The article focuses on the healing service offered by Barquinha churches. The Barquinha religion is an Amazonian form of Christianity, with syncretic elements. The article surveys three recurrent methodological and theoretical approaches found in anthropological works on healing in the Barquinha religion, to which the author contributes with his own ethnographic research and analysis. On the one hand, analytical emphases are often located on the participants’ subjective and symbolic processes, in association with the ayahuasca experience. Ayahuasca—called Santo Daime by adherents—is the central sacrament of the religion, frequently implied in accounts of healing. Another common focus is on ritual settings and changing bodily dispositions. Thirdly, anthropologists have considered aspects of the social relations involved in the therapeutic process. This paper furthers reflections on social interactions during healing encounters. Such encounters typically involve healer-spirits incorporated in Barquinha spirit-mediums. The author suggests that the healing service may echo symbolic motifs associated with the historical experience of migration and rapidly changing living circumstances shared by many participants.

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This article proposes two premises that underlie biomedical health care delivery provided through medical missions to Madiha (Kulina) Indigenous Amazonian people living in forest villages. First, that health care is implemented through a set of detached transferable goods and services. Second, that health is a condition that requires the importation of knowledge and resources. The premises were induced through qualitative research on the Brazilian government’s medical missions that provide biomedical care to Madiha (Kulina) in the southwestern Amazon as part of the national health care system. Despite policy rhetoric, delivery practices disregard embedding health and health care in local infrastructure and cultural conditions. There is little or no collaboration with Indigenous healers, capacity building of the local (Indigenous) health care system, education of resident lay health monitors, or extensive and lasting infrastructural development. The article recommends reorientation of delivery to prioritize local health care infrastructure development.

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