2020). Observatorio de Salud Amaz\u00f3nico.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (2020). Programa radial El Canto del Tuc\u00e1n. Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social, Universidad Nacional de Colombia e Instituto Colombiano de Bienestar Familiar (2020). Conducta suicida en ni\u00f1os, ni\u00f1as, adolescentes y j\u00f3venes ind\u00edgenas de Pueblo Nuevo y Macaqui\u00f1o, Vaup\u00e9s: Orientaciones para la prevenci\u00f3n y atenci\u00f3n. Bogot\u00e1 DC.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social, Universidad Nacional de Colombia, Instituto Colombiano de Bienestar Familiar (2020). Conducta suicida en ni\u00f1as, ni\u00f1os, adolescentes y j\u00f3venes ind\u00edgenas de Nazareth, Amazonas: orientaciones para la prevenci\u00f3n y atenci\u00f3n. Bogot\u00e1 DC.\u00a0\" \/>\n<meta property=\"og:url\" content=\"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/year-2023\/co-construyendo-salud-con-pueblos-indigenas-amazonicos-en\/\" \/>\n<meta property=\"og:site_name\" content=\"Museo de Ecolog\u00eda Humana\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"CollectionPage\",\"@id\":\"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/year-2023\/co-construyendo-salud-con-pueblos-indigenas-amazonicos-en\/\",\"url\":\"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/year-2023\/co-construyendo-salud-con-pueblos-indigenas-amazonicos-en\/\",\"name\":\"Co-building health with Amazonian indigenous communities in Colombia archivos - Museo de Ecolog\u00eda Humana\",\"isPartOf\":{\"@id\":\"https:\/\/museoecologiahumana.org\/#website\"},\"breadcrumb\":{\"@id\":\"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/year-2023\/co-construyendo-salud-con-pueblos-indigenas-amazonicos-en\/#breadcrumb\"},\"inLanguage\":\"en-US\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/year-2023\/co-construyendo-salud-con-pueblos-indigenas-amazonicos-en\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"MUSEO\",\"item\":\"https:\/\/museoecologiahumana.org\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Temporary exhibitions\",\"item\":\"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Year 2023\",\"item\":\"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/year-2023\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Co-building health with Amazonian indigenous communities in Colombia\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/museoecologiahumana.org\/#website\",\"url\":\"https:\/\/museoecologiahumana.org\/\",\"name\":\"Museo de Ecolog\u00eda Humana\",\"description\":\"Museo Virtual de Ecolog\u00eda Humana\",\"publisher\":{\"@id\":\"https:\/\/museoecologiahumana.org\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/museoecologiahumana.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/museoecologiahumana.org\/#organization\",\"name\":\"Museo de Ecolog\u00eda Humana\",\"url\":\"https:\/\/museoecologiahumana.org\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/museoecologiahumana.org\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/museoecologiahumana.org\/wp-content\/uploads\/2025\/07\/logo-meh.svg\",\"contentUrl\":\"https:\/\/museoecologiahumana.org\/wp-content\/uploads\/2025\/07\/logo-meh.svg\",\"width\":1,\"height\":1,\"caption\":\"Museo de Ecolog\u00eda Humana\"},\"image\":{\"@id\":\"https:\/\/museoecologiahumana.org\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Co-building health with Amazonian indigenous communities in Colombia archivos - Museo de Ecolog\u00eda Humana","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/museoecologiahumana.org\/en\/espacio\/temporary-exhibitions\/year-2023\/co-construyendo-salud-con-pueblos-indigenas-amazonicos-en\/","og_locale":"en_US","og_type":"article","og_title":"Co-building health with Amazonian indigenous communities in Colombia archivos - Museo de Ecolog\u00eda Humana","og_description":"The Amazon rainforest covers about 47% of South America \u2014equivalent to 79% of the area of Europe\u2014 and is shared by 9 countries. The Colombian Amazon represents more than 40% of the continental area of the country, however, this region, despite being at the center of many current discourses, continues to be ignored in practice. The Amazon is often thought of as an untamed and barren jungle, the lungs of the world, devastated at dramatic rates by legal and illegal economic activities. However, for millennia, the region has been inhabited by indigenous peoples who coexist with all the dimensions they conceive of as territory, recognizing themselves as beings in this vast universe. These people have served as guardians of the forest, but their importance in the maintenance of these systems and their great ecological and cultural knowledge is generally ignored.\u00a0 Vaup\u00e9s is one of Colombia&#8217;s six Amazonian Departments, and like the entire Amazon River basin, it is biologically and culturally diverse. Of its nearly 49,000 inhabitants, 82% are indigenous people belonging to 27 different peoples, bearers of knowledge and speakers of diverse linguistic families, several of which are at risk of physical and cultural extinction, most of whom live in dispersed rural communities.