This paper aims to provide a broad view of the Turkana tribe of the Ilemi Triangle in northwestern Kenya, especially regarding the way the members of this nomadic ethnic group understand and shape their own construct of health and disease. It is based in an ethnographic study carried out in July and August 2014, including participant observation of 15 villages of the Turkana tribe, formal interviews and in-depth interviews carried out with the collaboration of two translators of the tribe and a nurse. Field notes as well videos and audio records were captured and transcribed for later analysis. Among the primary results of this study, it should be highlighted that the concepts of both health and disease differ greatly from the western approach that external projects bring with them a priori and it is likely that the lack of adherence to these projects is related to the scant cultural knowledge regarding such constructs on the part of the health professionals.
Keywords: Anthropology, Cultural, Ethnic Groups, Nomad, Health-Disease Process, Kenya
1. Mikutu KA. Small arms and light weapons among pastoral groups in the Kenya-Uganda border área. African Affrairs. 2007;106(422):47-70.
2. Schelling E, Weibel D, Bonfoh B. Aprender de la provisión de servicios sociales a pastoralistas: elementos de una buena práctica [Internet]. Nairobi: PNUD; 2008 [citado 17 feb 2016]. Disponible en: https://goo.gl/9hsvHE.
3. Shankar D, Haverkort B. Vitalidad, salud y diversidad cultural. Boletín COMPAS. 2000;(3):4-7.
4. Terrence McCabe J. El impacto y la respuesta a la sequía entre los pastores turkanas: Implicaciones para la teoría antropológica y la investigación de riesgos. Desacatos. 2005;(19):25-40.
5. Hewitt K. The idea of calamity in a technocratic age. In: Hewitt K. Interpretations of Calamity. Winchester: Allen and Unwin; 1983. p. 3-32.
6. Glantz M. Drought and economic development in Sub-Saharan Africa. In: Glantz M. Drought and hunger in Africa: Denying famine a future. Cambridge: Cambridge University Press; 1987. p. 37-58.
7. García Acosta V. Historical disaster research. In: Hoffman SM, Oliver-Smith A, (eds.). Catastrophe & culture: the anthropology of disaster. Santa Fe: School of American Research Press; 2002. p. 49-66.
8. Watts J, Hales H. A Turkana apron from Kenya [Internet]. 2011 [citado 19 may 2015]. Disponible en: http://goo.gl/DqsJjn
9. Sahlins MD. Las sociedades tribales. Barcelona: Labor; 1972.
10. Trip Down Memory Lane. Turkana people: Kenya's beautiful semi-nomadic Nilotic people [Internet]. 2013 [citado 14 jul 2015]. Disponible en: http://goo.gl/k3uUsM
11. Abati FG. La religión de los Himba: Kaokoland (Namibia). Revista de Antropología Social. 1992;(1):151-166.
12. Schmidt W. Totemismus, viehzüchterischer Nomadismus und Mutterrecht. Anthropos. 1915-16;X-XI:593-643.
13. Bayardo SJV. Antología de textos clásicos de la psiquiatría latinoamericana. En: Bayardo SJV, Malpica CR, De Lara JG. Maestros de la psiquiatría mexicana. Guadalajara: Amaya Ediciones; 2011. p. 281-284.
14. Fundación Emalaikat. Memoria de Actividades 2013 [Internet]. 2013 [citado 15 dic 2014]. Disponible en: http://goo.gl/Wo210p
15. Good CM. Ethnomedical systems in Africa: Patterns of traditional medicine in rural and urban Kenya. New York: Guilford Press; 1987.
16. Gearhart R, Abdulrehman MS. Concepts of illness among the Swahili of Lamu, Kenya. Journal of Transcultural Nursing. 2014;25(3):218-222.
17. Swift J. Planning against drought and famine in Turkana, Northern Kenya. Nairobi: Oxfam, IDS, TRP; 1985.
18. Hendrickson D, Mearns R, Armon J. Livestock raiding among the pastoral Turkana of Kenya: redistribution, predation and the links to famine. Institute of Development Studies. 1996;27(3):17-30.
