Exclusão social e iniquidades em saúde: estudo de caso da Reserva Indígena de Dourados-MS

Abstract

Nowadays, in Brazil, there is little systematic production about the value of the ethnoracial dimension on the differentiated expression of the grievance to health. On daily bases, the minority lives in a situation of exclusion, marginality and discrimination that put them in a greater vulnerability position regarding the grievance to health. This research seeks to understand the situation of the indigenous people domiciled in the Dourados’ Indigenous Reserve in MS, according to the UFGD University Hospital data, where the rates of morbidity and mortality are higher than the registered at national level; hunger and malnutrition, occupational risks and social violence are just some of the multiple reflexes about health inherent continuation of the inequality. The research was held inside the University Hospital of Dourados with the hospitalized indigenous patients and/or their companions, through a semi-structured questionnaire which objective was to understand the spatial relation with the health-disease process of them. The results of the research revealed that all of the indigenous patients presented pathologies that were related with their spatial and that the infectious and social diseases still prevail with high indices, in contraposition to the national and local epidemiological data, proving the different forms of iniquity that the indigenous population’s health is submitted.