Saúde das populações indígenas: desafios e possibilidades a partir da política nacional de atenção à saúde dos povos indígenas

Abstract

In 1999, a working group for the elaboration of the National Health Care Policy for Indigenous Peoples (PNASPI) was established by the Ministry of Health's Secretariat of Policies, which was made official in 2002, consisting of government representatives, schools, the Missionary Indianist (Cimi) and indigenous organizations. According to this Policy, its implementation requires a complementary and differentiated model of Health Care service organization, which guarantees a bus or full right to health. This research aimed to build an analysis of the National Policy of Health Care of Indigenous Peoples, in order to understand how it is planned and planned as actions for indigenous populations in the state of Rio Grande do Sul and the municipality of Santa Maria, from of their State and Municipal Health Plans. This analysis was based on a qualitative research and bibliographic review in databases, journals, indexed articles and legislation. At first, the focus of the research was directed to the history of indigenous health policy in Brazil. The first part of the analysis of the health trajectory prior to the 1988 Federal Constitution, where health policies related to indigenous populations were precarious and loaded from an integralist perspective and then 88, an installation analysis was replaced by respect as sociocultural specificities. of the original peoples. In the second part, you focus on the historical conception and contextualization of social protection in Brazil, as existing contradictions in this model and on the contribution of intersectorality in the realization of PNASPI. Finally, it was verified from the analysis of state and municipal health plans, and the existing guidelines in PNASPI are not being contemplated in the plans.