O sistema médico Sanumá-Yanomami e sua interação com as práticas biomédicas de atenção à saúde

Guimarães, Sílvia Maria Ferreira

doi:10.1590/0102-311x00194414

Cited by 10 publications

(14 citation statements)

References 6 publications

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“…Furthermore, removing the patient to the city requires special protection with charms, spells and food. They believe that foods produced in different environments and by other people can cause their transformation into other beings or hinder health recovery [20,21].…”

Section: Indigenous Health Carementioning

confidence: 99%

“…In general, indigenous people do not understand that snakebites occur by chance, but because the individual has left himself vulnerable to being attacked, has disregarded existing dietary rules or because they have behaved inappropriately [24]. The Sanumá-Yanomami, for example, obviously know that the cause of death from a snakebite is the venom inoculated by the animal, but what interests them most is why the victim was bitten [20]. Thus, a snakebite is understood not as a set of signs and symptoms, but as spiritual aggression that is indiscernible to most people [20].…”

Section: Cosmology Of Health and Snakebites Among Indigenous Populationsmentioning

confidence: 99%

“…The Sanumá-Yanomami, for example, obviously know that the cause of death from a snakebite is the venom inoculated by the animal, but what interests them most is why the victim was bitten [20]. Thus, a snakebite is understood not as a set of signs and symptoms, but as spiritual aggression that is indiscernible to most people [20]. As a preventive measure, there are dietary restrictions and rituals that, if disobeyed, can leave the person vulnerable to snakebites.…”

Section: Cosmology Of Health and Snakebites Among Indigenous Populationsmentioning

confidence: 99%

See 2 more Smart Citations

Providing Antivenom Treatment Access to All Brazilian Amazon Indigenous Areas: ‘Every Life has Equal Value’

Monteiro

Farias

Val

et al. 2020

Toxins

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Snakebites are more frequent in the Brazilian Amazon than in other parts of Brazil, representing a high cost for the health system since antivenoms are only available through medical prescription from central municipal hospitals in most cases. The need for a cold chain and physicians usually restricts access to the only effective treatment of a snakebite, the antivenom. The complex topography of the rivers contributes to delays in treatment, and consequently increases the risk of severe complications, chronic sequelae and death. Thus, decentralization of antivenom treatment to primary healthcare facilities in the interior would increase access by indigenous population groups to proper healthcare. To standardize and evaluate the decentralization to low complexity indigenous healthcare units, we suggest the (i) development and validation of standardized operational procedures, (ii) training of professionals in the validated protocol in a referral health unit, (iii) implementation of the protocol in an indigenous healthcare unit, (iv) assessment of perceptions towards and acceptability of the protocol, and (v) estimation of the impact of the protocol’s implementation. We expect that antivenom decentralization would shorten the time between diagnosis and treatment and, as such, improve the prognosis of snakebites. As health cosmology among indigenous populations has an important role in maintaining their way of life, the introduction of a new therapeutic strategy to their customs must take into account the beliefs of these peoples. Thus, antivenom administration would be inserted as a crucial therapeutic tool in a world of diverse social, natural and supernatural representations. The information presented here also serves as a basis to advocate for support and promotion of health policy initiatives focused on evidence-based care in snakebite management.

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Section: Indigenous Health Carementioning

confidence: 99%

Section: Cosmology Of Health and Snakebites Among Indigenous Populationsmentioning

confidence: 99%

Section: Cosmology Of Health and Snakebites Among Indigenous Populationsmentioning

confidence: 99%

See 1 more Smart Citation

Providing Antivenom Treatment Access to All Brazilian Amazon Indigenous Areas: ‘Every Life has Equal Value’

Monteiro

Farias

Val

et al. 2020

Toxins

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“…In the indigenous people's perspective, EMSI is unprepared and needs training to be able to understand the importance of interethnic relationship, concomitantly biomedical and traditional treatment, as well as the disease-health process in the conception of its target audience. This lack of knowledge of EMSI translates into purely technical care, which hinders the population's treatment support [11].…”

Section: Resultsmentioning

confidence: 99%

Health care of Brazilian indigenous peoples: Post-implementation of the National Indigenous Health Policy

Batista¹,

Albuquerque²,

Rolim³

et al. 2021

World J. Adv. Res. Rev.