\u00a0 The Colombian health sector has a limited and difficult-to-access network \u2014concentrated in the municipal capitals\u2014, a primarily assistance-based approach to services, programs that are not adapted to the socio-cultural context, and discontinuous over time. Many communities do not receive services for years. Maternal and infant morbidity and mortality rates are several times higher than national rates, and indicators of access to and use of services are among the lowest in the country. An intolerable situation. Colombia has innumerable legal instruments aimed at guaranteeing the right to health for indigenous ethnic groups. However, operational advances to make these rights a reality are limited. These conditions are shared by dispersed rural areas throughout the country, where access to health services is fundamental to improving the wellbeing of communities and helping to build and sustain peace. But what is health and wellbeing for these peoples? How are these concepts constructed in practice? What is needed for this? Who should do it? How are indigenous ancestral medicine and the institutional health system articulated? What services and how should they be provided in this context? When? What prevents people from being able to live in health? In this context, and trying to answer these and other questions, since 2012 the purpose of improving access to primary health care services for various neglected diseases through an intercultural approach has been developed in 21 indigenous communities in the municipality of Mit\u00fa \u2014capital of Vaup\u00e9s\u2014, this Exhibition portrays that journey. The co-authors of the process are approximately 2,400 indigenous people from 18 different peoples with whom an operational model of health care for the territory has been developed through participatory methods. The process has required the building of trust with the communities through dialogue, coexistence and agreement on all the actions developed based on the priorities defined in the participation spaces. Likewise, it has been fundamental to generate alliances with local institutions to guarantee the articulation and complementariness of the work, avoid supplanting, and thus leverage the sustainability of these initiatives. The model is based on 14 components, five of them cross-sectional. The first nine are: 1) Strengthening of local capacities, for communities, indigenous organizations and actors in the health system; 2) Family and community health; 3) Surveillance in epidemiological and community health; 4) Women&#8217;s health; 5) Children\u2019s health; 6) Mental health; 7) Chronic non-communicable diseases; 8) Neglected infectious diseases; and 9) Basic assistance. The cross-sectional ones: 1) Intercultural approach; 2) Food and nutritional sovereignty; 3) Communication in health; 4) Health information systems; and 5) Accompaniment, advice and supervision. The Exhibition will delve into each of them. This Exhibition has been elaborated by Maria Camila Rodriguez, Adelia Prada, Maria Jos\u00e9 Montoya, Daniela Rangel Gil, Edilma Bastidas, Bayron Orrego, Juliana Bejarano, Juliana Jaimes, Yuli Rubio, Valentina Riveros, Rosa Gonzalez, Jeison Gutierrez, Felix Moreno, Jos\u00e9 Esteban Valencia, Marcela Botero, Gabriela Molina, Juliana \u00c1ngel, Wilber Caballero, Emilia C\u00e1rdenas, Ana Judith Blanco y Pablo Montoya from Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (Synergies Strategic Alliances for Health and Social Development). We would like to acknowledge all the people that have been part of the Sinergias team and helped develop the health model presented in this Exhibition, mainly Matha Bibiana Velasco, Pablo Mart\u00ednez, Jos\u00e9 Francisco Osorio, Luis Hernando Rodr\u00edguez, Alfonso Martinez, Ram\u00f3n Casas, Jair Bayl\u00f3n, Elmer Torres, Leonardo Rodr\u00edguez, Juan Rojas, Hugo Puerto, Naylin Mendoza, Valerin Saurith, Jorge Rodr\u00edgez, Marta Dallos, Danny Mahecha and Carlos Franky.\u00a0We would also like to thank all the institutions that have been allies through this process like the local health hospital and the Health Directorates. Our work would not be possible without the support of our funders: CIDA Canada, the Panamerican Health Organization, Fundaci\u00f3n \u00c9xito, FALCK, Pr\u00f3bitas, CLUA, NOUS CIMS, Internews and the Colombian Ministry of Health. The interventions by Pablo Montoya, General Director and founder of Sinergias, at the VIII Conference of the Association for the Study of Human Ecology, held in Madrid in December 2022, can be seen in the link Indigenous peoples of the Amazon facing COVID-19: vulnerability and resilience. Recommended readings Mart\u00ednez, P.A., Dallos, M.I., Prada, A.M., Rodr\u00edguez, M.C., Mendoza, N. (2020). Un modelo explicativo de la conducta suicida de los pueblos ind\u00edgenas del departamento del Vaup\u00e9s, Colombia. Revista Colombiana de Psiquiatr\u00eda, 49(3), 170-177. Disponible en:\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2021). Endulzando el coraz\u00f3n: Material de educaci\u00f3n alimentaria y nutricional para gestantes y menores de 2 a\u00f1os.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2021). Fortalecimiento de capacidades para la gobernanza territorial en salud.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (2021). Cartilla Nom\u00e9 phephiri: Sentimiento, pensamiento y poder de las mujeres.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2020). GABAS: Gu\u00edas Alimentarias Basadas en Alimentos. Adaptaci\u00f3n al Vaup\u00e9s.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social. (2020). Manual para facilitadores: gu\u00eda del buen comer basada en calendarios ecol\u00f3gicos, saberes y sabores locales.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (2020). Observatorio de Salud Amaz\u00f3nico.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social (2020). Programa radial El Canto del Tuc\u00e1n. Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social, Universidad Nacional de Colombia e Instituto Colombiano de Bienestar Familiar (2020). Conducta suicida en ni\u00f1os, ni\u00f1as, adolescentes y j\u00f3venes ind\u00edgenas de Pueblo Nuevo y Macaqui\u00f1o, Vaup\u00e9s: Orientaciones para la prevenci\u00f3n y atenci\u00f3n. Bogot\u00e1 DC.\u00a0 Sinergias Alianzas Estrat\u00e9gicas para la Salud y el Desarrollo Social, Universidad Nacional de Colombia, Instituto Colombiano de Bienestar Familiar (2020). Conducta suicida en ni\u00f1as, ni\u00f1os, adolescentes y j\u00f3venes ind\u00edgenas de Nazareth, Amazonas: orientaciones para la prevenci\u00f3n y atenci\u00f3n. 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