<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2414-8938</journal-id>
<journal-title><![CDATA[Academo (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Acad. (Asunción)]]></abbrev-journal-title>
<issn>2414-8938</issn>
<publisher>
<publisher-name><![CDATA[Universidad Americana ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2414-89382018000100013</article-id>
<article-id pub-id-type="doi">10.30545/academo.2018.ene-jun.3</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Condiciones de salud en las comunidades marginadas y aisladas contactadas de América Latina]]></article-title>
<article-title xml:lang="en"><![CDATA[Health conditions in marginalized and isolated communities contacted in Latin America]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrero Olarte]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de las Américas Facultad de Ciencias Económicas y Empresariales Centro de Investigaciones Económicas y Empresariales]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>5</volume>
<numero>1</numero>
<fpage>13</fpage>
<lpage>34</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2414-89382018000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2414-89382018000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2414-89382018000100013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Mejorar las condiciones de vida en las comunidades marginadas y aisladas contactadas en América Latina es un reto especialmente difícil de abordar porque precisa de intervenciones viables y sostenibles. Para ello es preciso plantear metodologías especialmente adecuadas que posibiliten incidir en las principales carencias que estas propias comunidades rurales reconocen, como es el caso de la salud. Al comparar con los promedios nacionales, se observa cómo en las comunidades la tasa de mortalidad es mayor para todas las edades y la esperanza de vida es menor. Las causas son unos niveles de salud preventiva deficitarios y un acceso tanto físico como económico a los sistemas de salud es insuficiente. Es preciso diseñar políticas sanitarias que desde el ámbito local, puedan tratar las cuestiones señaladas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Improving living conditions in marginalized and isolated contacted communities in Latin America is particularly difficult to address because it requires viable and sustainable interventions challenge. This requires raising especially appropriate methodologies that enable influence the main shortcomings that these rural communities themselves recognize, such as health. When compared with national averages, it can be observed in communities mortality rate is higher for all ages and life expectancy is lower. The causes are deficient levels of preventive health and both physical and economic access to health systems is insufficient. It is necessary to design health policies at the local level, can address the issues identified.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Atención sanitaria]]></kwd>
<kwd lng="es"><![CDATA[pobreza sanitaria]]></kwd>
<kwd lng="es"><![CDATA[comunidades marginadas y aisladas contactadas]]></kwd>
<kwd lng="es"><![CDATA[salud rural]]></kwd>
<kwd lng="es"><![CDATA[desarrollo rural]]></kwd>
<kwd lng="en"><![CDATA[Health care]]></kwd>
<kwd lng="en"><![CDATA[health poverty]]></kwd>
<kwd lng="en"><![CDATA[communities contacted marginalized and isolated]]></kwd>
<kwd lng="en"><![CDATA[rural health]]></kwd>
<kwd lng="en"><![CDATA[development-Health]]></kwd>
</kwd-group>
</article-meta>
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