0049/2015 - O modelo de atenção diferenciada nos Distritos Sanitários Especiais Indígenas: reflexões a partir do Alto Rio Negro/AM The implementation of the differentiated care in the Subsystem of Attention to Indian Health: reflections from Alto Rio Negro/AM.
• Luiza Garnelo - Garnelo, Luiza - Fundação Oswaldo Cruz, Instituto de Pesquisa Leônidas e Maria Deane - <malupereira2011@gmail.com>
Área Temática:
Políticas em Saúde
Resumo:
Analisou-se a implementação do modelo de atenção da Política Nacional de Saúde Indígena (Pnaspi) no Distrito Sanitário Especial Indígena do Alto Rio Negro à luz da diretriz da atenção diferenciada. A temática foi investigada sob três perspectivas: a) formulação da diretriz; b) itinerários terapêuticos em aldeias indígena; c) atuação dos Agentes Indígenas de Saúde (AIS). Pesquisa qualitativa, apoiada na perspectiva antropológica de Menéndez sobre modelos de atenção. A coleta de dados compreendeu observação participante, entrevistas e análise documental. A formulação da diretriz da atenção diferenciada enfatiza a adequação de tecnologias e profissionais, minimizando a dimensão da coexistência e disputas entre formas de atenção. A perspectiva de análise dos modelos de atenção a partir dos sujeitos, proposta por Menéndez, mostrou-se fundamental para demonstrar que a partir dos itinerários terapêuticos é possível verificar a coexistência e articulação de diversas formas de atenção. A partir da análise das rotinas dos AIS não foi possível encontrar a inclusão ou o reconhecimento das representações e práticas indígenas de saúde. Destaca-se a autoatenção, protagonizada por sujeitos e famílias, como importante eixo para construção e análise da atenção diferenciada.
Palavras-chave:
Saúde de Populações Indígenas
Serviçoes de Saúde Indígena
Noroeste Amazônico
Agentes Comunitários de Saúde
Abstract:
The implementation, in the region of Alto Rio Negro / Amazon, of the National Policy for Health Care of Indians Peoples (Pnaspi) was analyzed based on the guidance of differentiated care. This subject was investigated under three perspectives: a) the formulation of the policy; b) the health itineraries in the two indigenous villages, and c) the Indigenous Community Health Agents (AIS) work routines. It´s a qualitative research supported by the anthropological perspective of Eduardo Menéndez. The techniques used were: a) participant observation, b) interviews, and, d) documental analysis. We conclude that the formulation of the guidance of differentiated care emphasis the adequation of technologies and professionals, minimizing the coexistence and disputes among healthcare forms. Menéndez’s perspective focused on the subjects point of view was crucial to identify, through the healthcare itineraries, the coexistence and articulation among different forms of attention at the villages. Nevertheless, it was not possible to identify the inclusion of health indigenous practices and representations through the work routines of the Indigenous Community Health Agents (AIS). It’s highlighted that the selfcare, developed by the subjects and families, has great importance to the construction and analysis of the differentiated healthcare.
Keywords:
Indigenous Health Services
Health of Indigenous People
Cultural Competency
Community Health Workers
The implementation of the differentiated care in the Subsystem of Attention to Indian Health: reflections from Alto Rio Negro/AM.
Resumo (abstract):
The implementation, in the region of Alto Rio Negro / Amazon, of the National Policy for Health Care of Indians Peoples (Pnaspi) was analyzed based on the guidance of differentiated care. This subject was investigated under three perspectives: a) the formulation of the policy; b) the health itineraries in the two indigenous villages, and c) the Indigenous Community Health Agents (AIS) work routines. It´s a qualitative research supported by the anthropological perspective of Eduardo Menéndez. The techniques used were: a) participant observation, b) interviews, and, d) documental analysis. We conclude that the formulation of the guidance of differentiated care emphasis the adequation of technologies and professionals, minimizing the coexistence and disputes among healthcare forms. Menéndez’s perspective focused on the subjects point of view was crucial to identify, through the healthcare itineraries, the coexistence and articulation among different forms of attention at the villages. Nevertheless, it was not possible to identify the inclusion of health indigenous practices and representations through the work routines of the Indigenous Community Health Agents (AIS). It’s highlighted that the selfcare, developed by the subjects and families, has great importance to the construction and analysis of the differentiated healthcare.
Palavras-chave (keywords):
Indigenous Health Services
Health of Indigenous People
Cultural Competency
Community Health Workers
Pontes, Ana Lucia de Moura, Rego, S., Garnelo, Luiza. O modelo de atenção diferenciada nos Distritos Sanitários Especiais Indígenas: reflexões a partir do Alto Rio Negro/AM. Cien Saude Colet [periódico na internet] (2015/Abr). [Citado em 17/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-modelo-de-atencao-diferenciada-nos-distritos-sanitarios-especiais-indigenas-reflexoes-a-partir-do-alto-rio-negroam/15115?id=15115
