Organização e qualidade da assistência à saúde dos índios Kaingáng do Rio Grande do Sul, Brasil

Abstract

This study assesses the health care provided to Kaingáng Indians in Rio Grande do Sul, Brazil. Deaths preventable by primary health care among the Indians and occurring from 1985 to 1995 were compared to the same rates for the State of Rio Grande do Sul as a whole. Secondary data on health care services were supplemented by field interviews with indigenous leaders and with employees from participating institutions. A Geographic Information System (GIS) was used to correlate distribution of deaths and access to health services. The Kaingáng settlements are connected by paved roads to counties with at least a public health clinic or even a small hospital in some cases. Secondary referrals are treated in Palmeiras das Missões and Frederico Westphallen and tertiary care is provided in Passo Fundo. What distinguishes the Indian settlements from the rest of the State are the high rates of deaths preventable by primary health care and those related to ill-defined conditions, malnutrition, tuberculosis, and cancer of the uterine cervix.

Dimensões e potencialidades dos sistemas de informação geográfica na saúde indígena

“…This technique has been applied frequently in urban contexts, [1][2][3]5,[8][9][10]12 however similar initiatives do not exist with respect to the analysis of health situations in indigenous areas. Hokerberg et al's 7 paper is an exception, for it explored spatial distribution while studying the network of The systematic organization of the data initiated with the geoprocessing of the "raster" figure in the Funasa/Ministério da Saúde's [Ministry of Health's] homepage, and with the digitization of the DSEI according to Federated Units, transforming them into digital maps. The databank was composed of notifications of disorders provided by the DESAI and organized in Excel spreadsheets.…”

The Active Search for Respiratory Symptomatics for the Control of Tuberculosis in the Potiguara Indigenous Scenario, Paraiba, Brazil

“…Despite the above program being widely disseminated in the country, as well as Noel Nutels having implemented actions to control TB in indigenous areas in the fifties (20) , professionals of the Potiguara indigenous areas have been acting without supervision and without updated training, a fact also reported among professionals working in the Kaingáng indigenous areas of Rio Grande do Sul (20) .…”

Waist circumference and waist circumference to height ratios of Kaingáng indigenous adolescents from the State of Rio Grande do Sul, Brazil

“…Research also highlights a complex epidemiological profile for this population, in which health problems as diverse as respiratory and parasitic infections coexist at relevant magnitudes 41,42 with chronic noncommunicable diseases, such as type 2 diabetes, hypertension 43 and even alcoholism 44 . A critical factor that may partially explain the results obtained in the present study are dietary changes in the Kaingáng population over time.…”