Historical and cultural aspects of the provision of care at an indigenous healthcare service facility

Ciencia e Saude Coletiva

Gualda, Dulce Maria Rosa³  Rossi, Lídia Aparecida³  Ribeiro, Aridiane Alves⁴  Arantes, Cássia Irene Spinelli⁴ 

[1] Universidade Federal de Goiás, Jataí, Brasil;Universidade Federal de São Carlos, São Carlos, Brasil;Universidade de São Paulo, Ribeirão Preto, Brasil;Universidade de São Paulo, São Paulo, Brasil

关键词: Healthcare;    Indigenous health;    Social code;    Ethnocentrism;   

DOI  :  10.1590/1413-81232017226.13362016

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This case study aimed to interpret the underlying historical and cultural aspects of the provision of care at an indigenous healthcare service facility. This is an interpretive, case study-type research with qualitative approach, which was conducted in 2012 at the Indigenous Health Support Center (CASAI) of the State of Mato Grosso do Sul, Brazil. Data were collected by means systematic observation, documentary analyses and semi-structured interviews with ten health professionals. Data review was performed according to an approach based on social anthropology and health anthropology. The anthropological concepts of social code and ethnocentrism underpinned the interpretation of outcomes. Two categories were identified: CASAI, a space between streets and village; Ethnocentrism and indigenous health care. Healthcare practice and current social code are influenced by each other. The street social code prevails in the social environment under study. The institutional organization and professionals’ appreciation of the indigenous biological body are decisive to provision of care under the streets social code perspective. Professionals’ concepts evidence ethnocentrism in healthcare. Workers, however, try to adopt a relativized view vis-à-vis indigenous people at CASAI.

【 授权许可】

CC BY