Implementation of indigenous people's health policy in Angra dos Reis, Rio de Janeiro, Brazil: obstacles and prospects

Cadernos de saúde pública
Maria de Betania Garcia ChavesCelia Almeida

Abstract

This article discusses the Brazilian National Policy for Indigenous People's Health, formulated in the 1990s as part of the national Health Reform Movement and based on the creation (in 1999) of the Indigenous Healthcare Sub-System. Coordinated at the central government level under the administration of the National Health Foundation/Ministry of Health, the implementation of this sub-system required adaptations in the organization of health services systems at the local level, with the creation of Special Indigenous Health Districts. This configuration showed the need for dialogue and negotiation among the various institutions involved with indigenous affairs, from the perspective of overcoming various conflicts and operational difficulties. The current analysis identifies the difficulties in the implementation of a differentiated indigenous health policy under federal responsibility and within the decentralized Brazilian Unified Health System (SUS), since the absence of specific mechanisms and instruments regulating the operationalization of these services at the local level and the lack of more effective supervision and on-going evaluation of this policy mean that differentiated care for the indigenous population is subject t...Continue Reading

References

Jul 16, 2002·Cadernos de saúde pública·Raquel Abrantes Pego, Celia Almeida

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Citations

Apr 17, 2007·Cadernos de saúde pública·Maria da Conceição de SousaRicardo Ventura Santos
Feb 23, 2011·Revista latino-americana de enfermagem·Rafaela Gerbasi NóbregaTereza Cristina Scatena Villa
Jun 15, 2017·Cadernos de saúde pública·Silvana Cardoso Gomes, Monique Azevedo Esperidião

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