Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020).
Sonia Vivian de JezusAdriana Ilha da SilvaRicardo Alexandre ArcêncioNahari de Faria Marcos TerenaJair Dos Santos PinheiroDaniel Souza SacramentoPaula de Souza Silva FreitasPriscila Carminati SiqueiraHelaine Jacinta Salvador MocelinVania Maria Silva AraújoRogério da Silva LimaThiago Nascimento do PradoCarolina Maia Martins SalesEthel Leonor Noia MacielPublished in: PloS one (2021)
106 healthcare providers participated in the study, with the following characteristics: 94 (88.7%) females, 67 (63.2%) pardo race/color, 40 (37.7%) working in primary healthcare, and 49 (46.2%) nurses. In addition, 43 (40.6%) of the healthcare providers reported providing care to IVWEG. Among the providers, 89 (84%) had received training for assisting IVWEG. Additionally, 30 IVWEG were enrolled for interviews in the qualitative phase. The barriers to seeking care were language, distance to health units, and lack of money for transportation. The LAP proved to facilitate access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus. The study contributed to knowledge on a LAP addressed to IVWEG and helped improved their access to the health system, providing appropriate training for healthcare providers and other relevant actors by implementing a coherent and consistent public health policy at the local level.