Background: In 2007, approximately 66.2% of the population of the Comarcas (indigenous reservations) in Panama had access to potable water. However, over 50% of this population lacked access to sanitation. As a result, the leading causes of death in the Comarca Ngäbe-Buglé are due to severe diarrhea and gastroenteritis of infectious origin. The present project assessed the need for an in-depth understanding of the Ngäbe-Buglé women and their communities regarding their knowledge, attitudes, beliefs and behaviors about water and sanitation. Methodology: In this cross-sectional exploratory study, a convenience sample of 52 women were interviewed, utilizing a questionnaire guided by the Health Belief Model. Quantitative analysis was useful in identifying to generate descriptive statistics for the quantitative data, and qualitative methods were used to identify a priori and emergent codes in open-ended responses. Results: The Health Belief Model was useful to identify different factors that may prevent the adoption of safe behaviors, while the children play a key role in adopting those behaviors. Data showed that the women had some knowledge about safe water consumption, but that does not necessarily determine if they will consume safe water or not, although it seems that chlorination is more likely to be adopted than boiling water. There is a need for tailored educational programs for this population, especially topics related to sanitation, garbage disposal and hygiene practices

Text in English / This research examines the applicability of the Kindernothilfe self-help group approach among the Ngäbe indigenous people in Panama from the perspectives of complex system theory and development as empowerment. It is based on an extensive literature review and an empirical qualitative study with focus group discussions and expert interviews following the grounded theory method. The dissertation displays the multiple dimensions that have reverberated to poverty and to the failure of development and most group approaches in the Ngäbe region. Nevertheless, it indicates that a culturally fitting self-help group concept could become a promising approach to empowering the Ngäbe people. Some crucial adaptations, however, are necessary. The most significant change regards the suggestion to work with mixed-sex ‘family groups’ that combine peer group meetings and joint gatherings. It represents the most suitable approach both from the perspective of the Ngäbe people and from the suitable approach both from the perspective of the Ngäbe people and from the viewpoint of gender mainstreaming and complexity. / Development Studies / M.A. (Development Studies)