Saúde e povos indígenas no Brasil: o desafio da formação e educação permanente de trabalhadores para atuação em contextos interculturais

Diehl, Eliana Elisabeth; Pellegrini, Marcos Anto̊nio

doi:10.1590/0102-311x00030014

Cited by 39 publications

(37 citation statements)

References 12 publications

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“…Isso nos ajuda a entender a diferença e o hibridismo como riqueza, e não como empecilho a uma prática de saúde e sentido 9 . Alguns desafios foram colocados nesse percurso, como as políticas públicas insuficientes, os avanços nas grades de ensino que tratem das questões indígenas, por exemplo, políticas públicas de saúde indígena/indigenista e o impacto dos determinantes sociais no trabalho das equipes de saúde 10 .…”

Section: Resultados E Discussõesunclassified

Experiência docente em saúde indígena: reflexões e movimentos

Abilio¹,

Cordeiro²,

Sathler³

et al. 2016

Interdiscip. J. Health Educ.

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IJHE -Interdisciplinary Journal of Health Education. Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution Non-Commercial, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que sem fins comerciais e que o trabalho original seja corretamente citado. Experiência docente em saúde indígena: reflexões e movimentos RESUMOObjetivo: A experiência docente é apresentada neste artigo através da descrição da trajetória de formação de profissionais de saúde em um programa de Residência Multiprofissional em Saúde (RMS), que se caracteriza pelo ensino em serviço, na modalidade especialização lato sensu, orientada pelos princípios e diretrizes do Sistema Único de Saúde (SUS). O RMS do Hospital Universitário da Grande Dourados -Mato Grosso do Sul -atua na saúde indígena, considerando as características regionais. A cidade de Dourados tem a segunda maior população indígena do Brasil. Durante a formação, os alunos (trabalhadores de saúde) são capacitados para conhecer a diversidade e a complexidade do contexto social, histórico e cultural dos povos indígenas. Método: Pesquisa qualitativa de revisão narrativa que busca refletir sobre a prática docente e a formação de trabalhadores em saúde indígena. Resultados: A RMS é identificada como um lugar privilegiado para expandir a compreensão da saúde e da doença dos povos indígenas. Há muitos desafios, por exemplo, implementar e fortalecer as políticas públicas, avançar nas ações em rede e intervir em aspectos sociais. Conclusões: Podemos perceber riquezas como o trabalho pautado nos princípios e diretrizes do SUS; a clínica ampliada; os vínculos entre trabalhadores de saúde e as comunidades indígenas; o acolhimento dos profissionais nos diversos espaços onde os residentes atuam. A rede de saúde é também rede de vínculos, de produção de vida. Construímos uma formação em saúde que mobiliza os estudantes e docentes para ações além das prescrições no currículo. PALAVRAS-CHAVE:Saúde de populações indígenas. Educação em saúde. Psicologia. ABSTRACT Objective:The teaching experience is presented in this article through the description of the training trajectory for health professionals in a Multiprofessional Health Residency (RMS) program, characterized by in-service teaching, in the lato sensu specialization modality, guided by the principles and guidelines of the Unified Health System (UHS). The RMS of the University Hospital of Grande Dourados -Mato Grosso do Sul -operates in indigenous health, considering the regional characteristics. The city of Dourados has the second largest indigenous population in Brazil. During their training, students (health workers) are trained to understand the diversity and complexity of the social, historical and cultural context of indigenous people. Method: Qualitative research of narrative review that seeks to reflect on the teaching practice and the training of indigenous health workers. Results: The RMS is identified as a privileged place to expand the understanding of the healt...

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Section: Resultados E Discussõesunclassified

Experiência docente em saúde indígena: reflexões e movimentos

Abilio¹,

Cordeiro²,

Sathler³

et al. 2016

Interdiscip. J. Health Educ.

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show abstract

“…The point of view of supervisors and external agents can be an encouragement to permanent education. It can favor intercultural dialogs and adaptation of health practices, exploring topics related to the development of social sciences competencies, which are not sufficiently developed in these places 13 . The supervision's power also seems to be the encouragement to seek new knowledge by mutual questioning and learning, not being limited to an automatic supply of materials to supervised subjects.…”

Section: (S7)mentioning

confidence: 99%

“…The indigenous health context itself and the challenges faced by supervisors when dealing with the implications of the suggested work conditions can be added to that. For example, difficulties of access to running water and electricity, internet, telephone line and other technologies 13 . Professionals who are used to a medical practice that uses instruments and complementary routine tests complain, in supervision, about the lack of access to these resources, particularly in services as prenatal.…”

Section: Difficulty In Prioritizing Pedagogical Demands Related To Stmentioning

confidence: 99%

Project More Doctors for Brazil in remote areas of the state of Roraima: relationship between doctors and the Special Supervision Group

Luna

Ávila

Brazão

et al. 2019

Interface (Botucatu)

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This article aims at discussing aspects of the Project More Doctors for Brazil’s Special Supervision Group in areas of difficult access in the Brazilian state of Roraima. It is focused on the relationships between supervisors and doctors, identifying potentialities and difficulties, and highlighting strategies to overcome them. This is an experience report from a thematic content analysis of documents produced by supervisors in 2015 and 2016. Three key categories emerged: potentialities, challenges of the process and constructions based on supervision. Based on the analysis, this is an innovative relationship in healthcare, where academia and services hardly ever come together. It is a complex relationship with structural, cultural and educational limitations. It requires creativity and planning to play all different roles under construction.

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“…One reason for this is that the university model, which is intended to train professionals in the biomedical and medicalized model, is considered hegemonic, superior, and irreplaceable 13 - 14 .…”

Section: Introductionmentioning

confidence: 99%

Social representations of the health care of the Mbyá-Guarani indigenous population by health workers

Falkenberg

Shimizu

Bermúdez

2017

Rev. Latino-Am. Enfermagem

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Objective:to analyze the social representations of health care of the Mbyá-Guarani ethnic group by multidisciplinary teams from the Special Indigenous Health District in the south coast of Rio Grande do Sul state (Distrito Sanitário Especial Indígena Litoral Sul do Rio Grande do Sul), Brazil. Method:a qualitative method based on the theory of social representations was used. Data were collected via semi-structured interviews with 20 health workers and by participant observation. The interviews were analyzed with ALCESTE software, which conducts a lexical content analysis using quantitative techniques for the treatment of textual data. Results:there were disagreements in the health care concepts and practices between traditional medicine and biomedicine; however, some progress has been achieved in the area of intermedicality. The ethnic boundaries established between health workers and indigenous peoples based on their representations of culture and family, together with the lack of infrastructure and organization of health actions, are perceived as factors that hinder health care in an intercultural context. Conclusion:a new basis for the process of indigenous health care needs to be established by understanding the needs identified and by agreement among individuals, groups, and health professionals via intercultural exchange.

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Saúde e povos indígenas no Brasil: o desafio da formação e educação permanente de trabalhadores para atuação em contextos interculturais

Abstract: This article discusses training and continuing medical education for indigenous health workers and health professionals in indigenous

Cited by 39 publications

References 12 publications

Experiência docente em saúde indígena: reflexões e movimentos

Experiência docente em saúde indígena: reflexões e movimentos

Project More Doctors for Brazil in remote areas of the state of Roraima: relationship between doctors and the Special Supervision Group

Social representations of the health care of the Mbyá-Guarani indigenous population by health workers

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