Atenção primária à saúde de indígenas sul-americanos

Revisão integrativa da literatura

Datos Bibliográficos

ID14967946
AutoresLuiza Fernandes Fonseca Sandes (0000-0003-1757-3684, Universidade Estadual de Montes Claros (Unimontes), Faculdade de Medicina, Montes Claros (MG), Brasil.), Daniel Antunes Freitas (0000-0001-7023-8610, Departamento de Saúde Mental e Saúde Coletiva, Universidade Estadual de Montes Claros (Unimontes), Montes Claros (MG), Brasil.), Maria Fernanda Neves Silveira de Souza (0000-0002-0042-2292, Universidade Estadual de Montes Claros (Unimontes), Faculdade de Medicina, Montes Claros (MG), Brasil.), Kellen Bruna de Sousa Leite (Universidade Estadual de Montes Claros (Unimontes), Faculdade de Medicina, Montes Claros (MG), Brasil.)
Año2018
Volumen42
Páginase163-e163
Fecha de publicación2018-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaRevista Panamericana de Salud Pública (JOURNAL)
Identificadores de la revistaISSN: 1020-4989 • E-ISSN: 1680-5348
EditorialPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2018.163
PMID31093191
OpenAlexW2894897706
IdiomaPT
Citas recibidas15
Referencias citadas34

OBJECTIVE: To review the literature regarding the access to primary health care (PHC) by indigenous communities in South America, identifying the main access barriers. METHOD: Integrative review of articles published from 2007 to 2017 in the LILACS, PubMed, and SciELO databases. The search terms "indigenous AND health AND Brazil" and "indigenous AND health NOT Brazil" were used in Portuguese and English. Articles published in English, Portuguese, or Spanish, focusing strictly on PHC and on South-American indigenous populations were included. RESULTS: Forty articles describing aspects of PHC for indigenous populations in eight countries - Brazil, Peru, Colombia, Bolivia, Argentina, Chile, Paraguay, and Ecuador - were included. The main barriers to accessing PHC were the difficulty of reaching the health care facilities closest to villages; difficulty in communicating with health care professionals; inadequate transportation to the health care units; lack of epidemiological data on indigenous villages; lack of information regarding local indigenous cultures; and fear of discrimination or humiliation on the part of indigenous patients. CONCLUSIONS: Studies regarding the health of indigenous populations in South America are scarce. It is evident that national health systems still need to advance towards an intercultural medicine that respects the social, cultural, and economic realities of all communities, with knowledge and consideration for different forms of care

Ethnology · Geography · Health care · Humanities · Indigenous · Political science · Portuguese · Primary health care · Sociology · Health, Nursing, Elderly Care · Indigenous Health and Education · Medicine · Migration, Education, Indigenous Social Dynamics · Nursing