SESAI: Technical Mission streamlines building and sanitation works in villages
Villages of the Indigenous Special Sanitary Districts (DSEI) are receiving technical visits from geologists and engineers of the Special Secretariat of Indigenous Health (SESAI), of the Ministry of Health, to investigate and expedite the works of health and basic sanitation buildings. The Technical Mission of the Department of Environmental Determinants of Indigenous Health (DEAMB) of SESAI is visiting the Xavante, Bahia, Mato Grosso do Sul and Cuiabá DSEI together with the teams of the Department of Buildings and Indigenous Environmental Sanitation (SESANI) of the Districts, since the month of August. Indigenous leaders, such as caciques, tuxauas and village captains, are being heard together with the presidents of the Indigenous Health District Councils (CONDISI), which are the Social Control of the actions of the DSEI, to verify the needs of basic health infrastructure and propose solutions to expedite the execution of the works. The technical missions of DEAMB meet the demands of indigenous leaders on improvements needed for the quality of life in the villages.
During the visits, the needs for construction, renovation and expansion of Indigenous Health Basic Units (UBSI), Base Poles, Indigenous Health Homes (CASAI) and Water Supply Systems (SAA) are being raised. Only at the Xavante DSEI, technicians verified the need to speed up the drilling of 13 water wells with the installation of a reservoir and taps in the villages of the Base Poles of Campinápolis, São Marcos and Sangradouro. This demand was specifically raised by the chiefs during the Interministerial Mission to Combat COVID-19, held at the Xavante DSEI, from July 27 to August 16.
The Special Secretary of Indigenous Health, Robson Santos da Silva, was personally at the sites in August, heard the indigenous leaders and verified the need to install water supply systems in the villages. "I want to thank Secretary Robson for the promise he left for me and for the community, especially, and now the engineer is present with us," said the chief of the village of Nossa Senhora de Fátima, Davi Xavante, after the visit of the DEAMB team shortly after the mission to combat COVID-19.
The projects were adjusted by the SESAI team to speed up the bidding process and execution of the works at the Xavante DSEI. Other technical visits are scheduled to take place in the other Base Poles of the District: Maraiwatsede, Água Boa and Paranatinga. In addition, SESAI has advised the DSEI to purchase maintenance material for the wells that need to be refurbished and technical assistance, guaranteeing their drinking water supply functionalities for much longer.
"The main objective of these actions is to support the districts in the sanitation buildings, unlocking the processes that are stopped, identifying the bottlenecks and priorities of the districts in the sanitation and building actions, so that we can guide them to make progress in these actions and streamline these processes appropriately until the hiring and execution of services," explains Elisângela Menezes, Coordinator for the Management of Environmental Determinants of Indigenous Health.
At the moment, the DEAMBI/SESAI teams are working in Bahia DSEI. "We are making a task force to bring to the indigenous people the Health policies that are due. We know that we still have a lot to do, but with the structure of SESAI and the dedication of the professionals who are at the frontline, we are managing to reach the villages that have the most urgent demands," says the DEAMB/SESAI advisor, Breno Carvalho.
The itinerary covered at least four villages of the Bahia DSEI and found that in most of them, the biggest problem is with access to piped drinking water, as in the case of the village Morrinhos, whose artesian well does not have a pot to supply the 130 families. A study is already being conducted by SESAI so that a plumbing system can bring drinking water to all the villagers. Another need identified is the construction of a UBSI in the village of Tuxá, where the Indigenous Health Multidisciplinary Teams (EMSI) still carry out care under a tree. Soon, the Ibotirama Base Pole will gain a new headquarters, located in the center of the city of the same name. The local city hall has ceded the land and the SESAI/DSEI teams will provide the construction. The current headquarters is located in a rented building. The new facilities will also feature new equipment such as computers, office furniture and air conditioners.
"We just have to thank the visit of the professionals here at the Ibotirama Base Pole. Here the demands were accumulating since 2010. We have already made three Indigenous Health District Plans (PDSI) and nothing, but now we are seeing the performance of the SESAI/DSEI teams in our region," said Giba Tuxá, chief of the Tuxá Kionahá village and District Counselor of CONDISI of Bahia DSEI.
DEAMB teams are also touring the villages of the Mato Grosso do Sul DSEI until September 18 and the Cuiabá DSEI until the 12th. Other DEAMB technical missions to Potiguara, Maranhão, Vilhena and Ceará are planned until October.