TB in vulnerable populations: The case of an indigenous community in the peruvian Amazon

Camila Gianella, César Ugarte-Gil, Godofredo Caro, Rula Aylas, César Castro, Claudia Lema

Research output: Contribution to journalArticlepeer-review


This article analyzes the factors associated with vulnerability of the Ashaninka, the most populous indigenous Peruvian Amazonian people, to tuberculosis (TB). By applying a human rights-based analytical framework that assesses public policy against human rights standards and principles, and by offering a step-by-step framework for a full assessment of compliance, it provides evidence of the relationship between the incidence of TB among the Ashaninka and Peru’s poor level of compliance with its human rights obligations. The article argues that one of the main reasons for the historical vulnerability of the Ashaninka to diseases such as TB is a lack of political will on the part of the national government to increase public health spending, ensure that resources reach the most vulnerable population, and adopt and invest in a culturally appropriate health system.

Original languageEnglish (US)
Pages (from-to)55-68
Number of pages14
JournalHealth and Human Rights
Issue number1
StatePublished - Jun 2016
Externally publishedYes

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Political Science and International Relations


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