Indigenous nurses: participation of nursing technicians and auxiliary in indigenous health care services

Diehl, Eliana Elisabeth; Follmann, Helga Bruxel Carvalho

doi:10.1590/0104-07072014000300013

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Moreover, it reveals the precariousness of working conditions, which itself indicates the great distance between the ideal health service model that the creation of the subsystem and the implementation of the NPHCIP are intended to achieve and the real world experienced in everyday work. This finding corroborates the results of other studies 7 , 13 , 20 on the limited professional training of workers regarding the development of skills in intercultural contexts 18 .…”

Section: Discussionsupporting

confidence: 92%

“…This cooperation, known as intermedicality, aims to facilitate the interaction between knowledge based on biomedicine and non-medical knowledge 2 . These cultural competencies are required by workers to minimize the conflicts between different cultures 13 .…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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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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Articulation between health services and “indigenous medicine”: Anthropological reflections on policies and reality in Brazil

Langdon

Garnelo

2017

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This paper contributes to the dialogue between the social sciences and social medicine in Latin America by exploring therapeutic pluralism in indigenous health policies and services in Brazil. It reviews recent anthropological research, concepts and current debates to critically examine Brazilian indigenous health policy and its concept of "differentiated care," which proposes articulation between official health practices and indigenous therapies. A number of contradictions and tensions are present in the structural organizational of the indigenous health subsystem at the national level and in the daily practices of health teams at the local level. Guided by the hegemonic ideology of biomedicine, health professionals fail to recognize the dynamics and agency expressed in indigenous health practices.

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Indigenous participation in primary care services in Brazil

Diehl¹,

Langdon²

2018

Regions and Cohesion

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English abstract:In 1990, the Brazilian Unified Health System institutionalized new relationships between the government and society. In recognition of the inequalities and inequities inflicted upon Indigenous Peoples, the Indigenous Health Subsystem was established in 1999. Roles were created for the democratic exercise of Indigenous participation and prominence in three border spaces: Indigenous health agents as members of health teams; Indigenous representatives on health councils; and Indigenous organizations as primary care providers. This article explores these spaces based on ethnographic research from southern Brazil. It concludes that the roles created for Indigenous participation and governance are ambiguous and contradictory. When participating in new opportunities created by the government, Indigenous actors are subjected to a centralized and bureaucratized system that offers little possibility of autonomous decision- making or action.Spanish abstract:En 1990, el Sistema Único de Salud institucionalizó nuevas relaciones entre el gobierno y la sociedad, estableciendo en 1999 el Subsistema de Salud Indígena. Se crearon nuevos roles para el ejercicio democrático de la participación indígena con prominencia en tres espacios de frontera: agentes indígenas de salud como miembros de los equipos de salud; representantes indígenas en los consejos de salud; y organizaciones indígenas como proveedores de atención primaria. Este artículo explora estos espacios basado en investigación etnográfi ca del sur de Brasil. Se concluye que los roles creados para la participación y gobernanza indígena son ambiguos y contradictorios. Cuando se participa en nuevas oportunidades creadas por el gobierno, los actores indígenas son sometidos a un sistema que ofrece poca posibilidad de tomar decisiones autónomas o actuar.French abstract:1990 le système unique de santé brésilien, le SUS (Sistema Único de Saúde) institutionnalisait de nouvelles relations entre le gouvernement et la société en donnant aux usagers un rôle central et en leur att ribuant une large participation dans tous les secteurs des soins. En reconnaissance des inégalités et iniquités historiques infl igées aux peuples indigènes, le sous-système de soin indigène fut établi en 1999. De nouveaux rôles furent créés pour l’exercice démocratique de la participation indigène et sa reconnaissance dans trois zones d’action et de communication délimitées. Cet article explore ces espaces sur la base de recherches ethnographiques réalisées au Sud du Brésil et conclut que les rôles créés pour la participation indigène et la notion associée de gouvernance sont souvent ambigus et contradictoires.

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Indigenous nurses: participation of nursing technicians and auxiliary in indigenous health care services

Cited by 3 publications

References 11 publications

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

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

Articulation between health services and “indigenous medicine”: Anthropological reflections on policies and reality in Brazil

Indigenous participation in primary care services in Brazil

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