ArticleToxins2023
"Two Cultures in Favor of a Dying Patient": Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon.
Article in Toxins, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Effectiveness, safety, and implementation outcomes of a decentralization program to deliver antivenoms in the Western Brazilian Amazonia: The SAVING program.PLoS neglected tropical diseases · 2026Article
- Ethical considerations in decentralizing antivenom treatment in indigenous territories of the Brazilian Amazonia.PLoS neglected tropical diseases · 2026Article
- Snakes and snakebites in the munduruku cosmology and medicine, central Brazilian Amazonia.PLoS neglected tropical diseases · 2026Article
- Assessing territorial disparities in snakebite surveillance data in Brazil: Implications for public health.PLoS neglected tropical diseases · 2026Article
- Snakebite Envenomations In The Brazilian Amazon: A Little Less Neglected.Revista da Sociedade Brasileira de Medicina Tropical · 2026Review
- Interdisciplinary and Participatory Research for the Elimination of Socially Determined Diseases in the Amazon: A Narrative Review.Revista da Sociedade Brasileira de Medicina Tropical · 2026Review
- Therapeutic itineraries of children after snakebites in the Brazilian Amazon: A thematic drawing-and-story study.PLoS neglected tropical diseases · 2025Article
- Infrastructure-health nexus in Brazil: a scoping review.Global health research and policy · 2025Article
- Decentralization of snakebite antivenom treatment to indigenous community health centers in the Brazilian Amazon: From demand to the first treatment (the SAVING Program).PLoS neglected tropical diseases · 2025Article
- Participatory research towards the control of snakebite envenoming and other illnesses in a riverine community of the Western Brazilian Amazon.PLoS neglected tropical diseases · 2025Article
- Capacity of community health centers to treat snakebite envenoming in indigenous territories of the Brazilian Amazon.Toxicon : official journal of the International Society on Toxinology · 2024Article
- Development and validation of a minimum requirements checklist for snakebite envenoming treatment in the Brazilian Amazonia.PLoS neglected tropical diseases · 2024Article
- Article
- Snakebite envenomations and access to treatment in communities of two indigenous areas of the Western Brazilian Amazon: A cross-sectional study.PLoS neglected tropical diseases · 2023Article
- Article
Corrections and comments
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Authors and funding
22 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the Brazilian Amazon, deaths and disabilities from snakebite envenomations (SBEs) are a major and neglected problem for the indigenous population. However, minimal research has been conducted on how indigenous peoples access and utilize the health system for snakebite treatment. A qualitative study was conducted to understand the experiences of health care professionals (HCPs) who provide biomedical care to indigenous peoples with SBEs in the Brazilian Amazon. Focus group discussions (FGDs) were carried out in the context of a three-day training session for HCPs who work for the Indigenous Health Care Subsystem. A total of 56 HCPs participated, 27 in Boa Vista and 29 in Manaus. Thematic analysis resulted in three key findings: Indigenous peoples are amenable to receiving antivenom but not to leaving their villages for hospitals; HCPs require antivenom and additional resources to improve patient care; and HCPs strongly recommend a joint, bicultural approach to SBE treatment. Decentralizing antivenom to local health units addresses the central barriers identified in this study (e.g., resistance to hospitals, transportation). The vast diversity of ethnicities in the Brazilian Amazon will be a challenge, and additional studies should be conducted regarding preparing HCPs to work in intercultural contexts.
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