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Acesso dos usuários indígenas aos serviços de saúde de Cuiabá, Mato Grosso, Brasil

2017; Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz; Volume: 33; Issue: 5 Linguagem: Inglês

10.1590/0102-311x00132215

1678-4464

Silvana Cardoso Gomes, Monique Azevedo Esperidião,

Maternal and Neonatal Healthcare

This study aimed to evaluate indigenous peoples' access to medium and high-complexity health services in the municipality of Cuiabá, Mato Grosso State, Brazil, through the Casa de Saúde Indígena or Indigenous Peoples' Clinic (CASAI Cuiabá). A single case study with a qualitative approach was conducted at CASAI Cuiabá. Data were obtained from observation of the work routines at CASAI Cuiabá, semi-structured interviews with health professionals and administrators from the Cuiabá Special Indigenous Health District (DSEI) and CASAI Cuiabá, and document analysis. Data analysis used a matrix derived from the theoretical and logical model of accessibility, validated by the Delphi method with a group of experts on indigenous peoples' health. Despite advances achieved by CASAI in improving indigenous peoples' access, there are persistent social, organizational, cultural, and geographic barriers in access to medium and high-complexity health services in Cuiabá. The study highlights the need for specific strategies to improve access to health services by indigenous peoples in Mato Grosso State.