FOR DIFFERENTIATED CARE IN INDIGENOUS HEALTH

Abstract

This paper is part of the master's thesis entitled Approaching Knowledge in an Indigenous Community in the Sertão Alagoas whose objective was to study the social representations of mental health care by indigenous people of the Jeripanko ethnicity in the light of Lefèvre's Collective Subject Discourse technique. Aiming to describe and analyse the concept of differentiated care model in the field of indigenous health, a non-systematic review of the scientific literature available in the following databases was conducted: Latin American and Caribbean Literature on Health Sciences (LILACS), Scientific Electronic Library Online (SCIELO). The results achieved indicate that, despite the advances in the implementation of an indigenous health care system itself, its actions, in general, follow a logic of production centred on the medical-curative conception and its results and unfoldings have not yet managed to modify the inequalities historically suffered by this population. Thus, the consolidation of this system demands the creation and maintenance of a field of negotiations between the different actors involved with the indigenous cause. Finally, it is necessary that this differentiated attention is put under discussion and that the different institutions manage to create mechanisms capable of capturing and influencing the sociocultural specificities of the different indigenous peoples.

KEYWORDS: Indigenous health system; Primary care in indigenous health; Differentiated care.