{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T08:50:33Z","timestamp":1789203033886,"version":"build-2803163510"},"reference-count":0,"publisher":"Instituto Nacional de Salud (Peru)","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Peru Med Exp Salud Publica"],"abstract":"<jats:p>Objective. To explore how the Ember\u00e1 communities of Choc\u00f3, Colombia, coexist with malaria, through the recognition of the meanings they construct about the disease, its treatment, and care. Materials and methods. This was an ethnographic study. Between October 2022\u00a0 and November 2023, 250 hours of participant\u00a0 observation were conducted in six Ember\u00e1 indigenous\u00a0 communities, and 25 interviews were conducted with\u00a0 community members, including authorities and Jaiban\u00e1. The data were analyzed according to Constructivist\u00a0 Grounded Theory, using NVIVO software. Results. The central category \u00abMalaria: a disease that accompanies\u00a0 indigenous communities\u00bb emerged, supported by three subcategories: \u00abDisease from the West,\u00bb which moves\u00a0 with people, can be prevented, and is always present; \u00abThe mosquito as the master of the disease,\u00bb which is\u00a0 controlled through training, cleanliness and hygiene, use of mosquito nets, and organic food; and \u00abHealth Care for Indigenous People with Malaria,\u00bb which begins with the Jaiban\u00e1, who controls the spirits that hinder the process and Western treatment. Conclusions. Communities perceive malaria as a Western disease and attribute its origin and transmission to mosquitoes,\u00a0 without recognizing humans as the main source of outbreaks. The Jaiban\u00e1 plays a fundamental role in\u00a0 patient care, addressing spiritual conditions that complement Western treatment. Although the\u00a0 incorporation of ancestral practices into health care for Indigenous communities is recommended, this is done empirically and based on public demand.<\/jats:p>","DOI":"10.17843\/rpmesp.2025.424.14846","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T14:23:48Z","timestamp":1766413428000},"page":"361-9","source":"Crossref","is-referenced-by-count":1,"title":["Entre lo propio y lo occidental: la experiencia de comunidades Ember\u00e1 del Choc\u00f3 con la malaria","Between their own and the western: the experience of Ember\u00e1 communities in Choc\u00f3 with malaria"],"prefix":"10.17843","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3106-0471","authenticated-orcid":false,"given":"Camilo","family":"Duque-Ortiz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4747-1881","authenticated-orcid":false,"given":"Stefany","family":"Osorno-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3051-9804","authenticated-orcid":false,"given":"Suatny Dayana","family":"Gutierrez-Asprilla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2880-5073","authenticated-orcid":false,"given":"Maria Jose","family":"Garcia-Tirado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1660-0596","authenticated-orcid":false,"given":"Juliana","family":"Nieto-Betancurt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4061-8751","authenticated-orcid":false,"given":"Luisa Fernanda","family":"Guzman-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6010-877X","authenticated-orcid":false,"given":"Sara","family":"Montoya-Cedula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1021-7054","authenticated-orcid":false,"given":"Marjorie","family":"P\u00e9rez-Villa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7149-8614","authenticated-orcid":false,"given":"Luz Elena","family":"Botero-Palacio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6775-151X","authenticated-orcid":false,"given":"Cristian","family":"Vera-Marin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7498-651X","authenticated-orcid":false,"given":"Jos\u00e9 Mauricio","family":"Hern\u00e1ndez-Sarmiento","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7920","published-online":{"date-parts":[[2025,11,24]]},"container-title":["Revista Peruana de Medicina Experimental y Salud P\u00fablica"],"original-title":[],"link":[{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/14846\/6039","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/14846\/6046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/14846\/6039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T14:23:50Z","timestamp":1766413430000},"score":1,"resource":{"primary":{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/view\/14846"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":0,"URL":"https:\/\/doi.org\/10.17843\/rpmesp.2025.424.14846","relation":{},"ISSN":["1726-4642","1726-4634"],"issn-type":[{"value":"1726-4642","type":"electronic"},{"value":"1726-4634","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,24]]}}}