Health resource allocation among indigenous peoples from the right to health and health capability approaches: The case of P’urhépecha people

摘要

The right to health under the human rights-based approach and health capability paradigm can be used to identify whether health-related resources are allocated in a way that health inequities are being reduced among indigenous peoples taking into account what they value. Elements for these approaches were identified and assessed for the P'urhepecha people in Mexico through developed indicators based on the available statistics and qualitative data. Compared with the national level, there is a lag for most of the indicators related to the availability and use of public health systems, health determinants, health-related information, and traditional healing. People are worried because diseases such as diabetes and substance abuse are high and rising; however, they continue lifestyles that support them. Through the health capability paradigm and the right to health approach, it is found that health and health capabilities for the P'urhepecha must comprise their idea of good living (Buen Vivir) or sesi irekani, which in turn requires the right to development. In this sense, current P'urhepecha demands converge with those of other indigenous peoples in which autonomy, as a right to self-determination, is a necessary condition to design their health policy and allocate health-related resources in a globalised world.