Government and community strategies in Pernambuco, Brazil, to face COVID-19

被引:0
作者
Casanova, angela Oliveira [1 ]
Marchon-Silva, Veronica [2 ]
Reis, Ana Cristina [3 ]
Gomes, Marcelly de Freitas [4 ]
De Cesaro, Bruna Campos [1 ]
de Souza, Rafaela Barros Chagas [5 ]
Cunha, Maria Luiza Silva [1 ]
da Cruz, Marly Marques [1 ]
机构
[1] Fundacao Oswaldo Cruz Fiocruz, Escola Nacl Saude Publ Sergio Arouca, Dept Endemias Samuel Pessoa, Lab Avaliacao Situacoes Endem Regionais, R Leopoldo Bulhoes 1480, BR-21041210 Rio De Janeiro, RJ, Brazil
[2] Fiocruz MS, Inst Oswaldo Cruz, Lab Doencas Parasitarias, Rio De Janeiro, RJ, Brazil
[3] Fiocruz MS, Lab Formacao Profiss Informacao & Registros Saude, Escola Politecn Saude Joaquim Venancio, Rio De Janeiro, RJ, Brazil
[4] Univ Fed Rio de Janeiro, Programa Posgrad Polit Publ & Direitos Humanos, Nucleo Estudos Polit Publ Direitos Humanos Suely S, Rio De Janeiro, RJ, Brazil
[5] Superintendencia Vigilancia Saude, Secretaria Municipal Saude, Prefeitura Municipal Cabo Frio, Cabo Frio, RJ, Brazil
来源
CIENCIA & SAUDE COLETIVA | 2024年 / 29卷 / 12期
关键词
Indigenous Peoples; COVID-19; Health Management; Health Evaluation; Public Health Surveillance;
D O I
10.1590/1413-812320242912.09412024EN
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This case study analyzed arrangements and strategies of the network actors in the Special Indigenous Sanitary District (DSEI) Pernambucos' territory to guarantee the right to health of Indigenous populations during the COVID-19 pandemic. This work was carried out through document analysis, workshops, and field research. The Contingency Plan for COVID-19 in Indigenous Peoples of DSEI Pernambuco included surveillance actions, laboratory and pharmaceutical assistance, communication, and management. With the modeling of this document, it was noticed that actions aimed at local specificities were not integrated: in its initial design, at the national level, the voice of Indigenous leaders was not heard when formulating this plan. By contrast, the actions of these leaders and their mobilization to mitigate the effects of the pandemic on the Indigenous population stands out. Contextual factors were cited as facilitators and obstacles to the plans' implementation; the local sociotechnical network mappingalso made it possible to identify strategic actors and actants in the face of the COVID-19 pandemic and verify their performance or ineffectiveness. The findings of this study reflect recurrent problems in the organization of the Indigenous health system.
引用
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页数:14
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