Atenção à saúde da mulher indígena: proposta de um serviço ginecológico e obstétrico à população feminina Munduruku (Pa).

Abstract

Numerous barriers have been encountered regarding the medical approach and therapy in indigenous communities. Indigenous women participate in their own culture, where the concepts of body, health/illness, death, survival, etc. within their universe are harmonized, changing, however, from the contact situation. The Munduruku indigenous group, of the Tupi linguistic trunk, located in the southwestern region of the state of Pará, has been in contact with national society since the second half of the 18th century. Our work is guided by a directed research methodology, aiming to propose a gynecological and obstetric service to the Munduruku female population. In this sense, after preliminary field observations, contact with informants and institutions and bibliographic consultations, we found it convenient: a) train indigenous people in the area itself, for Nursing attendants, with the contribution of professionals from the areas of Nursing and Medicine; b) promote meetings among indigenous women, for discussion about health and notions of hygiene; c) the performance of the health team of FUNAI, fulfilling a basic program of health care, with visits to the villages, at regular intervals (at least 3 times a year); d) the specialized assistance available at the "Indian House" or associated hospitals, with the preferential participation of traditional professionals, valuing the knowledge and handling of natural resources (plants, animals and minerals). The implementation of these guidelines is being carried out with the participation of the indigenous community and the organs that deal with the issues addressed, with the coordination of the Interdisciplinary Group of Social Sciences in Health (CNPq/MPEG/UEPA agreement).