Abstract:Resumo A trajetória histórica vivenciada pelos povos indígenas no Brasil coadunou numa complexa situação social que se estende com precariedade e evidentes disparidades traduzidas em pior perfil de pobreza, escolaridade e de saúde em relação a outros segmentos da sociedade nacional. As políticas de saúde direcionadas para os povos indígenas não conseguiram até a atualidade superar as lacunas do cuidado especializado, persistindo a atenção fragmentada e emergencial, manutenção de péssimo quadro de morbimortalid… Show more
“…Some regional specificities are challenging for the provision of health care to the indigenous population of the north region, such as access, which is only possible by air or river to several villages as they are affected by seasonal influences, especially during periods of drought in the rivers, increasing the travel time and late delivery of inputs. Work difficulties in these areas involve health risks, language barriers and poor housing conditions, leading to high professional turnover in the most remote regions [ 31 ].…”
This study aimed to analyse the geographical distribution of COVID-19 and to identify highrisk areas in space and time for the occurrence of cases and deaths in the indigenous population of Brazil. This is an ecological study carried out between 24 March and 26 October 2020 whose units of analysis were the Special Indigenous Sanitary Districts. The Getis-Ord General G and Getis-Ord Gi* techniques were used to verify the spatial association of the phenomena and a retrospective space−time scan was performed. There were 32041 confirmed cases of COVID-19 and 471 deaths. The non-randomness of cases (z score = 5.40; p <0.001) and deaths (z score = 3.83; p <0.001) were confirmed. Hotspots were identified for cases and deaths in the north and midwest regions of Brazil. Sixteen high-risk space−time clusters were identified for the occurrence of cases with a higher RR=21.23 (p <0.001) and four risk clusters for deaths with a higher RR=80.33 (p <0.001). These clusters were identified from 22 May and were active until 10 October 2020. The results indicate critical areas in the indigenous territories of Brazil and contribute to better directing the actions of control of COVID-19 in this population.
“…Some regional specificities are challenging for the provision of health care to the indigenous population of the north region, such as access, which is only possible by air or river to several villages as they are affected by seasonal influences, especially during periods of drought in the rivers, increasing the travel time and late delivery of inputs. Work difficulties in these areas involve health risks, language barriers and poor housing conditions, leading to high professional turnover in the most remote regions [ 31 ].…”
This study aimed to analyse the geographical distribution of COVID-19 and to identify highrisk areas in space and time for the occurrence of cases and deaths in the indigenous population of Brazil. This is an ecological study carried out between 24 March and 26 October 2020 whose units of analysis were the Special Indigenous Sanitary Districts. The Getis-Ord General G and Getis-Ord Gi* techniques were used to verify the spatial association of the phenomena and a retrospective space−time scan was performed. There were 32041 confirmed cases of COVID-19 and 471 deaths. The non-randomness of cases (z score = 5.40; p <0.001) and deaths (z score = 3.83; p <0.001) were confirmed. Hotspots were identified for cases and deaths in the north and midwest regions of Brazil. Sixteen high-risk space−time clusters were identified for the occurrence of cases with a higher RR=21.23 (p <0.001) and four risk clusters for deaths with a higher RR=80.33 (p <0.001). These clusters were identified from 22 May and were active until 10 October 2020. The results indicate critical areas in the indigenous territories of Brazil and contribute to better directing the actions of control of COVID-19 in this population.
“…Dessa forma, emerge como efeito simbólico a resistência dos povos indígenas, considerada um obstáculo aos planos do governo na época. Isso porque a ocupação dos espaços habitados pelos povos indígenas era parte dos planos ambiciosos dos governantes, na intenção de desenvolver as regiões periféricas e vulneráveis do país mediante as rodovias, facilitando assim o acesso entre os estados brasileiros 23 .…”
Objetivo: Descrever os efeitos simbólicos da implantação da Casa de Saúde Indígena no campo da saúde no período de 1973 a 1983 em Boa Vista, Roraima, Brasil.
Metodologia: Trata-se de um estudo histórico com abordagem da micro história orientado por análises documentais e a teorização dos resultados balizada nos conceitos do sociólogo Pierre Bourdieu.
Resultados: Ao todo o corpus documental foi representado por quatro registros imagéticos. As imagens foram analisadas com o intuito de produção de reflexões que versam sobre os efeitos simbólicos de implantação da Casa de Saúde Indígena.
Conclusão: A Casa de Saúde Indígena de Boa Vista-RR emerge como pano de fundo no cenário desenvolvimentista da época, como (e representou) moeda de troca simbólica entre os governantes e os indígenas que sofriam com a entrada de doenças em suas comunidades pela ação direta do processo migratório devido ao garimpo em suas terras.
“…As fragilidades incluem rotatividade de profissionais com descontinuidade do cuidado, práticas sanitárias tecnicistas centradas em ações paliativas e emergenciais, desrespeito às práticas culturais indígenas que impedem o estabelecimento de diálogos interculturais, além de estratégias ineficazes que limitam a participação indígena na formulação, planejamento e avaliação das ações em saúde (4)(5)(6)(7) .…”
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