Educación intercultural en salud para la revitalización de sistemas alimentarios tradicionales: etnografía focalizada en una comunidad Kichwa, Ecuador

Autores/as

DOI:

https://doi.org/10.61347/psa.v4i2.193

Palabras clave:

Comunidades indígenas, conocimiento ancestral, enfermería transcultural, etnografía, salud intercultural

Resumen

Los sistemas alimentarios tradicionales indígenas constituyen espacios de transmisión de conocimientos bioculturales cuya continuidad enfrenta transformaciones socioculturales. El objetivo fue analizar las prácticas de educación intercultural en salud presentes en las actividades comunitarias y su relación con la conservación de los sistemas alimentarios tradicionales y la transmisión intergeneracional de saberes bioculturales en la comunidad Kichwa de Santiago de Quito, Chimborazo, Ecuador. Se desarrolló un estudio cualitativo de etnografía focalizada entre octubre de 2025 y febrero de 2026, mediante 196 horas de observación participante distribuidas en 22 jornadas, registros en un diario de campo reflexivo y entrevistas etnográficas informales con cinco informantes clave. Los datos se analizaron mediante el modelo de dominios culturales de Spradley y triangulación de técnicas y fuentes. Se identificaron cuatro categorías: ciclo biocultural de la tierra, minga y reciprocidad comunitaria, ritual alimentario y transmisión intergeneracional, y tensiones entre tradición y modernización. Las actividades agrícolas, el aventado de quinua, el desgrane de maíz y los rituales alimentarios constituyeron espacios de aprendizaje colectivo mediante la participación y el intercambio de conocimientos entre generaciones. Se concluyó que estas prácticas contribuyeron a la continuidad de los saberes alimentarios y culturales, ofreciendo oportunidades para desarrollar estrategias de educación intercultural en salud desde la enfermería comunitaria, aunque no se evaluaron efectos directos sobre indicadores sanitarios.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Añaños, K., Hernández, B., & Rodríguez, J. (2020). “Living well” in the Constitution of Bolivia and the American Declaration on the Rights of Indigenous Peoples: Reflections on well-being and the right to development. International Journal of Environmental Research and Public Health, 17(8), 2870. https://doi.org/10.3390/ijerph17082870

Argumedo, A., Song, Y., Khoury, C., Hunter, D., & Dempewolf, H. (2020). Support indigenous food system biocultural diversity. The Lancet Planetary Health, 4(12), e554. https://doi.org/10.1016/S2542-5196(20)30243-6

Badanta-Romero, B., Moreno-Moreno, B., Soto-Díaz, V., & Barrientos-Trigo, S. (2021). Cuidados enfermeros para el abordaje de la salud comunitaria en población indígena de la Amazonia peruana. Enfermería Clínica, 31(1), 57–63. https://doi.org/10.1016/j.enfcli.2019.10.025

Bautista-Valarezo, E., Duque, V., Hendrickx, K., Verhoeven, V., Mejia, J., Maldonado-Rengel, R., & Michels, N. (2021). Perceptions of Ecuadorian indigenous healers on their relationship with the formal health care system: Barriers and opportunities. BMC Complementary Medicine and Therapies, 21, 65. https://doi.org/10.1186/s12906-021-03234-0

Bautista-Valarezo, E., Duque, V., Verdugo, A., Dávalos-Batallas, V., Michels, N.., Hendrickx, K., & Verhoeven, V. (2020). Towards an indigenous definition of health: An explorative study to understand the indigenous Ecuadorian people's health and illness concepts. International Journal for Equity in Health, 19, 101. https://doi.org/10.1186/s12939-020-1142-8

Bussalleu, A., Pizango, P., King, N., Ford, J., IHACC Research Team, & Harper, S. (2021). Kaniuwatewara (When we get sick): Understanding health-seeking behaviours among the Shawi of the Peruvian Amazon. BMC Public Health, 21, 1552. https://doi.org/10.1186/s12889-021-11574-2

