Dificuldades enfrentadas pelos indígenas durante a permanência em uma Casa de Saúde Indígena na região Amazônica/Brasil

Abstract

The National Policy of Health Care to the Indigenous Peoples (PNASI) was established by the Ministry of Health restructuring the Primary Care to Indigenous Health, following the principles and guidelines from the Unified Health System (SUS). This study aims to identify the difficulties faced by the indigenous peoples during the stay in the Indigenous Health Center (Casai) in Santarém (PA), in the Amazon region. It is an exploratory qualitative study, whose approach was through semi-structured interviews, recorded and transcribed, with 15 indigenous people from five ethnic groups, assisted by the Casai (Mawayana, Tunayana, Wai-wai, Tiriyó and Katwena), with help from a translator acquainted with the dialects. We used the content analysis arising from thematic categories: the difficulties faced during the adaptation period in the Casai/Santarém, the feeling about leaving the indigenous land and the perspectives regarding the improvements during the stay. We consider that, despite the increasing changes and advances in indigenous health in Brazil, improvements that can truly meet the health peculiarities of each ethnic group are necessary.

Evolução das desigualdades socioeconômicas na realização de consultas de pré-natal entre parturientes brasileiras: análise do período 2000-2015*

“…A systematic review of the literature showed that working with indigenous community leaders and taking into account their beliefs, values, knowledge and skills is essential for obtaining a higher level of success with health actions that aim to positively impact prenatal care. 24 This was confirmed by a Brazilian study the objective of which was to identify the difficulties faced by indigenous people during their stay in an Indigenous Health House: 25 in addition to the factors mentioned above, having difficulty in being able to afford to buy medication, food different from traditional indigenous food, the language barrier and the lack of specific training to deal with this population were also important factors for difficulties in care provision. 25 In relation to the Afro-Brazilian population, a study aimed at analyzing the relationship between inadequate uptake of prenatal care and associated factors suggested that, apart from socioeconomic factors, racial discrimination may be negatively influencing access to and use of prenatal care.…”

“…24 This was confirmed by a Brazilian study the objective of which was to identify the difficulties faced by indigenous people during their stay in an Indigenous Health House: 25 in addition to the factors mentioned above, having difficulty in being able to afford to buy medication, food different from traditional indigenous food, the language barrier and the lack of specific training to deal with this population were also important factors for difficulties in care provision. 25 In relation to the Afro-Brazilian population, a study aimed at analyzing the relationship between inadequate uptake of prenatal care and associated factors suggested that, apart from socioeconomic factors, racial discrimination may be negatively influencing access to and use of prenatal care. 26 Our study did not investigate the interaction between maternal schooling and ethnicity/skin color; however, it is possible that a multiplying effect may occur, indicating poorer access by indigenous and Black women with low schooling in comparison to highly educated White pregnant women.…”

Processo De Enfermagem Na Assistência a Pacientes Com Feridas Em Cicatrização Por Segunda Intenção

“…Mesmo sendo obrigatório segundo a regulamentação do exercício profissional no Brasil (1) , e apesar do consenso entre os profissionais sobre a importância do PE (17) , estudos mostram obstáculos à sua realização e os profissionais relatam dificuldades em executá-lo, incluindo principalmente a sobrecarga de trabalho, o número deficiente de profissionais, a falta de tempo e a falta de conhecimento teórico (18)(19) .…”

Desafios da população indígena ao acesso à saúde no brasil: revisão integrativa de literatura

“…Estudo semelhante realizado por Silva et al (2016), reporta que a procura pelos serviços de média e alta complexidade tem como principais motivos a necessidade da realização de retorno para exames especializados, acompanhamento médico e alguns procedimentos hospitalares. Através da entrevista foi possível constatar que as maiores dificuldades enfrentadas pelos indígenas foram: dificuldade financeira, seja para realizar consultas particulares ou adquirir medicamentos, marcação de consultas, demora para procedimentos hospitalares, barreira linguística e cultural, dificuldade para acesso a alimentação tradicional da sua culinária, dentre outros fatores.…”