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Health Challenges and Assets of Forest-Dependent Populations in Cameroon.
EcoHealth ( IF 2.2 ) Pub Date : 2019-05-21 , DOI: 10.1007/s10393-019-01411-9
Savanna L Carson 1 , Fabrice Kentatchime 2 , Cyrus Sinai 1 , Elizabeth A Van Dyne 3 , Eric Djomo Nana 2 , Brian L Cole 1, 4 , Hilary A Godwin 1, 5
Affiliation  

Indigenous populations often have poorer health outcomes than the general population. Marginalization, colonization, and migration from traditional lands have all affected traditional medicine usage, health access, and indigenous health equity. An in-depth understanding of health for specific populations is essential to develop actionable insights into contributing factors to poor indigenous health. To develop a more complete, nuanced understanding of indigenous health status, we conducted first-person interviews with both the indigenous Baka and neighboring Bantu villagers (the reference population in the region), as well as local clinicians in Southern Cameroon. These interviews elucidated perspectives on the most pressing challenges to health and assets to health for both groups, including access to health services, causes of illness, the uses and values of traditional versus modern medicine, and community resilience during severe health events. Baka interviewees, in particular, reported facing health challenges due to affordability and discrimination in public health centers, health effects due to migration from their traditional lands, and a lack of culturally appropriate public health services.

中文翻译:

喀麦隆依赖森林的人口的健康挑战和资产。

土著居民的健康状况往往比普通民众差。传统土地的边缘化、殖民化和迁移都影响了传统药物的使用、健康获取和土著健康公平。深入了解特定人群的健康状况对于深入了解导致土著人健康状况不佳的因素至关重要。为了更全面、更细致地了解土著健康状况,我们对土著 Baka 和邻近的班图村民(该地区的参考人群)以及喀麦隆南部的当地临床医生进行了第一人称访谈。这些访谈阐明了对这两个群体最紧迫的健康挑战和健康资产的看法,包括获得卫生服务、疾病原因、传统医学与现代医学的用途和价值,以及严重健康事件期间的社区恢复能力。特别是 Baka 的受访者报告说,由于公共卫生中心的负担能力和歧视、从传统土地迁移造成的健康影响以及缺乏文化上适当的公共卫生服务,他们面临着健康挑战。
更新日期:2019-05-21
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