Organização da atenção à saúde indígena na área de abrangência do Polo Base Cuiabá, no Sistema Único de Saúde de Mato Grosso

Abstract

This paper is a study case using qualitative and quantitative approach. It´s objective was to know the organization of health services offered to the indigenous population of the Cuiabá region, through secondary data, analysis of official documents and interviews with profes-sionals and managers of Special Indigenous Sanitary District Cuiabá. We used as the center-line the organization of health services offered to the indigenous population, identifying in the district and local level the aspects of indigenous health policy, the organizational structures established there, involved institutions and the reach of the objectives and targets contained in institutional documents. The Cuiabá region is responsible for providing healthcare to indige-nous peoples: Bakairi, Bororo, Guató and Umutina with indigenous land in the municipalities of Barão de Melgaço, Barra do Bugres, Nobres e Poconé. The results point to the fragility of the relationship between the Municipal Health Secretariats and regions reinforcing the invisi-bility of indigenous peoples in public health policies. The low capacity of municipalities to provide health care of medium and high complexity, the large demands referred to the capital, the inadequate completion of primary care, added to the characterization of the Subsystem of Health Attention to Indigenous People as a poor medical model performing basic actions, besides the refusal from the reference network of providing health to the indigenous people, reflect the access difficulties of the SUS users. The precarious access to the healthcare net-work results in the conservation of a scenario where predominates infectious diseases and the growing rates of non-communicable diseases among indigenous peoples of Cuiabá region. The management of indigenous health policy runs at the same time to the municipal and state systems management of Unified Health System. To make the health care system of indige-nous peoples receive a vision from the country, state and municipality in reference of its man-agement, is still a challenge, since the integration of the Special Indigenous Sanitary District with the Unified Health System did not occur fully.