Government of Brazil provides health care to indigenous people in Roraima
5th inter-ministerial mission will bring medical care and four tons of materials and inputs to the Yanomami and Raposa Serra do Sol indigenous lands in the state of Roraima
In the midst of the pandemic caused by the coronavirus, the government of Brazil has stepped up health care for indigenous people throughout Brazil. Next Monday (29), the Ministries of Health and Defense will begin the 5th mission to support indigenous peoples. This time, the mission will be in the Yanomami and Raposa Serra do Sol lands, in Roraima (RR). The region has a population of approximately 75 thousand indigenous people.
In addition to expanding the service to the indigenous peoples of the region, the Ministry of Health will deliver four tons of Individual Protection Equipment (IPEs) and medical supplies to strengthen health care. These are surgical masks, 70% alcohol, hospital apron, gloves, caps, facial protectors, chloroquine, azithromycin, rapid tests, etc. The materials will be transported by the Brazilian Air Force (FAB).
In the 5th inter-ministerial mission, between June 30 and July 5, 21 health professionals from the Armed Forces will reinforce the assistance to the indigenous people of the region, working with the Multidisciplinary Teams of Indigenous Health of the Ministry of Health, which are already working in the region.
Currently, the region has 1,762 health professionals from the Special Secretariat of Indigenous Health (SESAI) of the Ministry of Health, providing primary care to indigenous people in the villages. There are 1,037 professionals in the Yanomami Special Indigenous Health District (DSEI) and 725 in the East Roraima Special Indigenous Health District (DSEI), working daily in the region. They are health and sanitation agents, endemic agents, doctors, pharmacists, nurses, psychologists, nutritionists, nursing technicians, among the professionals in the area.
The expectation is that the teams of health professionals from SESAI, together with professionals from the Armed Forces, will serve about 3 thousand indigenous people in five Base Poles: Auaris, Waikás and Surucucu (Yanomami) and Frexal and Maturuca (East of Roraima).
As a safety measure for the indigenous peoples, the entire team that makes up the mission conducted the RT-PCR (molecular) test for Covid-19. Boarding is only allowed with a negative result for the disease, after screening performed by health professionals. The mission is scheduled to return on Sunday (July 5th).
HEALTH ACTIONS TO COMBAT COVID-19 IN THE INDIGENOUS POPULATION
Since January of this year the Ministry of Health has been implementing several information, prevention and anti-coronavirus actions to guide indigenous communities, managers and employees throughout Brazil. With the current expectation of the growth of coronavirus infections in Brazil, the efforts of the Ministry of Health, through SESAI, together with the 34 DSEI, have been redoubled to ensure the health of indigenous peoples.
The detection and correction of possible problems and the implementation of new actions, based on the protocols established by the Ministry of Health to combat the coronavirus, respecting the specificities of the indigenous peoples, have been frequent. The federal government continues to work to assist the almost 800,000 indigenous villages present throughout the country.
To this end, it has been directing maximum attention to the multidisciplinary teams of indigenous health and other professionals who work to fulfill the National Contingency Plan for Human Infection by New Coronavirus in Indigenous Peoples.
SPECIAL SECRETARIAT OF INDIGENOUS HEALTH (SESAI)
The Special Secretariat of Indigenous Health was created in 2010 to assume the management of the Indigenous Health Care Subsystem (SASISUS) and implement the National Indigenous Peoples Health Care Policy (PNASPI), with a differentiated model of health care, with the provision of primary care actions in the 34 Indigenous Special Sanitary Districts (DSEI).
SESAI, of the Ministry of Health, provides basic health care to almost 800,000 indigenous people, who live in 6,000 villages, served by 34 DSEI. The indigenous people served by the DSEI are referenced in the Indigenous Health Care System (SIASI), a subsystem of the Single Health System (SUS). It is worth noting that the management of the SUS is tripartite, i.e., it is the responsibility of the Union, states, and municipalities to provide health actions and services. Thus, the municipal and state health secretariats are responsible for providing health services to indigenous people living in cities. The Ministry of Health and SESAI are responsible for providing basic attention to indigenous people living on indigenous lands and territories.
Currently, there are 14,000 health professionals working in the 34 DSEI, with more than 8,000 indigenous health and sanitation agents. The indigenous people act as interpreters and develop actions of education and health promotion in the villages.
by Alexandre Penido, Agência Saúde
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