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The objective was to describe, through key points of indigenous health care, what has changed after the implementation of the National Health Care Policy for Indigenous Peoples. For this, the research method chosen was the literature review with a qualitative approach of the results. The studies that composed the sample were retrieved from the SciELO and PubMed databases, from May to August 2018. The results point to the deficiency of training of professionals of the Multidisciplinary Team of Indigenous Health (EMSI) in the context of interethnic relations; the need to define the functions of Indigenous Health Agents (IHA) within EMSI; the good acceptance by indigenous peoples and EMSI regarding biomedical and traditional indigenous treatments, respectively; in addition to the food deficiency of the Indigenous Health Care Information System. That said, there should be trainings in the scope of interethnic action for EMSI and IHA with clear definition of each one’ roles within EMSI, especially the IHA.

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“…After a snakebite, the displacement of the indigenous patient to a hospital to receive antivenom, or in case of the need for surgical procedures, is a radical event. Some tribes may interpret venous punctures or surgical cuts as a possibility PLOS NEGLECTED TROPICAL DISEASES of inoculating a poison into the bloodstream, which generates bad blood, and is able to cause harm [22]. Additionally, another common belief is that the consumption of food produced outside the village and by other people could lead to their transformation into other beings [22,23].…”

Section: Therapeutic Itinerariesmentioning

confidence: 99%

A painful journey to antivenom: The therapeutic itinerary of snakebite patients in the Brazilian Amazon (The QUALISnake Study)

et al. 2021

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Access to antivenoms is not guarranteed for vulnerable populations that inhabit remote areas in the Amazon. The study of therapeutic itineraries (TI) for treatment of snakebites would support strategies to provide timely access to users. A TI is the set of processes by which individuals adhere to certain forms of treatment, and includes the path traveled in the search for healthcare, and practices to solve their health problems. This study aims to describe TIs of snakebite patients in the Brazilian Amazon. This study was carried out at the Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, in Manaus, state of Amazonas, Brazil. The itinerary from the moment of the bite to the patient’s admission to the reference unit was analyzed. Sample size was defined by saturation. After an exploratory survey to collect epidemiological variables, in-depth interviews were conducted following a semi-structured guide. Patients originated from rural areas of 11 different municipalities, including ones located >500 kilometers from Manaus. A great fragmentation was observed in the itineraries, marked by several changes of means of transport along the route. Four themes emerged from the analysis: exposure to snakebite during day-to-day activities, use of traditional therapeutic practices, and personal perception of the severity, as well as the route taken and its contingencies. Access to healthcare requires considerable effort on the part of snakebite patients. Major barriers were identified, such as the low number of hospitals that offer antivenom treatment, poor access to healthcare due to long distances and geographic barriers, low acceptability of healthcare offered in countryside, lack of use of personal protective equipment, common use of ineffective or deleterious self-care practices, late recognition of serious clinical signs and resistance to seeking medical assistance. Health education, promotion of immediate transport to health centers and decentralization of antivenom from reference hospitals to community healthcare centers in the Brazilian Amazon are more effective strategies that would to maximize access to antivenom treatment.

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O sistema médico Sanumá-Yanomami e sua interação com as práticas biomédicas de atenção à saúde

Abstract: Abstract

Cited by 10 publications

References 6 publications

Providing Antivenom Treatment Access to All Brazilian Amazon Indigenous Areas: ‘Every Life has Equal Value’

Providing Antivenom Treatment Access to All Brazilian Amazon Indigenous Areas: ‘Every Life has Equal Value’

Health care of Brazilian indigenous peoples: Post-implementation of the National Indigenous Health Policy

A painful journey to antivenom: The therapeutic itinerary of snakebite patients in the Brazilian Amazon (The QUALISnake Study)

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