Health reform and Indigenous health policy in Brazil: contexts, actors and discourses

Detalhes bibliográficos
Autor(a) principal: Pontes, Ana Lucia de M.
Data de Publicação: 2020
Outros Autores: Santos, Ricardo Ventura
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/44448
Resumo: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
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spelling Pontes, Ana Lucia de M.Santos, Ricardo Ventura2020-11-16T22:35:18Z2020-11-16T22:35:18Z2020PONTES, Ana Lucia de M.; SANTOS, Ricardo Ventura. Health reform and Indigenous health policy in Brazil: contexts, actors and discourses. Health Policy and Planning, v.35, suppl.1, p.i107-i114, 2020.0268-1080https://www.arca.fiocruz.br/handle/icict/4444810.1093/heapol/czaa0981460-2237engOxford University PressSaúde de Populações IndígenasReforma dos Serviços de SaúdeHistóriaPesquisa QualitativaIndigenous HealthHealth ReformHistoryQualitative ResearchHealth of Indigenous PeoplesHealth Care ReformHistoryQualitative ResearchHealth reform and Indigenous health policy in Brazil: contexts, actors and discoursesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil/ Universidade Federal do Rio de Janeiro. Museu Nacional. Departamento de Antropologia. Rio de Janeiro, RJ, Brasil.Given the challenges related to reducing socio-economic and health inequalities, building specific health system approaches for Indigenous peoples is critical. In Brazil, following constitutional reforms that led to the universalization of health care in the late 1980s, a specific health subsystem was created for Indigenous peoples in 1999. In this paper, we use a historical perspective to contextualize the creation of the Indigenous Health Subsystem in Brazil. This study is based on data from interviews with Indigenous and non-Indigenous subjects and document-based analysis. In the 1980s, during the post-dictatorship period in Brazil, the emergence of Indigenous movements in the country and the support for pro-Indigenous organizations helped establish a political agenda that emphasized a broad range of issues, including the right to a specific health policy. Indigenous leaders established alliances with participants of the Brazilian health reform movement, which resulted in broad debates about the specificities of Indigenous peoples, and the need for a specific health subsystem. We highlight three main points in our analysis: (1) the centrality of a holistic health perspective; (2) the emphasis on social participation; (3) the need for the reorganization of health care. These points proved to be convergent with the development of the Brazilian health reform and were expressed in documents of the Indigenist Missionary Council (CIMI) and the Union of Indigenous Nations (UNI). They were also consolidated in the final report of the First National Conference on the Protection of Indigenous Health in 1986, becoming the cornerstone of the national Indigenous health policy declared in 1999. Our analysis reveals that Indigenous people and pro-Indigenous groups were key players in the development of the Indigenous Health Subsystem in Brazil.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/44448/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALHealthReformIndigenousHealth.pdfHealthReformIndigenousHealth.pdfapplication/pdf202938https://www.arca.fiocruz.br/bitstream/icict/44448/2/HealthReformIndigenousHealth.pdf08a51b9a2e52e3f1b450a7979349de44MD52TEXTHealthReformIndigenousHealth.pdf.txtHealthReformIndigenousHealth.pdf.txtExtracted texttext/plain56276https://www.arca.fiocruz.br/bitstream/icict/44448/3/HealthReformIndigenousHealth.pdf.txt52a92df3b14aa841a3617fd6b41a15b8MD53icict/444482020-11-17 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dc.title.pt_BR.fl_str_mv Health reform and Indigenous health policy in Brazil: contexts, actors and discourses
title Health reform and Indigenous health policy in Brazil: contexts, actors and discourses
spellingShingle Health reform and Indigenous health policy in Brazil: contexts, actors and discourses
Pontes, Ana Lucia de M.
Saúde de Populações Indígenas
Reforma dos Serviços de Saúde
História
Pesquisa Qualitativa
Indigenous Health
Health Reform
History
Qualitative Research
Health of Indigenous Peoples
Health Care Reform
History
Qualitative Research
title_short Health reform and Indigenous health policy in Brazil: contexts, actors and discourses
title_full Health reform and Indigenous health policy in Brazil: contexts, actors and discourses
title_fullStr Health reform and Indigenous health policy in Brazil: contexts, actors and discourses
title_full_unstemmed Health reform and Indigenous health policy in Brazil: contexts, actors and discourses
title_sort Health reform and Indigenous health policy in Brazil: contexts, actors and discourses
author Pontes, Ana Lucia de M.
author_facet Pontes, Ana Lucia de M.
Santos, Ricardo Ventura
author_role author
author2 Santos, Ricardo Ventura
author2_role author
dc.contributor.author.fl_str_mv Pontes, Ana Lucia de M.
Santos, Ricardo Ventura
dc.subject.other.pt_BR.fl_str_mv Saúde de Populações Indígenas
Reforma dos Serviços de Saúde
História
Pesquisa Qualitativa
topic Saúde de Populações Indígenas
Reforma dos Serviços de Saúde
História
Pesquisa Qualitativa
Indigenous Health
Health Reform
History
Qualitative Research
Health of Indigenous Peoples
Health Care Reform
History
Qualitative Research
dc.subject.en.pt_BR.fl_str_mv Indigenous Health
Health Reform
History
Qualitative Research
dc.subject.decs.pt_BR.fl_str_mv Health of Indigenous Peoples
Health Care Reform
History
Qualitative Research
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-11-16T22:35:18Z
dc.date.available.fl_str_mv 2020-11-16T22:35:18Z
dc.date.issued.fl_str_mv 2020
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv PONTES, Ana Lucia de M.; SANTOS, Ricardo Ventura. Health reform and Indigenous health policy in Brazil: contexts, actors and discourses. Health Policy and Planning, v.35, suppl.1, p.i107-i114, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/44448
dc.identifier.issn.pt_BR.fl_str_mv 0268-1080
dc.identifier.doi.none.fl_str_mv 10.1093/heapol/czaa098
dc.identifier.eissn.none.fl_str_mv 1460-2237
identifier_str_mv PONTES, Ana Lucia de M.; SANTOS, Ricardo Ventura. Health reform and Indigenous health policy in Brazil: contexts, actors and discourses. Health Policy and Planning, v.35, suppl.1, p.i107-i114, 2020.
0268-1080
10.1093/heapol/czaa098
1460-2237
url https://www.arca.fiocruz.br/handle/icict/44448
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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https://www.arca.fiocruz.br/bitstream/icict/44448/2/HealthReformIndigenousHealth.pdf
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