Primary Health Care attributes in the context of indigenous health

Abstract

Objectives: to assess the attributes of Primary Health Care from the perspective of health professionals, comparing services in the Special Indigenous Health District and the Municipal Health Offices. Methods: a cross-sectional study in the Upper Rio Negro region, State of Amazonas, with 116 professionals. The data were collected through the Primary Care Assessment Tool. Scores were categorized (≥ 6.6) - strong orientation and (<6.6) - low orientation. The chi-square and maximum likelihood test for crossover analysis. The comparison between professionals the Kruskal-Wallis Test. Results: a higher overall score was observed in the Indigenous Health District (7.2). The same trend was observed individually in the essential and derived attributes. Conclusions: this work may support strategies that positively impact the management model and work processes from the perspective of strengthening the primary care offered to the population from Rio Negro.

Geospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory

“…The Marajó mesoregion, also known as the Marajó archipelago, comprises 16 municipalities and hosts the worst Municipal Human Development Indices (MHDI) in Brazil, ranging from 0.418 to 0.543, which reflects the situation of vulnerability and social exclusion of the population in general, both Indigenous and non-Indigenous. Studies point to health as a worrying factor in this mesoregion, as there is an insufficient number of beds, medical care, and health care, aggravated by the difficulty of access throughout the archipelago ( 7 , 24 ) . The behavior of TB in the mesoregion is still little addressed, being a territory neglected by the State ( 24 ) .…”

“…Indigenous health care is configured in a specific model established in the National Policy for Health Care of Indigenous Population (PNASPI), with primary care offered in the context of villages by Multidisciplinary Teams of Indigenous Health (EMSI), aiming to meet the cultural specificities of these peoples ( 7 ) . Therefore, it is in this context that these teams must carry out actions to identify, diagnose and treat cases.…”

“…Despite government plans and actions aimed at greater TB control among Indigenous population, challenges remain due to the way of life, especially in villages, and social and health inequalities ( 7 ) . Therefore, it is necessary to implement policies to combat poverty with the effective participation of the community to promote access to services, respecting their social, economic, and cultural condition ( 11 ) .…”

Nursing care for the Amazon population: knowledge production and human resource development

“…Nursing professionals need to incorporate, in the context of health actions, the ability to understand and act according to the Amazon population's cultural specificities, seeking to enable ways to improve access to healthcare services and quality of care and to propose strategies for intervention adequate to sociocultural realities (17) .…”

O papel do enfermeiro dentro do contexto da assistência indígena: uma revisão de literatura

“…Tais estorvos nos mostram a necessidade de uma contínua avaliação no que diz respeito ao modelo da assistência prestada, assim como na articulação com os sistemas de saúde municipais e isso faz com que haja urgência em implementar instrumentos constituídos que sejam aptos para averiguar o subsistema de saúde indígena e os serviços de saúde pública ofertados nos municípios, de modo que essas pressuposições da assistência diferenciada e a forma da atenção primária se desencadeiam no dia a dia não se conflitem (Rocha, et al, 2020).…”