A saúde indígena no território das políticas públicas: encontros e desencontros de práticas e saberes na Casa de Saúde Indígena de Roraima

Abstract

The research theme of this thesis is the indigenous health, thought in policies, practices and intercultural relations in health care. In that way, the thesis is aimed at analyzing the policies around the processes of health / illness / care aimed at the indigenous population in Roraima. It was deeply explored the microuniverse of Indigenous Health House in Boa Vista, called Casai-RR, to understand other contexts, such as the implementation of National Health Policy of Indigenous Peoples and the course related to this thematic. The objective of the research was to analyze the policy of interculturalism indigenous health, from the dialogues and tensions between social actors in Casai-RR. It was chosen as the study design ethnography, by enabling face to face interactions, strengthening interpersonal relationships between the actors involved. Ethnographic research was focused on managers of indigenous health policies, health professionals working at Casai and indigenous people from different ethnic groups who were undergoing treatment, including some shamans. Throughout the process, it was possible to build and reconstruct practices and conceptions of health and disease, in a continuous process, making room for the emergence of new health care models, with emphasis on character relational and multiple voices that are part of the social scene. As regards the construction of public policies, they have been permeated by dialogue, negotiation, conflict, historical buildings and different socio-cultural groups policies. This characteristic is accentuated in the construction of this interculturalism in indigenous health, which seeks to promote the dialogue between different rationalities and health practices, which by the way, has been a central theme in the struggle of indigenous peoples for the conquest of their rights in terms of access and services with quality.Research like this become essential for broad understanding of the cultural discourse of equality and recognition of ethnic and cultural diversity of societies, especially in the context of differentiated indigenous health care.