Resolubilidade da produção do cuidado na Estratégia Saúde da Família na Atenção à Saúde indígena no Brasil: uma (in) visibilidade na prática?

Abstract

The Family Health Strategy (FHS) in the context of the Unified Health System (SUS) is a tool to the reorganization of primary care in the country, covering the search for mechanisms to consolidate the work practices in meeting the demands social, contemplating the search for solving the individual and collective contexts. This aspect goes back to rethink health practices, for the purpose to serve as support available to users, to be able to serve you in full, respecting their economic, social and cultural reality. Thus, it is expected that such practices are summarize in search of a model of care that besides the biomedical aspects, articulate actions that integrate the habits, traditions and cultures of everyone and any old users, for example, of this population. For this reason, the bibliographical study of the research purpose to analyze the care production process in the FHS for the scope of solving the health care of indigenous peoples in Brazil based on a total of 14 (fourteen) scientific works published in the period from 2010 to 2014, on the basis of data from the Virtual Health Library and Portal CAPES. We used the method of content analysis for to explore these productions from nine units of meaning: Labor AIS Accessibility Work Process, Interculturalism, Home, Bonding, Completeness, Attention Model and Differentiated Attention. Once grouped, was made an empirical category “Solvability Production and Care to the Indigenous in the FHS: the gap between official policy and practice. Because, despite the current National Health Policy of Indigenous Peoples in Brazil to be an important stimulus for development assistance practices to glimpse the importance of access and care production of integral to theses peoples, in practice still is imperceptible because the absence of services that enhance the indigenous culture, and consequently such qualified professionals to missing. Like this, does not exists dialogue and relationship between knowledges and practices academics and indigenous, showing the dislocation between the cultural diversity and the devaluation of exchange of experiences and knowledges between professionals and users, mainly because the difficulty in communication against of the diversity of the indigenous dialogues. For what the production of care provided to indigenous peoples has solvability depends on a maturing so much political how much operational in articulation of the health actions. This because professionals, users and families, and society itself, can be viewed as elements assets of the interactions established in the sense of favor the interaction between the users and the health services. Thus we will be promoted solvability of the demanded questions of the health care valuing the culture of indigenous peoples. This reality also requires the Health’s professionals a rethink about their training curricula in the sense of they can talk and learn the cultural diversity of the indigenous people.