Calderón, J., Dussán, J., & Arias, D. (2021). Food autonomy: Decolonial perspectives for indigenous health and buen vivir. Global Health Promotion, 28(3), 50–58. https://doi.org/10.1177/1757975920984206

Chee, V., Teran, E., Hernandez, I., Wright, L., Izurieta, R., Reina-Ortiz, M., Flores, M., Bejarano, S., Dào, L., Baldwin, J., & Martinez-Tyson, D. (2019). 'Desculturización,' urbanization, and nutrition transition among urban Kichwas indigenous communities residing in the Andes highlands of Ecuador. Public Health, 176, 21–28. https://doi.org/10.1016/j.puhe.2019.07.015

Córdoba, D., Peredo, A., & Chaves, P. (2021). Shaping alternatives to development: Solidarity and reciprocity in the Andes during COVID-19. World Development, 139, 105323. https://doi.org/10.1016/j.worlddev.2020.105323

Cunningham, C., & Mercury, M. (2023). Coproducing health research with indigenous peoples. Nature Medicine, 29(11), 2722–2730. https://doi.org/10.1038/s41591-023-02588-x

Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: A literature review and recommended definition. International Journal for Equity in Health, 18, 174. https://doi.org/10.1186/s12939-019-1082-3

De Zilva, S., Walker, T., Palermo, C., & Brimblecombe, J. (2022). Culturally safe health care practice for indigenous peoples in Australia: A systematic meta-ethnographic review. Journal of Health Services Research & Policy, 27(1), 74–84. https://doi.org/10.1177/13558196211041835

Deaconu, A., Ekomer, Mercille, G., & Batal, M. (2021). Promoting traditional foods for human and environmental health: Lessons from agroecology and indigenous communities in Ecuador. BMC Nutrition, 7, 1. https://doi.org/10.1186/s40795-020-00395-y

Demientieff, L., Rasmus, S., Black, J., Presley, J., Jauregui-Dusseau, A., Clyma, K., & Jernigan, V. (2023). Supporting traditional foodways knowledge and practices in Alaska Native communities: The Elders Mentoring Elders Camp. Health Promotion Practice, 24(6), 1101–1104. https://doi.org/10.1177/15248399231190365

Gallegos-Riofrío, C., Waters, W., Carrasco, A., Riofrío, L., Pintag, M., Caranqui, M., Caranqui, J., BlackDeer, A., & Iannotti, L. (2021). Caliata: An indigenous community in Ecuador offers lessons on food sovereignty and sustainable diets. Current Developments in Nutrition, 5(Suppl. 4), 61–73. https://doi.org/10.1093/cdn/nzab009

Garcia, K., Armstrong, C., Johnson, J., Taylor-Swanson, L., Iacob, E., Madsen, K., Flynn, E., & Nelson, A. T. (2026). Evaluation of educational activity about preeclampsia with traditional midwives in the remote Petén Department of Guatemala. Journal of Midwifery & Women's Health, 71(2), 212–221. https://doi.org/10.1111/jmwh.70050

Ghosh-Jerath, S., Kapoor, R., Dhasmana, A., Singh, A., Downs, S., & Ahmed, S. (2022). Effect of COVID-19 pandemic on food systems and determinants of resilience in indigenous communities of Jharkhand State, India. Frontiers in Sustainable Food Systems, 6, 724321. https://doi.org/10.3389/fsufs.2022.724321

Hammersley, M., & Atkinson, P. (2019). Ethnography: Principles in practice (4th ed.). Routledge. https://n9.cl/ayt5wo

Hernández-Moreno, A., Vásquez-Palma, O., Gutiérrez-Gutiérrez, F., Cordero-Ahiman, O., Celedón-Celis, N., & Hochstetter-Diez, J. (2024). Analysis of food security of older rural indigenous people in Latin America and the Caribbean. Foods, 13(11), 1772. https://doi.org/10.3390/foods13111772