19. Wienpahl J. Livestock production and social organization among the Turkana (pastoralism, nomads; Kenya, East Africa) [Tesis de Doctorado en Internet]. Arizona: University of Arizona; 1984 [citado 15 ago 2015]. Disponible en: http://hdl.handle.net/10150/187667
20. Figuera GDL. Mejora de las infraestructuras hidráulicas para la Comunidad Misionera de San Pablo Apóstol en Lobur, Turkana North District, Kenia [Disertación de Grado en Internet]. Madrid: Universidad Politécnica de Madrid; 2010 [citado 16 feb 2016]. Disponible en: http://oa.upm.es/5389/.
21. Villaseñor Bayardo SJ, Rojas Malpica C, Berganza Champagnac CE. La enfermedad y la medicina en las culturas precolombinas de América: la cosmovisión nahua. Investigación en Salud [Internet]. 2002;IV(3) [citado 16 feb 2016]. Disponible en: http://goo.gl/3oiJT5
22. Erkoreka A. Mal de ojo: una creencia supersticiosa remota, compleja, y aún viva. Munibe (Antropología-Arkeología). 2005;(57):392-400.
23. King B. Taking health care to the Maasai. Africa Health. 1992;14(2):27-30.
24. Cohen D. Providing nomadic people with health care. BMJ. 2005;331(7519):720.
25. Harragin S. Health and healthcare provision in North West Turkana, Kenya [Internet]. ODI Pastoral Development Network; 1994 [citado 22 feb 2016]. Disponible en: http://goo.gl/uyUXgL
26. Sonkyo Energy. Instalación de un sistema híbrido para generación de electricidad: Turkana, Kenia [Internet]. Santander: Fundación ROSE; 2011 [citado 14 may 2015]. Disponible en: http://goo.gl/nU1f7W.
27. Mbindyo P, Blaauw D, English M. The role of clinical officers in the Kenyan health system: a question of perspective. Human Resources for Health. 2013;11(1):32.
28. Murillo J, Martínez C. Investigación etnográfica [Internet]. Madrid: Universidad Autónoma de Madrid; 2010 [citado 13 jul 2015]. Disponible en: http://goo.gl/AFdFf9.
29. Juma RO. Turkana livelihood strategies and adaptation to drought in Kenya. [Tesis de Doctorado en Internet]. New Zealand: Victoria University of Wellington; 2009 [citado 12 feb 2016]. Disponible en: http://hdl.handle.net/10063/1063
30. Sundal MB. Difficult decisions: Karimojong healing in conflict [Tesis de Doctorado en Internet]. Kansas: University of Kansas; 2009 [citado 1 dic 2014]. Disponible en: http://hdl.handle.net/1808/6000
31. Barrett AJ. Sacrifice and prophecy in Turkana cosmology. Nairobi: Paulines Publications Africa; 1998.
32. Sandford S. Welfare and wanderers: the organization of social services for pastoralists. Development Policy Review. 1978;A11(1):70-87.
33. Swift J, Toulmin C, Chatting S. Providing services to nomadic people: A review of the literature and annotated bibliography (Unicef Staff Working Papers 8). New York: Unicef; 1990.
34. Lillo-Crespo M. Asesoramiento en cuidados culturalmente competentes y evaluación de la satisfacción en el paciente holandés del plan de choque intereuropeo: una investigación cualitativa y transcultural en el contexto de la práctica de enfermería [Tesis de Doctorado en Internet]. Alicante: Universidad de Alicante; 2005 [citado 4 mar 2016]. Disponible en: http://hdl.handle.net/10045/10934
35. Lillo-Crespo M, Vizcaya F, Domínguez JM, Galao R. Investigación cualitativa en enfermería y competencia cultural. Index de Enfermería. 2004;13(44-45):47-50.
36. Lillo-Crespo M, Sierras C, Cabañero MJ, Riquelme J. ISTEW European Project: Improvement Science Training for European Healthcare Workers-Spanish Contribution [Internet]. Global Science and Technology Forum: Annual Worldwide Nursing Conference 2015 doi: 10.5176/2315-4330_WNC15.131.