Controle social na saúde indígena - revisão integrativa de literatura

Abstract

Identify available evidence in the national scientific production on social control in indigenous health, retrieving scientific articles from Medline, LILACS and Scielo indexed databases already published without time restriction. Method: This is an integrative review, which used the controlled descriptors: Social control; indigenous population; indigenous health; Brazil; in Portuguese and, Social Control Policies; Indigenous Peoples; Health of Indigenous Peoples; Brazil, in English. Results: 14 scientific articles were included, 9 (64%) in LILACS, 4 (29%) in Medline, and 1 (7%) in Scielo. Of these, 7 (50%) scientific articles were published in English and Portuguese, 6 (43%) in English, Portuguese and Spanish and 1 (7%) in Portuguese, published in various journals in Brazil and the United States. The studies took place throughout Brazil, Maranhão, Acre, Curitiba, Santa Catarina, Angra dos Reis and in the North and Northeast regions. There was a predominance of reflective studies 3 (21%) and qualitative 3 (21%), followed by documental analysis 2 (14%), observational 2 (14%) among other designs. Discussion: It was identified that the model of social control adopted by the Brazilian state does not cover the conception of participation of indigenous peoples. It is understood that the presence of only a few indigenous representatives on councils does not constitute an indigenous practice, and with that, indigenous manifestations occur independent of the official mechanisms created by the state. Conclusion: This review showed that although it is a guideline provided for in the National Indigenous Health Policy (PNASPI), social control in indigenous health still faces several obstacles to its real implementation, including the effective participation of health counselors in meetings until the training of the multidisciplinary team of indigenous health, not being prepared to meet their specificities