Contracolonização quilombola, afrocentricidade e o paradigma biomédico: a questão étnico-racial nos programas de extensão de cobertura assistencial no Sistema Único de Saúde

• Ano de defesa: 2021
• Autor(a) principal: Silva, André Luiz da
• Outros Autores: [e-mail]
• Orientador(a): Mendonça, André Luís de Oliveira
• Banca de defesa: Carvalho, José Jorge de, Santos, Carlos Alberto Ivanis dos, Barbosa, Maria Inês da Silva, Silva, Rosana Maria Nascimento Castro
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Saúde Coletiva
• Departamento: Centro Biomédico::Instituto de Medicina Social Hesio Cordeiro
• País: Brasil
• Palavras-chave em Português: Contracolonização; Racismo biomédico; Sistema único de saúde; Afrocentricidade; Quilombolismo
• Palavras-chave em Inglês: Counter-colonization; Biomedical racism; Unified health system; Afrocentricity; Quilombism
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: http://www.bdtd.uerj.br/handle/1/18207

The present study is part of the crossroads between public policies in the field of health and traditional knowledge and practices in a society marked by the social construct of racism and its multiple manifestations. From the tensions arising from the civilizing conflict between the Western paradigm and the Afro-Pindoramic paradigm, it is intended to recognize, dissect and name the manifestations and deletions existing there in the context of the Unified Health System. a critical reflection of the programs to expand care coverage from the analysis of the relationships established between the health actions developed by the primary care team and the knowledge and practices in the field of health, illness and healing in a quilombola community. The methodological bias of such arguments occurs via the subjectivity produced by the historiography of Biomedicine in contact with traditional knowledge, in compliance with the principle that the complexity of the cosmoperceptions of African and Pindoramic peoples cannot be reduced to the limits of the truths of Western thought. In the meantime, I made use of personal and professional experience, as a black man, manager and nurse working in the aforementioned Health System, as a daily companion of the effects of the expansion of care coverage and as an academic who operates at the confluence between the social/human sciences and the sciences. of health. In this context of mismatch between public policy, management of health services and universalization of care coverage, it is important to debate and question the universalist policies and dogmatic principles of the Unified Health System, thought in other non-western civilization bases. To this end, the concept of structural racism gains centrality as an instrument for reading the colonial project still in force, while interculturality gains the dimension of a political/epistemological/educational project that provides opportunities for social experiences of respect and sharing. In another aspect, the present research highlights the need to rethink the different modes of knowledge production and how such action takes place in the everyday sphere in different territories, seeking to examine different facets of racism underlying the biomedical paradigm in the official Health System, configuring biomedical racism – which operates diffusely in health institutions –, invalidating the production of knowledge from Afro-Pindoramic matrices, permeating health practices, making equitable access difficult, justifying certain behaviors and legitimizing certain institutional actions from interpretations forged in supremacy white and in the whiteness of the state. In fact, Afrocentricity and Quilombismo were imposed as strategies to contest the hegemonic vision in question, and to institute, with countercolonial thinking, new epistemological perspectives. The perceptions of the subjects involved about the production of care are highlighted here. It is concluded that understanding the reproduction of racism in the field of health is an important strategy for confronting ethnic-racial inequalities, as it reveals mechanisms of Institutional and social utilitarian engendering of contemporary forms of racism. And yet, the expropriation imposed by the official Health System on traditional knowledge, in addition to the induced utilitarian relationship, are reflections of the manifestations of a racism that operates in biomedicine.