Atenção diferenciada à saúde indígena: biopolítica e territorialidades no polo base de Dourados, MS

Abstract

The Differentiated Attention to Indigenous Health in the Dourados - MS Base Camp is the theme of this research developed in the Master's Degree in Psychology, in the research line of Psychosocial Processes, at the Universidade Federal da Grande Dourados (UFGD). The objective was to collaborate with the Psychological and Health Sciences in the enhancement of interventions-research with indigenous peoples. The Differentiated Attention to Indigenous Health (ADSI) is one of the main guidelines of the Subsystem of Attention to Indigenous Health and functions as a factor of integration to the Unified Health System (SUS). Affiliated to Cartography as method, the research follows the process of Indigenous Health, the biopolitics, the historical construction of the colonizing imaginary and, consequently, the health productions. It highlights the decolonial thinking in Health, which emerges from difference and indigenous alterity, way of being Kaiowá and Guaraní and of the ethos Terena. It thus identifies the relationship of biopolitics to ADSI and the sensitivities and subtleties made possible by the potency of decolonial and post-abyssal thoughts. It analyzes the National Policy on Health Care for Indigenous Peoples (PNASPI), fragments of public documents linked to health management and other statements of the multiple territorialities and frontiers of Indigenous Health with the purpose to understand how this model of care occurs and which its reflexes. The result contains considerations about socio-historical-cosmo-cultural specificities and health knowledge of Indigenous Peoples, in view of the indiscriminated existence of indigenist health devices in the analyzed territory, as well as the breakdown of binarisms and fragmentation of know-how in Health and the necessity for the co-presence of different conceptions and perspectives to make possible the Differentiated Attention that materializes as an ecology of knowledge. Thus, even in spaces of subjection and exercise of power over indigenous bodies and alterities, space-times of (r)existences are produced by collaborators and users in the constitution of new registration surfaces such as health-land.