0402/2019 - Representações e práticas de cuidado dos profissionais da saúde indígena em relação ao uso de álcool. Representations and care practices of indigenous health professionals regarding alcohol use.
A saúde indígena no Brasil está regulamentada pelo subsistema de saúde indígena, estruturado a partir do SUS e descrito na Política Nacional de Atenção à Saúde dos Povos Indígenas. O uso do álcool tem sido visto como um problema entre povos indígenas. Nesse artigo descrevemos as representações atribuídas por profissionais de saúde em relação ao uso do álcool entre indígenas e como estas influenciam nas práticas de cuidado. Trata-se de um estudo descritivo baseado em entrevistas e observação participante por inserção etnográfica. A análise e interpretação se deu com apoio do Software Atlas TI 8.0. O uso do álcool é observado como problemático pelos profissionais, e o consumo excessivo é reproduzido em contextos específicos. Os modos de beber variam de acordo com a etnia, religião e o local e isso resulta na descrição da necessidade de desenvolver competências culturais, que apoiariam na execução de ações efetivas e que contemplassem a construção coletiva prevista nas políticas. Uma rede de apoiadores é descrita, dentre eles as lideranças, curadores tradicionais e a igreja evangélica. O estudo mostra as dificuldades na efetivação das políticas e na implementação de ações que correspondam às expectativas dos povos indígenas, reconhecendo as lógicas culturais e sociais relacionadas ao uso do álcool.
Palavras-chave:
Saúde de populações indígenas, Alcoolismo, Política de Saúde.
Abstract:
Indigenous people’s health in Brazil is grounded on specific policies. The use of alcohol has been regarded as a health issue among indigenous peoples. In this article, we describe the representations attributed by health professionals in relation to the use of alcohol among indigenous peoples, and how these influence the care practices. It is a descriptive study based on interviews, as well as on participant observation, by means of ethnographic ion. Analysis and interpretation were made with the support of Software Atlas TI 8.0. The use of alcohol is seen as problematic by professionals, and the excessive consumption is reproduced in specific contexts. The ways of drinking vary according to both ethnics, religion and locality, thus resulting in the description of the need of developing cultural competences that provide support to the execution of effective actions, which also consider the collective construction as referred in the policies. A network of supporters is described; among them are the leaderships, traditional healers and the evangelical church. The study shows the difficulties to both the effectuations of policies and implementation of actions which correspond to the indigenous peoples’ expectations, in acknowledgement of the cultural and social logic related to the use of alcohol.
Keywords:
Health of Indigenous Peoples; Alcoholism; Health policy.
Representations and care practices of indigenous health professionals regarding alcohol use.
Resumo (abstract):
Indigenous people’s health in Brazil is grounded on specific policies. The use of alcohol has been regarded as a health issue among indigenous peoples. In this article, we describe the representations attributed by health professionals in relation to the use of alcohol among indigenous peoples, and how these influence the care practices. It is a descriptive study based on interviews, as well as on participant observation, by means of ethnographic ion. Analysis and interpretation were made with the support of Software Atlas TI 8.0. The use of alcohol is seen as problematic by professionals, and the excessive consumption is reproduced in specific contexts. The ways of drinking vary according to both ethnics, religion and locality, thus resulting in the description of the need of developing cultural competences that provide support to the execution of effective actions, which also consider the collective construction as referred in the policies. A network of supporters is described; among them are the leaderships, traditional healers and the evangelical church. The study shows the difficulties to both the effectuations of policies and implementation of actions which correspond to the indigenous peoples’ expectations, in acknowledgement of the cultural and social logic related to the use of alcohol.
Palavras-chave (keywords):
Health of Indigenous Peoples; Alcoholism; Health policy.
Mendes, A.M, Alfonso, J.O.R, Langdon, E. J., Grisotti, M., Martínez-Hernáez, A. Representações e práticas de cuidado dos profissionais da saúde indígena em relação ao uso de álcool.. Cien Saude Colet [periódico na internet] (2019/Dez). [Citado em 07/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/representacoes-e-praticas-de-cuidado-dos-profissionais-da-saude-indigena-em-relacao-ao-uso-de-alcool/17476?id=17476
