Social representations of the health care of the Mbyá-Guarani indigenous population by health workers

Abstract

Objective:to analyze the social representations of health care of the Mbyá-Guarani ethnic group by multidisciplinary teams from the Special Indigenous Health District in the south coast of Rio Grande do Sul state (Distrito Sanitário Especial Indígena Litoral Sul do Rio Grande do Sul), Brazil. Method:a qualitative method based on the theory of social representations was used. Data were collected via semi-structured interviews with 20 health workers and by participant observation. The interviews were analyzed with ALCESTE software, which conducts a lexical content analysis using quantitative techniques for the treatment of textual data. Results:there were disagreements in the health care concepts and practices between traditional medicine and biomedicine; however, some progress has been achieved in the area of intermedicality. The ethnic boundaries established between health workers and indigenous peoples based on their representations of culture and family, together with the lack of infrastructure and organization of health actions, are perceived as factors that hinder health care in an intercultural context. Conclusion:a new basis for the process of indigenous health care needs to be established by understanding the needs identified and by agreement among individuals, groups, and health professionals via intercultural exchange.

Promoção da saúde de adolescentes e Programa Saúde na Escola: complexidade na articulação saúde e educação

“…The program generated a corpus of 39 ICUs and distributed them among 676 ECUs, consisting of 3,267 different words or vocabulary forms. This first classification by the program calculates the partitions of the corpus into lexical classes and reveals their oppositions, in a characteristic form, called a dendogram (17) . From the total ECU, 621 of them were selected, which makes up 91% of the corpus, which formed three analytical classes: prioritization of spontaneous demand; difficulties and possibilities for implementation of the SHP and health promotion actions.…”

Perception of the health-disease process: meanings and values of the Haliti-Paresí Indians

“…Community work is determined because family nuclei are made up of larger numbers of people when compared to traditional families, which is also evidenced in other activities carried out by indigenous people, such as water care, cleaning and garbage collecting, thus resulting in satisfaction and achievements, besides being recognized as methods of health promotion, given they understand the relationship of poor diet and hygiene with the contraction of diseases (Falkenberg, Shimizu, & Bermudez, 2017).…”

Memórias sobre tempos de peste: a linguagem Guaraní do século XVII sobre as doenças e epidemias (parte 1)

“…Assim seria possível desnaturalizar o conhecimento e melhorar o atendimento no serviço público, ao mesmo tempo que se pode incentivar os agentes de saúde a capacitarem-se nas línguas Guaraní, tal como alertavam Gatti e seus colegas em 1947 (p. ex. : Pícoli 2008;Pellon e Vargas 2010;Cantore 2014;Piñeiro Aguiar 2015;Falkenberg et al 2017;Marx et al 2020). O ideal seria reunir todos os vocabulários de anatomia, medicina e farmácia, publicados desde Montoya até o presente, em um único instrumento de consulta pública.…”