“Sacha implementación”: analysis of the implementation of the intercultural approach in Diresa Loreto through the program to reduce maternal-neonatal deaths in Nauta (2018-2020)

Authors

  • Ana Lucía Silva Romero Pontificia Universidad Católica del Perú

DOI:

https://doi.org/10.52980/2t190s06

Keywords:

interculturality, implementation, public policies, street bureaucrats, intercultural health, Loreto

Abstract

The approval of the National Policy for the Mainstreaming of the Intercultural Approach established guidelines to define intercultural services and generate synergies in the public sector around this issue. This article analyzes its implementation through the program to reduce maternal and neonatal deaths in Nauta, led by the Regional Health Directorate (DIRESA) of Loreto. Therefore, this research is developed through a case study that examines the implementation strategies from the discretionality of the actors involved, identifying gaps and challenges from the perspective of the street bureaucrats. The research argues that the existence of a window of opportunity and political will favored interculturality in health through partnerships between public officials, NGO and civil society. However, it is argued that challenges persist arising from unequal rationalities between health officials and budget, along with a disconnect with indigenous specialists. It is concluded that increasing the budget is not enough to improve this experience. On the contrary, it is only part of the solution, since it is necessary to articulate it with the distribution of power, territorial management and indigenous policy to achieve an effective implementation of the intercultural approach in health.

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Author Biography

  • Ana Lucía Silva Romero, Pontificia Universidad Católica del Perú

    Bachelor's degree in Political Science and Government from the Pontifical Catholic University of Peru (PUCP) with training and experience in public and social management, particularly in the design and implementation of social, environmental, and gender advocacy projects. Her work has focused on strengthening community capacities, as well as monitoring and evaluating public policies in urban and rural contexts. She has conducted research on intercultural health with Amazonian indigenous peoples and participated as a fellow in training initiatives such as Recambio, the Institute for Democracy and Human Rights (IDEHPUCP), and the Ministry of Culture, among others. She currently works as a technical assistant in an organization dedicated to conservation and sustainable development in the Andean Amazon.

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Published

2025-07-31

Issue

Section

THEME

How to Cite

“Sacha implementación”: analysis of the implementation of the intercultural approach in Diresa Loreto through the program to reduce maternal-neonatal deaths in Nauta (2018-2020). (2025). Peruvian Amazon, 38, 241-260. https://doi.org/10.52980/2t190s06