2 resultados para rural communities

em Andina Digital - Repositorio UASB-Digital - Universidade Andina Simón Bolívar


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Este artículo aborda el papel de los abogados semiprofesionales, conocidos como tinterillos, en las comunidades indígenas de la sierra ecuatoriana, a partir de mediados del siglo XIX, quienes adquirieron una presencia aparentemente ubicua en las comunidades rurales del Ecuador. Muchas veces los tinterillos fueron parte de las élites locales con algo de educación. Inspiraban respeto entre los indígenas (quienes, en su mayoría, eran analfabetos) debido a su habilidad a manejar documentos escritos. Estos intermediarios comúnmente explotaron su posición privilegiada para su propio beneficio económico, social y político. Sin embargo, los indígenas llegaron a depender del apoyo de los tinterillos para denunciar ante el gobierno los abusos de los terratenientes. En ocasiones, en lugar de sentirse impotentes o víctimas, los indígenas aprendieron a negociar sus relaciones con esos intermediarios para su beneficio. El estudio de los tinterillos permite examinar las relaciones de poder que se negociaron entre diferentes culturas y a través de profundas divisiones de clase.

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To identify and describe the sociodemographic and nutritional characteristics associated with neurobehavioral development among young children living in three communities in the northeastern Andean region of Cayambe-Tabacundo, Ecuador. Women in the study communities who had a child 3 to 61 months of age completed a questionnaire about maternal and child health and sociodemographic characteristics. The Ages and Stages Questionnaire (ASQ) was directly administered to 283 children by two trained interviewers. Growth measurements and a hemoglobin finger-prick blood test were obtained in 2003–2004. Prevalence of developmental delay was calculated, and associations between child development and maternal, child, and household characteristics were explored. High frequencies of developmental delay were observed. Children 3 to 23 months old displayed delay in gross motor skills (30.1%), and children 48 to 61 months old displayed delay in problem-solving skills (73.4%) and fine motor skills (28.1%). A high frequency of both anemia (60.4%) and stunting (53.4%) was observed for all age groups. Maternal educational level was positively associated with communication and problem-solving skills, and monthly household income was positively associated with communication, gross motor, and problem-solving skills. The results suggest a high prevalence of developmental delay and poor child health in this population. Child health status and the child’s environment may contribute to developmental delay in this region of Ecuador, but sociodemographic factors affecting opportunities for stimulation may also play a role. Research is needed to identify what is causing high percentages of neurobehavioral developmental delay in this region of Ecuador.