Cartografías simbólicas para la cultura y el desarrollo

El presente trabajo tiene como punto de partida la convicción que es necesario explorar nuevos marcos teóricos y metodológicos para la producción de conocimiento sobre las múltiples relaciones de la cultura con el desarrollo. Para tal efecto revisa la naturaleza polisémica del concepto cultura, su tratamiento por las ciencias sociales y la economía y su concepción actual como explicación última de toda actividad humana. Subraya la necesidad de generar un conocimiento propio del campo cultural que adopte renovadas concepciones y bases epistemológicas provenientes de las artes y las humanidades que privilegian lo intuitivo, lo individual frente a lo colectivo. La revisión de fuentes provenientes de la filosofía permite una lectura y un enfoque reformado de la naturaleza de la cultura que cuestiona la clásica concepción antropológica que reduce lo religioso a una expresión cultural. Los argumentos presentados exponen que en toda forma cultural está implícita una particular cosmovisión, una visión de la vida; una valoración del mundo que se conecta con el significado último de la existencia humana que es de naturaleza religiosa. Todas las comunidades culturales tienen en su haber una serie de prácticas, tradiciones, usos, costumbres, expresiones creativas que dan cuenta de una identidad particular y que son registradas a través de mapeos culturales y sistemas de información. El texto hace referencias a políticas y programas culturales sobre cultura y desarrollo en la región centroamericana

A qualitative analysis of immigrant population health practices in the Girona Healthcare Region

The research we present here forms part of a two-phase project - one quantitative and the other qualitative - assessing the use of primary health care services. This paper presents the qualitative phase of said research, which is aimed at ascertaining the needs, beliefs, barriers to access and health practices of the immigrant population in comparison with the native population, as well as the perceptions of healthcare professionals. Moroccan and sub-Saharan were the immigrants to who the qualitative phase was specifically addressed. The aims of this paper are as follows: to analyse any possible implications of family organisation in the health practices of the immigrant population; to ascertain social practices relating to illness; to understand the significances of sexual and reproductive health practices; and to ascertain the ideas and perceptions of immigrants, local people and professionals regarding health and the health system. Methods: qualitative research based on discursive analysis. Data gathering techniques consisted of discussion groups with health system users and semi-structured individual interviews with healthcare professionals. The sample was taken from the Basic Healthcare Areas of Salt and Banyoles (belonging to the Girona Healthcare Region), the discussion groups being comprised of (a) 6 immigrant Moroccan women, (b) 7 immigrant sub-Saharan African women and (c) 6 immigrant and native population men (2 native men, 2 Moroccan men and 2 sub-Saharan men); and the semi-structured interviews being conducted with the following healthcare professionals: (a) 3 gynaecologists, (b) 3 nurses and 1 administrative staff. Results: use of the healthcare system is linked to the perception of not being well, knowledge of the healthcare system, length of time resident in Spain and interiorization of traditional Western medicine as a cure mechanism. The divergences found among the groups of immigrants, local people and healthcare professionals with regard to healthcare education, use of the healthcare service, sexual and reproductive healthcare and reticence with regard to being attended by healthcare personnel of the opposite sex demonstrate a need to work with the immigrant population as a heterogeneous group. Conclusions: the results we have obtained support the idea that feeling unwell is a psycho-social process, as it takes place within a specific socio-cultural situation and spans a range of beliefs, perceptions and ideas regarding symptomology and how to treat it