Barreras interaccionales en la atención materno-infantil a inmigrantes peruanas

Abstract

In the last years, the arrival of Peruvian immigrants as users of mother and child health care units at the Metropolitan Health Service Central has supposed many challenges for them and the national population. The aim of this investigation is to know about the barriers to a quality health service access for these users. These barriers arise from the interactions between them and the employees at mother and child health unit, in two medical centers dependent on the Metropolitan Health Service Central. Using a qualitative approach, semi structured interviews have been applied to thirteen Peruvian immigrants and thirteen employees. Main results refer to the emerging nature of these barriers as a social product of the mixed contacts between different actors, relations that are nourished and articulated with other existing contents in society, as the construction and representation of the Other, and mutual expectations. In this relational model, Peruvian immigrants didn't appear as a culturally distant group as far as medical practices are concerned; because of that we propose to re-define the current orientations towards a service model that instead of focusing on non detected differences, takes the particularities of the migrated subject into consideration.