Nueva Publicación de nuestros investigadores Alejandro Llanos y Pierre Padilla Huamantinco

Revista: International Journal for Equity in Health SJR: 1.37  Q: 1

Año:2022

Challenges of design, implementation, acceptability, and potential for, biomedical technologies in the Peruvian Amazon

Tiana Bressan 1Andrea Valdivia-Gago 2Rosa M Silvera-Ccallo 3Alejandro Llanos-Cuentas 3 4Daniel F Condor 5 6 7Pierre G Padilla-Huamantinco 4 8 9Stalin Vilcarromero 10J Jaime Miranda 11 12 13Carol Zavaleta-Cortijo 3 14

Affiliations

  1. School of Engineering, University of Guelph, 50 Stone Rd E, Guelph, ON, N1G 2W1, Canada. Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo..
  2. Escuela de Nutrición, Universidad Peruana Cayetano Heredia, Lima, Peru, Av. Honorio Delgado 430, 15102.
  3. Unidad de Ciudadania Intercultural y Salud Indigena, Facultad de Salud Publica y Administracion, Universidad Peruana Cayetano Heredia, Lima, Peru, Av. Honorio Delgado 430, 15102.
  4. Instituto de Medicina Tropical Alexander von Humboldt, Lima, Peru, Av. Honorio Delgado 430, 15102.
  5. School of Nursing, Universidad Peruana Cayetano Heredia, Lima, Peru, Av. Honorio Delgado 430, 15102.
  6. Biomedical Informatics in Global Health Unit, Universidad Peruana Cayetano Heredia, Lima, Peru, Av. Honorio Delgado 430, 15102.
  7. CuidART-e Research Group, Universidad Peruana Cayetano Heredia, Lima, Peru, Av. Honorio Delgado 430, 15102.
  8. Health Innovation Lab, Institute of Tropical Medicine Alexander von Humboldt, Lima, Peru, Av. Honorio Delgado 430, 15102.
  9. Institute for Biological and Medical Engineering, Schools of Engineering, Medicine, and Biological Sciences, Pontificia Universidad Católica de Chile, Santiago, Chile, Av Vicuña Mackenna 4860.
  10. Hospital Nacional Edgardo Rebagliati Martins (HNERM), EsSalud, Lima, Peru, Av. Edgardo Rebagliati 490, 15072.
  11. CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru, Av. Honorio Delgado 430, 15102.
  12. School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru, Av. Honorio Delgado 430, 15102.
  13. The George Institute for Global Health, UNSW, Sydney, Australia.
  14. Unidad de Ciudadanía Intercultural y Salud Indígena (UCISI), Universidad Peruana Cayetano Heredia, Lima, Peru, Av. Honorio Delgado 430, 15102.

Abstract

Background: Biomedical technologies have the potential to be advantageous in remote communities. However, information about barriers faced by users of technology in general and in remote Indigenous communities is scarce. The purpose of this study was to characterize the leading challenges faced by researchers who have used biomedical technologies in the Peruvian Amazon.

Methods: This exploratory, qualitative study with a phenomenological approach depicts the lived experience of participants who were researchers with experience working with biomedical technologies in the Peruvian Amazon in the past five years. Analysis was based on three core themes: design, implementation, and acceptability. Sub-themes included environment, community, and culture. Of the 24 potential participants identified and contacted, 14 agreed to participate, and 13 met inclusion criteria and completed semi-structured interviews. Results were sent to each participant with the opportunity to provide feedback and partake in a 30-minute validation meeting. Five participants consented to a follow-up meeting to validate the results and provide further understanding.

Results: Participants recognized significant challenges, including technologies designed out-of-context, difficulty transporting the technologies through the Amazon, the impact of the physical environment (e.g., humidity, flooding), and limited existing infrastructure, such as electricity and appropriately trained health personnel. Participants also identified cultural factors, including the need to address past experiences with technology and health interventions, understand and appropriately communicate community benefits, and understand the effect of demographics (e.g., age, education) on the acceptance and uptake of technology. Complementary challenges, such as corruption in authority and waste disposal, and recommendations for technological and health interventions such as co-design were also identified.

Conclusions: This study proposes that technological and health interventions without efforts to respect local cultures and health priorities, or understand and anticipate contextual challenges, will not meet its goal of improving access to healthcare in remote Amazon communities. Furthermore, the implications of corruption on health services, and improper waste disposal on the environment may lead to more detrimental health inequities.

Keywords: Amazon; Biomedical engineering; Challenges; Healthcare access; Peru; Technology.

Fig. 1 

Peruvian map indicating regions where Amazon Indigenous populations are located

Artículo Completo 

Conoce las publicaciones por año de nuestros investigadores 

Visualiza el resumen de nuestra oficina de investigación con las  publicaciones recientes 

¿En qué te podemos ayudar?