Itinerários de cuidado e práticas de atenção à saúde das mulheres kaingang no período gravídico-puerperal na aldeia Kondá/SC

Abstract

This thesis analyzes the practices of health care, indigenous women, in the pregnancy-puerperal period in the Kondá Indigenous Land / SC, analyzing through the care itinerary as the Public Policies, as the PNSAI Indigenous Population Policy (2002), and the Stork Network Strategy (ERC), dialogue / intend to establish a differentiated assistance to indigenous pregnant women, considering the plurality and interculturality in health care. The care health systems in indigenous communities are different and singulars, the care interconnects environment, social network and spiritual beings in care practices. The several care systems were named by Menendez (2003) as models of health care, articulating plurality and interculturality. This one was a qualitative research with ethnographic approach. The techniques used for data production were: participant observation with field diary registry, open individual and group interviews, realized with indigenous women in the pregnancy-puerperal period, women from the community and midwife, using a guiding script. The study comprised the period from June to December 2018. The analysis occured during the transcriptions, reading and organization of interviews and field notes, being built axes of discussion that articulated the data produced and the literature of the area. In this perspective, it was noticed that the PNSAI’s practice cares are mostly guided by the biomedical model, which these are verticals, protocols and produces of the invisibility diversity of health care practices, carried out by indigenous women. We highlight the existence of Kaingang’s practices of attention to pregnant women that express a wide network of knowledge linked to the construction of the Kaingang’s person. Given these scenarios, it is essential to expand the studies on this theme and find dialogic strategies, seeking to articulate the various forms of health care, presents in the Kondá indigenous community.