Hernández-Puente, K., Hernández-Sandoval, L., González-Santos, R., Casas, A., Martínez, M., & Steinmann, V. (2025). Diversity, management, and uses of edible plants in a Ñäñho community of southern Querétaro, Mexico. Journal of Ethnobiology and Ethnomedicine, 21, 18. https://doi.org/10.1186/s13002-025-00756-6

Kaldal, M., Voldbjerg, S., Grønkjaer, M., Conroy, T., & Feo, R. (2024). Newly graduated nurses' commitment to the nursing profession and their workplace during their first year of employment: A focused ethnography. Journal of Advanced Nursing, 80(3), 1058–1071. https://doi.org/10.1111/jan.15883

Leininger, M. (1978). Transcultural nursing: Concepts, theories, and practices. John Wiley & Sons. https://n9.cl/0lnga

Levesque, A., & Quesnel-Vallée, A. (2019). Gender variations in the relationship between social capital and mental health outcomes among the indigenous populations of Canada. International Journal for Equity in Health, 18, 124. https://doi.org/10.1186/s12939-019-1028-9

Malli, A., Monteith, H., Hiscock, E. C., Smith, E., Fairman, K., Galloway, T., & Mashford-Pringle, A. (2023). Impacts of colonization on indigenous food systems in Canada and the United States: A scoping review. BMC Public Health, 23, 2105. https://doi.org/10.1186/s12889-023-16997-7

McBride-Henry, K., Roguski, M., Miller, C., Van Wissen, K., & Saravanakumar, P. (2022). Re-orientating health and nursing care: A qualitative study on indigenous conceptualisations of wellbeing. BMC Nursing, 21, 294. https://doi.org/10.1186/s12912-022-01063-1

Miltenburg, E., Neufeld, H., & Anderson, K. (2022). Relationality, responsibility and reciprocity: Cultivating indigenous food sovereignty within urban environments. Nutrients, 14(9), 1737. https://doi.org/10.3390/nu14091737

Opara, U., & Petrucka, P. (2024). A critical comparison of focused ethnography and interpretive phenomenology in nursing research. Global Qualitative Nursing Research, 11, 23333936241238097. https://doi.org/10.1177/23333936241238097

Penafiel, D., Cevallos-Valdiviezo, H., Espinel, R., & Van Damme, P. (2019). Local traditional foods contribute to diversity and species richness of rural women's diet in Ecuador. Public Health Nutrition, 22(16), 2962–2971. https://doi.org/10.1017/S136898001900226X

Rojas, J., & Herrero, R. (2020). Changing home: Experiences of the indigenous when receiving care in hospital. Investigación y Educación en Enfermería, 38(3), e08. https://doi.org/10.17533/udea.iee.v38n3e08

Roper, J., & Shapira, J. (2000). Ethnography in nursing research. Sage. https://n9.cl/k5gx4

Sanchez-Samaniego, G., Tallman, P., & Valdes-Velasquez, A. (2021). Metabolic syndrome risk unexpectedly predicted by traditional food consumption: Shifting food systems and health among the Awajún of the Peruvian Amazon. Annals of Human Biology, 48(2), 110–118. https://doi.org/10.1080/03014460.2021.1908424

Shattnawi, K. (2026). Ethnography in nursing research: A reflective methodological perspective. Journal of Advanced Nursing, 82(1), 950–956. https://doi.org/10.1111/jan.16940

Spradley, J. (1980). Participant observation. Holt, Rinehart and Winston. https://n9.cl/qtiya

World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053

Descargas

Publicado

2026-10-22

Cómo citar

González Verdezoto, T. A., Mendoza, G., & Cepeda Gonzalez, A. I. (2026). Educación intercultural en salud para la revitalización de sistemas alimentarios tradicionales: etnografía focalizada en una comunidad Kichwa, Ecuador. Perspectivas Sociales Y Administrativas, 4(2), 380–397. https://doi.org/10.61347/psa.v4i2.193