Abstract
This study aims to analyze the ethno-political, ethical, and health repercussions, for indigenous peoples' organizations involved in agreements with the Ministry of Health, resulting from the implementation of Special Indigenous Health Districts (DSEI) in the State of Amazonas, Brazil. The DSEIs chosen for analysis were those of Manaus and Rio Negro. Data were collected from reports drafted during and after planning and other meetings of the respective indigenous peoples' organizations, participatory observation in events organized to evaluate the health district apportionment process, and interviews with indigenous and non-indigenous managers of DSEIs. The article discusses the ambiguity of indigenous peoples' organizations in having to exercise their own political role while implementing a state policy, assumed as a way to overcome the stigma of their presumed inability to head the process of implementing a DSEI.
Highlights
Este trabalho se propõe a analisar repercussões etnopolíticas, éticas e sanitárias nas práticas das organizações indígenas ligadas ao processo de implantação dos Distritos Sanitários Especiais Indígenas (DSEI) no Estado do Amazonas, Brasil
This study aims to analyze the ethno-political, ethical, and health repercussions, for indigenous peoples’ organizations involved in agreements with the Ministry of Health, resulting from the implementation of Special Indigenous Health Districts (DSEI) in the State of Amazonas, Brazil
The DSEIs chosen for analysis were those of Manaus and Rio Negro
Summary
Este trabalho se propõe a analisar repercussões etnopolíticas, éticas e sanitárias nas práticas das organizações indígenas ligadas ao processo de implantação dos Distritos Sanitários Especiais Indígenas (DSEI) no Estado do Amazonas, Brasil. A responsabilidade gerada pelas funções sociais da ação sanitária, pela complexidade técnica das ações programadas e dos intrincados mecanismos de movimentação e prestação de contas de recursos públicos exige um grande esforço de dirigentes e instituições, gera o risco de relegar outras atribuições das entidades a um plano secundário e de produzir uma burocracia indígena voltada para a condução de processos técnico-administrativos com pouca aderência às prioridades político-comunais.
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