Política de saúde para às populações indígenas no Brasil: continuidades e descontinuidades - 1986-2013

• Ano de defesa: 2014
• Autor(a) principal: Pereira, Luiz Otávio dos Santos
• Orientador(a): Nunes, Edison
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Ciências Sociais
• Departamento: Ciências Sociais
• País: BR
• Palavras-chave em Português: Politica de saúde indígena no Brasil; Políticas de saúde; Política indigenista
• Palavras-chave em Inglês: Health policy to indigenous people in Brazil; Health policy; Indigenous policy; Advocacy Coalition Framework
• Área do conhecimento CNPq: CNPQ::CIENCIAS SOCIAIS APLICADAS
• Link de acesso: https://tede2.pucsp.br/handle/handle/3547

This dissertation proposes an analysis of the Health Policy for Indigenous People of Brazil, in the period between 1986 and 2013, with basis in the theories of policy studies developed by the Political Science, in special the ACF( Advocacy Coalition Framework) developed by Jenkins-Smith and Sabatier. We observe that this policy born due to an amplest context of transformations of citizenship nature, that compels to a new way to formulate policies that handle with diversity, that start to conciliate the principle of equality with the respect to difference. And we demonstrate how the Brazilian State search in this policy the conciliation between the health right and the cultural rights, with mean, between the principles of universalism and particularism, dealing with the unavoidable set of dilemmas that this matter causes. However, we highlight that in this health policy occur an uncommon frequency of discontinuities. We identify that between the consolidation of the ideational basis of this policy in 1986 and the present period of 2013; occur an sequence of institutional reconfigurations and restructuration of the attention model. The four main changes are: in 1991, when the responsibility of the indigenous health was transferred to FUNASA( National Foundation of Health); in1994, when occur the partial return of the indigenous health to FUNAI( National Foundation of Indian); in 1999, with the Arouca s Law that give back the integrity of the indigenous health responsibility to FUNASA; in 2008, when was create the Especial Secretary of Indigenous Health. This research propose to answer what was the factors that causes the general picture of the institutional instability and the identified changes; and adopt as main hypothesis that the sources of the changes and consequentially of the instability, was the competition between the coalitions that structure themselves around of a divergent set of ideas, that constitute the normative basis of the health policy for indigenous peoples. That way shows with are the coalitions, how they born, around of what ideas they are structured, how they interact, and how make changes in the policy health to indigenous peoples, using the opportunity structure, that opens the possibilities to break the stability and change the status quo