Bibliographic Details
| Title: |
Marco narrativo de política de salud: un estudio etnodiferencial afro en Colombia. |
| Alternate Title: |
Narrative framework in health policy: an Afro-Colombian ethno-differentiated study. |
| Authors: |
Torres-Becerra, Martha L.1,2,3 martha.torres@juanncorpas.edu.co, Torres-Becerra, Olga L.4,5,6,7 olga.torresbecerra@gmail.com, Buitrago-Gutiérrez, Ivonne8 ivonne.buitrago@juanncorpas.edu.co, Urrego-Mendoza, Zulma C.9,10,11,12 zulcurregom@unal.edu.co, Roth-Deubel, André N.13,14 anrothd@unal.edu.co |
| Source: |
Revista de Salud Pública. feb2026, Vol. 28 Issue 1, p1-7. 7p. |
| Subjects: |
HEALTH policy, BLACK Latin Americans, TRADITIONAL medicine, HEALTH equity, COMMUNITY involvement, NARRATION |
| Abstract (English): |
Introduction Characters within a Narrative Policy Framework furnish invaluable insights for comprehending the differentiated health approach applied to Black, Afro-Colombian, Raizal, and Palenquera communities, as they elucidate tensions between coercion and resilience and underscore inequity within the participatory mechanism of prior consultation. Objective To analyze the ethnic-differentiated approach to health policy among the actors representing self-identified Afro communities who participated in the prior consultation process for the formulation of the ethnic-differentiated public health policy contained in the 2018–2022 National Development Plan. Methodology This narrative public policy framework is a qualitative, interpretive study. Oral narratives were collected from semi-structured interviews and written narratives from public documents, and all data were processed in NVivo 14. Results Afro communities, through the prior consultation process, cast the ethnic collective as victim, ancestral knowledge as hero, the National Government as villain, and organizations as beneficiaries. They call for the formal recognition of ancestral medicine, intercultural training of health personnel, and the establishment of an effective autonomous health-care system. Conclusion These results serve as valuable input for future public policy formulation, as they reveal tensions among stakeholders that constrain community agency and expose the absence of a structural state commitment. Moreover, the challenge of addressing the social determinants of health persists, as does the necessity to co-create public policies with broader representativeness and genuine participation. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Introducción Los personajes de un marco narrativo de política brindan información valiosa para la comprensión del enfoque diferencial en salud para las comunidades negras, afrocolombianas, raizales y palenqueras, pues revelan tensiones entre coerción y resiliencia, inequidad y el mecanismo participativo de la consulta previa. Objetivo Analizar el enfoque diferencial étnico de la política de salud en los personajes identificados por las comunidades de autorreconocimiento afro que participaron en el proceso de consulta previa para la formulación de la política pública de salud contenida en el Plan Nacional de Desarrollo 2018-2022. Metodología Estudio narrativo de política pública, cualitativo e interpretativo. Narrativas orales tomadas de entrevistas semiestructuradas y narrativas escritas de documentos públicos, se procesaron datos en NVivo14. Resultados Las comunidades afro, desde la consulta previa, identifican como víctima a la comunidad étnica, como héroe a los saberes ancestrales, como villano al Gobierno Nacional y como beneficiados a las organizaciones. Confrontan el reconocimiento de la medicina ancestral; la formación intercultural del personal de salud, y la creación de un sistema sanitario propio y efectivo. Conclusión Los resultados son insumo útil para la futura formulación de políticas públicas, dado que visibilizan tensiones entre personajes que hacen que la agencia comunitaria sea limitada y no haya un compromiso estatal estructural. Además, persiste el desafío de impactar en la determinación social de la salud; también la necesidad de una coconstrucción de política pública con mayor representatividad y participación real. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
