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O desafio da atenção primária na saúde indígena no Brasil
In Brazil, the right to health claimed by indigenous peoples interacts with various regulatory milestones, including the Alma-Ata Declaration, which proposes and highlights primary health care (PHC) as a means to increase access and minimize health inequalities. As part of the Brazilian Unified Heal...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Organización Panamericana de la Salud
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386040/ https://www.ncbi.nlm.nih.gov/pubmed/31093212 http://dx.doi.org/10.26633/RPSP.2018.184 |
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author | Mendes, Anapaula Martins Leite, Maurício Soares Langdon, Esther Jean Grisotti, Márcia |
author_facet | Mendes, Anapaula Martins Leite, Maurício Soares Langdon, Esther Jean Grisotti, Márcia |
author_sort | Mendes, Anapaula Martins |
collection | PubMed |
description | In Brazil, the right to health claimed by indigenous peoples interacts with various regulatory milestones, including the Alma-Ata Declaration, which proposes and highlights primary health care (PHC) as a means to increase access and minimize health inequalities. As part of the Brazilian Unified Health System (SUS), an indigenous health subsystem (SASI) was established, along with a National Policy for the Care of Indigenous Peoples (PNASPI), as a strategy to ensure health care access for these populations. PNASPI aims to provide differentiated health care to indigenous populations, considering the sociocultural diversity and the epidemiological and logistic peculiarities associated with the care of these peoples and focusing on the provision of comprehensive care. The present article discusses the implementation of PNASPI, highlighting achievements and challenges faced during this process. Despite the growing financial resources made available for the implementation of the indigenous health subsystem, the initiatives developed thus far have had little impact on health indicators, which reflect historical inequalities in relation to other population segments. Indigenous social control is still fragile, and the discussions in this arena show the dissatisfaction of users toward the system. The discontinuity of care, added to the shortage of and high turnover of health care workers and the need to establish intercultural dialogues that promote articulation with traditional knowledges, challenge the effectiveness of PNASPI. Care is still centered on palliative and emergency measures, usually based on relocation of patients for treatment, which is associated with high cost. To overcome these challenges, PHC must be strengthened and recognized as a regulatory milestone by the PNASPI organizational model. |
format | Online Article Text |
id | pubmed-6386040 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Organización Panamericana de la Salud |
record_format | MEDLINE/PubMed |
spelling | pubmed-63860402019-05-15 O desafio da atenção primária na saúde indígena no Brasil Mendes, Anapaula Martins Leite, Maurício Soares Langdon, Esther Jean Grisotti, Márcia Rev Panam Salud Publica Opinião e Análise In Brazil, the right to health claimed by indigenous peoples interacts with various regulatory milestones, including the Alma-Ata Declaration, which proposes and highlights primary health care (PHC) as a means to increase access and minimize health inequalities. As part of the Brazilian Unified Health System (SUS), an indigenous health subsystem (SASI) was established, along with a National Policy for the Care of Indigenous Peoples (PNASPI), as a strategy to ensure health care access for these populations. PNASPI aims to provide differentiated health care to indigenous populations, considering the sociocultural diversity and the epidemiological and logistic peculiarities associated with the care of these peoples and focusing on the provision of comprehensive care. The present article discusses the implementation of PNASPI, highlighting achievements and challenges faced during this process. Despite the growing financial resources made available for the implementation of the indigenous health subsystem, the initiatives developed thus far have had little impact on health indicators, which reflect historical inequalities in relation to other population segments. Indigenous social control is still fragile, and the discussions in this arena show the dissatisfaction of users toward the system. The discontinuity of care, added to the shortage of and high turnover of health care workers and the need to establish intercultural dialogues that promote articulation with traditional knowledges, challenge the effectiveness of PNASPI. Care is still centered on palliative and emergency measures, usually based on relocation of patients for treatment, which is associated with high cost. To overcome these challenges, PHC must be strengthened and recognized as a regulatory milestone by the PNASPI organizational model. Organización Panamericana de la Salud 2018-11-27 /pmc/articles/PMC6386040/ /pubmed/31093212 http://dx.doi.org/10.26633/RPSP.2018.184 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/igo/legalcode This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article's original URL. |
spellingShingle | Opinião e Análise Mendes, Anapaula Martins Leite, Maurício Soares Langdon, Esther Jean Grisotti, Márcia O desafio da atenção primária na saúde indígena no Brasil |
title | O desafio da atenção primária na saúde indígena no Brasil |
title_full | O desafio da atenção primária na saúde indígena no Brasil |
title_fullStr | O desafio da atenção primária na saúde indígena no Brasil |
title_full_unstemmed | O desafio da atenção primária na saúde indígena no Brasil |
title_short | O desafio da atenção primária na saúde indígena no Brasil |
title_sort | o desafio da atenção primária na saúde indígena no brasil |
topic | Opinião e Análise |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386040/ https://www.ncbi.nlm.nih.gov/pubmed/31093212 http://dx.doi.org/10.26633/RPSP.2018.184 |
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