De la sonrisa Mcdonald's a la sonrisa de corazón. Los trabajadores locales, sus conocimientos situados y usos en un programa hacia la salud incluyente (Guatemala)

Identifier:  TDX:1166

Handle:  https://hdl.handle.net/20.500.11797/TDX1166

Authors:  Albizu Beristain, Jose Luis

Abstract:
The health/illness/care process is analized as a detector of inegualities and violence in the Guatemalan social system through the make up of the political and social community, government policies, the biomedical model and the relationships within the public health system. This context serves for the case study on the contributions and limitations in the introduction of the program, “ Towards the First Level of Care in Inclusive Health, fundamentals and alignments”, by a non- governmental organization. This program represents a clear paradox, hoping to affect the Ministery of Health and the medical system in an exclusive Guatemala. The local nurses aides become proof of inclusion/exclusion of their experience and know-how based on situated knowledge and used as second-class citizens, being natives, at the base of the institutional pyramid as nurses aides and at the same time mediators between the Program and the population.