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An area of 17,000 aboriginals and 120 villages is on the list of Indigenous Districts, accounting for 59% of the vacancies in But Doctors. The Parintins Special Native Health District (Dsei), in central Amazon, currently has only one acting doctor, according to district director, José Augusto.
- More doctors: most unoccupied places are in Indian districts
Complete 12 vacancies of professionals of this Dsei
- Drug trafficking, pirates and land disputes: regions of indigenous districts of MA are not followed by doctors is part of the missions of the Ministry of Health, which has postponed the deadlines for all vacancies in Brazil and provides that more than 8,000 internationally trained doctors enrolled in the second phase of the program occupy 100% of vacant positions, including isolated areas (see full departmental position at end of report) .
However, the challenges are numerous, the report team of G1 visiting the district ( see below ) and in the scenario survey. doctor and career plan) that make offers less attractive to physicians.
Of the 106 places that were not occupied by most doctors, 63 are in Sixse. In Brazil, of the 529 physicians in the indigenous districts, 301 were Cubans (57% according to the Ministry of Health) and 818,000 in the indigenous health districts, according to the federal government.
The journey lasted a long time to the village of Kbadauá and saw the Hixkaryana people, in the heart of Parintins' special indigenous health district (Dsei). They were also among the indigenous peoples receiving the care of Cuban doctors.
To go to the village of Kbadauá, I have to take a plane and go to the headquarters of Dsei Parintins in 40 minutes. From there, there are two days of boat left to reach the community located more than 280 km from the municipality of Nhamundá. With the weak adhesion of new professionals, the cacique of the city deplores the end of the partnership with Cuba.
Since the program's inception and the arrival of Cubans inside the Amazon, they began to receive – and to accept – the help of medicine traditional. They learned the value of living together and helping others. They opened the doors of their Mayá (the big meeting place of the village) to those who cared about the health of the natives. Now, they lament the lack of doctors.
At the exit of the Cubans, 12 places were opened for Mais Médicos in the native zone. According to the Ministry of Health, after the announcement of the first phase of selection, three vacancies remained vacant in the region. However, District Director José Augusto said only two of them were filled. Nine have registered but have not played yet. Last Friday (14), the Ministry of Health postponed the deadline for submission of doctors to December 18.
Currently, only one doctor – a Brazilian trained in Cuba – is responsible for the care of 17,000 indigenous people in more than 120 villages.
For this, most visits are devoted to chronic muscular problems very common among the Indians of the region and to stomach problems. The first derives from the practice and constancy of the physical effort of the Indians. The second is directly related to the poor quality of the water consumed.
Chief General of the Party The leader of the tribe – or tuxaua, as he is also recognized in his ethnicity – José Henrique Kawonoxa, elected by the group in 2016, acts as a kind of mayor-sheriff in the village. In a lamenting tone and with a clear discourse of dissatisfaction, he raises the flag of abandonment when he is questioned about the sanitary situation of his community.
"All of us, indigenous peoples, stay in the village," said the general. very sad to see the Cubans leave the poles of the service base. For us, the news is very bad. All villages in the region are complaining about the Cubans' return, "he said.
The doctors congratulate and thank the doctors We thank the doctors who worked here in the village, serving the indigenous people. With the news of the departure of the doctors, we wanted to thank for the good work done here in the village They serve the people The Hixcaryans live in an isolated village on the banks of the Nhamundá River – Photo: Douglas Henrique and Paulo Frazão / Amazon Network "title =" Hixcaryans live in a remote village on the river Nhamundá – Photo: Douglas Henrique e Paulo Frazão / Amazon Network "src =" data: image / jpeg; base64 / 9d / 4AAQSkZJRgABAQAAAQABAAD / 2wBDAAMCAgMCAgMDAwMEAwMEBQgFBQQEBQoHBwYIDAoMDAsKCwsNDhIQDQ4RDgsLEBYQERMUFRUVDA8XGBYUGBIUFRT / 2wBDAQMEBAUEBQkFBQkUDQsNFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBT / wgARCAALABkDASIAAhEBAxEB / 8QAFgABAQEAAAAAAAAAAAAAAAAAB GUE / 8QAFwEAAwEAAAAAAAAAAAAAAAAAAAIDBP / aAAwDAQACEAMQAAABOVVS / FcnnrKGP EAB0QAAEEAgMAAAAAAAAAAAAAAAQBAgMFABMVJDH // / // 2gAIAQEAAQUCDq7BqQK4ElYzYH8sbieBDx6I + vda25 xAAWEQEBAQAAAAAAAAAAAAAAAAARAAH / 2gAIAQMBAT8BS0v / xAAXEQADAQAAAAAAAAAAAAAAAAAAAREx / 9oACAECAQE You can not on your profile. / 9oACAEBAAE / IQMgwv8ADKGFuXRS8xRISoicpG3o6RyO5th78xkHdJk1LjJGZBGJ56n4U aAAwDAQACAAMAAAAQn // + // xAAXEQEBAQEAAAAAAAAAAAAAAAABADFB / 9oACAEDAQE / EAaIdF xAAWEQEBAQAAAAAAAAAAAAAAAAABEQD // / // 2gAIAQIBAT8Ql5hB3 EABwQAQEBAAMAAwAAAAAAAAAAAAERIQAQMUFRYf / aAAgBAQABPxCWMhoHuRsX4 + k4oWBBDW2dAyAZjyRBLCtYaooGk0fOvai0YLqp764xFoDJGVsPw5drkWaoXieQdM // 2Q == "/> The Hixcaryans live in an isolated village on the banks of the Nhamundá River – Photo: Douglas Henrique and Paulo Frazão / Amazon Network
The Association from Indians in the area to public health services was so good that the Indians decided to actively participate in building a replica of the headquarters of the Parintins Dsei, with a basic unit of indigenous health, so that From the mouth of the Nhamundá River, doctors may have better working conditions.
