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The 2020 Pandemic: The Need for Urgent, Culturally Appropriate Responses for Indigenous Peoples

April 10, 2020 Por David Cotacachi - Ana Grigera 1 Comment


COVID-19 disproportionately affects indigenous peoples. This presents a major health challenge requiring immediate responses that account for indigenous peoples’ diverse cultural and linguistic contexts.

In Latin America, nearly 53 million people of the more than 700 indigenous groups face a myriad of preexisting adverse conditions, such as high levels of poverty and other forms of social inequality, that put them at greater risk of infection, morbidity, and mortality from COVID-19.

Why Are Indigenous People Especially Vulnerable?

Poverty, unemployment, and limited access to health care, education, potable water, sanitation, and communication technologies, among other issues, constitute barriers that significantly increase the vulnerability of indigenous peoples to various diseases. As a result, the indigenous population already suffers from numerous chronic and infectious diseases such as type II diabetes, tuberculosis, hepatitis B, HIV/AIDS, malaria, dengue, and Zika, among others. These preexisting conditions weaken people’s immune systems, increasing their vulnerability to COVID-19.

In the case of indigenous peoples living in voluntary isolation or in initial contact (IIPIC), COVID-19 threatens mass extinction of entire populations because these groups have no immunity to vaccine-preventable infections. These groups are currently beyond the reach of health systems.

Geographic and social infrastructure barriers compound these problems. Many indigenous groups live in distant or remote rural areas with little development infrastructure, complicating delivery of COVID-19 prevention, containment, and treatment services. In the Amazon, for instance, the remote location of indigenous communities are a critical barrier. Community outbreaks of COVID-19 in such locations can constitute an unprecedented epidemiological event that poses a complex, demanding response from already stressed health systems.

One Size Does Not Fit All

Given indigenous peoples’ considerable cultural and linguistic diversity, measures applied in their territories should be culturally responsive. For example, communications campaigns need to be conducted in native languages employing understandable messages that make sense to local realities.

Similarly, standard health protocols for hand washing and disinfection are difficult to follow where indigenous communities have no access to resources such as clean water, soap, detergent, rubbing alcohol, anti-bacterial gel, and basic medicines such as aspirin. Likewise, implementing isolation and social distancing protocols is challenging when family and community structures are intrinsically collective and strongly socially cohesive. For example, isolating the elderly is difficult in indigenous communities where they are pillars of authority and heads of families.

Immediate health responses to address the worldwide emergency should be differentiated and prioritize indigenous peoples as a high-risk epidemiological population. These responses should be based on coordination between indigenous peoples and national and sub-national governments.

Indigenous organizations and traditional indigenous authorities have representative structures at the national, sub-national, and community levels, each of which plays a vital role in virus prevention and containment measures. Consequently, coordinating government actions with indigenous authority structures can yield more effective interventions in indigenous territories.

Urgent and Culturally Differentiated Responses

To guide decision-makers, health agents, leaders, and indigenous organizations in formulating appropriate crisis responses in indigenous territories, the IDB has developed practical and concise technical documents.

These documents are based on a systematized desktop review of COVID-19 related protocols, guidelines, and declarations developed by international organizations, national and sub-national governments, indigenous organizations, and nongovernmental organizations, as well as through dialogue with regional indigenous organizations. They seek to strengthen the emergency response for indigenous peoples by addressing key questions such as:

  • How can urgent and effective measures to address the pandemic be rolled out in the territories in coordination with indigenous groups?
  • How can standard COVID-19 health measures and protocols be adapted to highly diverse cultural and linguistic contexts and to areas with limited access to basic health and other services?
  • What prevention and containment actions can communities adopt in the face of the pandemic, given community and collective realities?

Answering these fundamental questions and implementing adequate measures in direct dialogue with indigenous peoples has the potential to improve the effectiveness of actions taken by countries to save the largest number of lives.

Access the following documents on how to manage COVID-19 in indigenous territories:

PDF of recommendations for handling COVID-19 in indigenous territories
Prevention, containment and handling of COVID-19 cases in indigenous territories
Tools, protocols, declarations, and other inputs aimed at managing COVID-19 in indigenous territories
Considerations for indigenous organizations and communities in response to COVID-19
How do we address the COVID-19 crisis? Considerations for indigenous organizations and communities in response to COVID-19
Photography by Omar Arregui

Filed Under: Diversity Tagged With: Coronavirus, COVID-19, diversity, Indigenous People, pueblos indígenas

David Cotacachi

Especialista sectorial de la División de Género y Diversidad del Banco Interamericano de Desarrollo, en Washington D.C. Tiene más de 15 años de experiencia en desarrollo social y ambiental en varios países de América Latina y el Caribe. Su trabajo en el BID se enfoca en el diseño y ejecución de proyectos relacionados a los pueblos indígenas y afrodescendientes con énfasis en cambio climático, biodiversidad, educación, empleo, salud, agua y saneamiento, género, transformación digital, entre otros. Es experto en Responsabilidad Social, con amplio conocimiento del sector público y privado (hidrocarburífero y forestal). Es ecólogo por la Universidad San Francisco de Quito (Ecuador), Máster en Ecología y Políticas Ambientales por la Universidad de Georgia (USA) (Beca Fulbright) y Máster en Administración Pública por la Kennedy School of Government de la Universidad de Harvard (USA). Pertenece al pueblo Kichwa-Otavalo.

Ana Grigera

Ana I. Grigera is an anthropologist trained at the University of New York (New York University) and the University of Panthéon-Sorbonne (Université Paris 1 Panthéon Sorbonne). She has dedicated her studies and career path to the practical integration of interculturality in public programs and policies aimed at health, conflict resolution, migration, education and economic development. She currently works as a consultant specialized in territorial development with identity in the Gender and Diversity Division at the IDB offices in Panama. Ana transversely supports various sectors of the IDB (road infrastructure, health, education, economic development, among others) to strengthen the participation of indigenous peoples in the formulation, design, and execution of operations and public policies.

Reader Interactions

Comments

  1. Inola Mapp says

    April 13, 2020 at 4:57 pm

    Communities indegenous or of african descendent with limited health service, no running wáter, that suffers from diabities, poor nutrition just to mention a few are at high risk and can easily acquire coronavirous. However, if the country statistic are not accurate of the total population of indigenous or african descendent, then the estimate of the number infested would be understimated. On the other hand, if the number of infected are reported by gender and age, there is no way of knowing how many of the mention group are infected or loose their life. Just thinking aloud.

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