Haitian picuristes/injectionists as alternatives to conventional health care providers in South Florida

Guitele J. Rahill, Marvin P Dawkins, Mario De La Rosa

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Barriers in seeking access to conventional health care services continue to be a problem in the United States, especially among recent racial and ethnic immigrants who tend to be least able to afford adequate health insurance coverage. Ethnic immigrants sometimes seek out traditional healers as unconventional providers of health care services to overcome barriers in accessing the conventional health care delivery system. The purpose of this work is to provide insight into the practices of Picuristes or Haitian lay injectionists in their role as alternative, unconventional providers of health care services among Haitian immigrants in South Florida. Based on in-depth interviews with 10 picuristes who were identified through venue and snowball sampling and who volunteered to participate in a larger exploratory study that examined various aspects of picuriste practices, findings revealed benefits and risks of seeking health care services from these traditional practitioners. Among the benefits reported to their services were greater accessibility, affordability, convenience, and cultural compatibility. Risks observed from analysis of picuriste interviews included the lack of formal medical training for picuristes, their nonadherence to established standards for safe injections and their potential to expose clients and the community to contaminated needles, syringes, and other biohazardous waste materials. Insight was also gained into how picuristes learned to practice their trade and to incorporate Haitian cultural beliefs regarding the relationship between clients and healers. Given the continuation of barriers to health care among ethnic immigrants, implications for conventional heath care practice and social policy are also discussed.

Original languageEnglish (US)
Pages (from-to)577-593
Number of pages17
JournalSocial Work in Public Health
Volume26
Issue number6
DOIs
StatePublished - Oct 2011

Fingerprint

health care services
Health Personnel
Health Services
immigrant
health care
Delivery of Health Care
Interviews
health care delivery system
Health Services Accessibility
insurance coverage
Insurance Coverage
Syringes
Health Insurance
Public Policy
interview
health insurance
Needles
Injections
lack
community

Keywords

  • Haitian health beliefs
  • Haitian health practices
  • immigrant health practices
  • injectionists
  • Picuristes

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Haitian picuristes/injectionists as alternatives to conventional health care providers in South Florida. / Rahill, Guitele J.; Dawkins, Marvin P; De La Rosa, Mario.

In: Social Work in Public Health, Vol. 26, No. 6, 10.2011, p. 577-593.

Research output: Contribution to journalArticle

@article{14087c1ec94e4390850d7e15b633394f,
title = "Haitian picuristes/injectionists as alternatives to conventional health care providers in South Florida",
abstract = "Barriers in seeking access to conventional health care services continue to be a problem in the United States, especially among recent racial and ethnic immigrants who tend to be least able to afford adequate health insurance coverage. Ethnic immigrants sometimes seek out traditional healers as unconventional providers of health care services to overcome barriers in accessing the conventional health care delivery system. The purpose of this work is to provide insight into the practices of Picuristes or Haitian lay injectionists in their role as alternative, unconventional providers of health care services among Haitian immigrants in South Florida. Based on in-depth interviews with 10 picuristes who were identified through venue and snowball sampling and who volunteered to participate in a larger exploratory study that examined various aspects of picuriste practices, findings revealed benefits and risks of seeking health care services from these traditional practitioners. Among the benefits reported to their services were greater accessibility, affordability, convenience, and cultural compatibility. Risks observed from analysis of picuriste interviews included the lack of formal medical training for picuristes, their nonadherence to established standards for safe injections and their potential to expose clients and the community to contaminated needles, syringes, and other biohazardous waste materials. Insight was also gained into how picuristes learned to practice their trade and to incorporate Haitian cultural beliefs regarding the relationship between clients and healers. Given the continuation of barriers to health care among ethnic immigrants, implications for conventional heath care practice and social policy are also discussed.",
keywords = "Haitian health beliefs, Haitian health practices, immigrant health practices, injectionists, Picuristes",
author = "Rahill, {Guitele J.} and Dawkins, {Marvin P} and {De La Rosa}, Mario",
year = "2011",
month = "10",
doi = "10.1080/19371918.2010.513649",
language = "English (US)",
volume = "26",
pages = "577--593",
journal = "Social Work in Public Health",
issn = "1937-1918",
publisher = "Routledge",
number = "6",

}

TY - JOUR

T1 - Haitian picuristes/injectionists as alternatives to conventional health care providers in South Florida

AU - Rahill, Guitele J.

AU - Dawkins, Marvin P

AU - De La Rosa, Mario

PY - 2011/10

Y1 - 2011/10

N2 - Barriers in seeking access to conventional health care services continue to be a problem in the United States, especially among recent racial and ethnic immigrants who tend to be least able to afford adequate health insurance coverage. Ethnic immigrants sometimes seek out traditional healers as unconventional providers of health care services to overcome barriers in accessing the conventional health care delivery system. The purpose of this work is to provide insight into the practices of Picuristes or Haitian lay injectionists in their role as alternative, unconventional providers of health care services among Haitian immigrants in South Florida. Based on in-depth interviews with 10 picuristes who were identified through venue and snowball sampling and who volunteered to participate in a larger exploratory study that examined various aspects of picuriste practices, findings revealed benefits and risks of seeking health care services from these traditional practitioners. Among the benefits reported to their services were greater accessibility, affordability, convenience, and cultural compatibility. Risks observed from analysis of picuriste interviews included the lack of formal medical training for picuristes, their nonadherence to established standards for safe injections and their potential to expose clients and the community to contaminated needles, syringes, and other biohazardous waste materials. Insight was also gained into how picuristes learned to practice their trade and to incorporate Haitian cultural beliefs regarding the relationship between clients and healers. Given the continuation of barriers to health care among ethnic immigrants, implications for conventional heath care practice and social policy are also discussed.

AB - Barriers in seeking access to conventional health care services continue to be a problem in the United States, especially among recent racial and ethnic immigrants who tend to be least able to afford adequate health insurance coverage. Ethnic immigrants sometimes seek out traditional healers as unconventional providers of health care services to overcome barriers in accessing the conventional health care delivery system. The purpose of this work is to provide insight into the practices of Picuristes or Haitian lay injectionists in their role as alternative, unconventional providers of health care services among Haitian immigrants in South Florida. Based on in-depth interviews with 10 picuristes who were identified through venue and snowball sampling and who volunteered to participate in a larger exploratory study that examined various aspects of picuriste practices, findings revealed benefits and risks of seeking health care services from these traditional practitioners. Among the benefits reported to their services were greater accessibility, affordability, convenience, and cultural compatibility. Risks observed from analysis of picuriste interviews included the lack of formal medical training for picuristes, their nonadherence to established standards for safe injections and their potential to expose clients and the community to contaminated needles, syringes, and other biohazardous waste materials. Insight was also gained into how picuristes learned to practice their trade and to incorporate Haitian cultural beliefs regarding the relationship between clients and healers. Given the continuation of barriers to health care among ethnic immigrants, implications for conventional heath care practice and social policy are also discussed.

KW - Haitian health beliefs

KW - Haitian health practices

KW - immigrant health practices

KW - injectionists

KW - Picuristes

UR - http://www.scopus.com/inward/record.url?scp=80053266844&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053266844&partnerID=8YFLogxK

U2 - 10.1080/19371918.2010.513649

DO - 10.1080/19371918.2010.513649

M3 - Article

C2 - 21932978

AN - SCOPUS:80053266844

VL - 26

SP - 577

EP - 593

JO - Social Work in Public Health

JF - Social Work in Public Health

SN - 1937-1918

IS - 6

ER -