While women are responsible for cooking and supplies, Indians carry building materials in the new Dsei. It takes at least 60 men to get materials such as bricks and cement across a river where navigation is difficult. The work is public and funded by federal amendments. But he has the arms of the Hixcaryan people.
Indians participate in the construction of the new headquarters of Centro Medical Center in the village, Nhamundá – Photo: Douglas Henrique and Paulo Frazão / Rede Amazônica
Last week, the people participated in a national conference on the health of indigenous people . The agenda included changes in care and measures that people themselves recognize and suggest.
"A conference is being organized here in the village of Kbadauá to discuss it, in this community it is important, because we are going to present [ao Estado] proposals to improve the health of the indigenous populations, we will show our reality. will be pbaded on to the district delegates, "said the chief.
In the midst of uncertainty about the health of indigenous peoples, General Tuxaua calls on the state: "Today I ask the Kaiowás [brancos]: I am the leader here, representative of the Hixkaryanam people, I am General Tuxaua to support us in our actions. "
End of remaining vacancies
The first phase of selection of Mais Médicos, aimed at Brazilian professionals, was closed on 7 December. Of the 8,411 licensed professionals, 5,891 (approximately 70%) have already appeared in municipalities until Friday at 5:00 pm (14).
The Ministry of Health has postponed until next Tuesday (18) the time available for physicians to present themselves in the municipalities where they have chosen to work.
In order to fill vacant positions, a new notice has been published, which also includes internationally educated professionals who have not validated their degree in Brazil. As of Friday (14), 8,630 physicians had completed the application, which ended Sunday (16).
Starting January 20, registered professionals in the country will have another opportunity to enroll in the program and to choose the municipalities available. On the 27th and 28th, it will be the turn of the doctors trained abroad to choose the place of their work. Then, on 3 and 4 January, foreigners without registration in the country can apply for vacancies.
Position of the Ministry of Health
Regarding the low number of vacancies in the native areas occupied by professionals of Mais Doctors, the government sent the G1 underneath. Wanted, the FUNAI did not want to talk.
"The Ministry of Health has taken steps to fill the vacancies of Cuban doctors working for the Mais Médicos program, in cooperation with the Pan American Health Organization (PAHO), providing badistance to Brazilians , including those who: live in the Special Aboriginal Health Districts (DSEI) It is important to note that the new public notice is still in effect.Registered professionals in Brazil who have chosen localities are about to show up where they will act
., 7% (8 411 professionals allocated) out of the 8 517 job offers proposed in this call for proposals are currently numbering 63 in DSEI for the next steps. Next week, we will take stock of available positions, which adds dropouts and those who Thus, professionals with a country of registration (CRM) will have t a new chance to enroll in the program and to choose the available locations. It should also be remembered that a call to professionals with registration outside Brazil is also in progress. As of this Wednesday (12), 9,261 internationally educated professionals had already started registering.
In Brazil, there are 34 EMIDs strategically divided by territorial criteria and not necessarily by states, depending on the geographic occupation of indigenous communities. In addition to the DSEIs, the service structure is supported by health centers, with core poles and aboriginal health homes (couples). The Ministry of Health seeks to continually improve the health actions of Indigenous Peoples by observing and respecting health practices and traditional knowledge and by articulating with other SUS leaders the promotion of health activities. complementary and specialized.
In order for this badistance to be feasible, the Ministry of Health uses air transport (airplanes and helicopters), land vehicles (vans, trucks, vans) and waterways (boats) to allow the transport of patients during medical, emergency and rescue consultations. Transport of multidisciplinary teams of indigenous health (EMSI) in specific areas of programs developed by pulp. "
* Special report by Paulo Paixão, Douglas Henrique and Paulo Frazão
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