Access to Health Services and Assistance Offered to the Afro-Descendant Communities in Northern Brazil: A Qualitative Study

Marcela de Oliveira Feitosa, Maria Elidiana Araújo Gomes, Iolanda Graepp Fontoura, Catilena Silva Pereira, Ana Maria da Costa Teixeira Carneiro, Maikon Chaves de Oliveira, Janayna Araújo Viana, Volmar Morais Fontoura, Késia Chaves da Silva, Renata de Sá Ribeiro, Paula Cristina de Sousa Vieira, Sarah Gisele de Vasconcelos Leite, Lígia Parente de Alencar Leal, Ankilma do Nascimento Andrade Feitosa and Fernando Luiz Affonso Fonseca
Additional contact information
Marcela de Oliveira Feitosa: Department of Postgraduate, ABC Faculty of Medicine, ABC University Center, Santo André, 09060-650 São Paulo, Brazil
Maria Elidiana Araújo Gomes: Department of Postgraduate, ABC Faculty of Medicine, ABC University Center, Santo André, 09060-650 São Paulo, Brazil
Iolanda Graepp Fontoura: Department of Nursing, Federal University of Maranhão, Imperatriz, 65915-240 Maranhão, Brazil
Catilena Silva Pereira: Department of Nursing, State University of Tocantins, Augustinópolis, 77960-000 Tocantins, Brazil
Ana Maria da Costa Teixeira Carneiro: Department of Nursing, State University of Tocantins, Augustinópolis, 77960-000 Tocantins, Brazil
Maikon Chaves de Oliveira: Department of Nursing, State University of Tocantins, Augustinópolis, 77960-000 Tocantins, Brazil
Janayna Araújo Viana: Department of Nursing, State University of Tocantins, Augustinópolis, 77960-000 Tocantins, Brazil
Volmar Morais Fontoura: Department of Nursing, State University of Tocantins, Augustinópolis, 77960-000 Tocantins, Brazil
Késia Chaves da Silva: Department of Nursing, State University of Tocantins, Augustinópolis, 77960-000 Tocantins, Brazil
Renata de Sá Ribeiro: Department of Nursing, State University of Tocantins, Augustinópolis, 77960-000 Tocantins, Brazil
Paula Cristina de Sousa Vieira: Federal Institute of Roraima, West Zone Boa Vista, 69318-070 Roraima, Brazil
Sarah Gisele de Vasconcelos Leite: Surgery and Experimental Research Program, State University of Pará (UEPA), 66095-661 Belém, Brazil
Lígia Parente de Alencar Leal: Hospital Regional do Sertão Central—HRSC, Quixeramobim, 63800-000 Ceará, Brazil
Ankilma do Nascimento Andrade Feitosa: Nursing and Medicine Department, University Santa Maria, Cajazeiras, 58900-000 Paraiba, Brazil
Fernando Luiz Affonso Fonseca: Department of Postgraduate, ABC Faculty of Medicine, ABC University Center, Santo André, 09060-650 São Paulo, Brazil

IJERPH, 2021, vol. 18, issue 2, 1-17

Abstract: The remnants of quilombos, individuals of African descent, have faced several barriers throughout its history, either due to prejudice imposed by society, or the non-fulfillment of their rights guaranteed in the 1988 Constitution, such as access to health services. Thus, this study aims to evaluate the health care offered to quilombo communities in the northern region of Tocantins. This is an exploratory, descriptive study with a qualitative approach, including field research and focus group, carried out with 58 quilombo remnants people from communities in the northern region of Tocantins. Data collection was carried out between from October 2017 to July 2018, through semi-structured interviews. We found that these communities have limited access to health services, in addition to a negative perception of the assistance offered to the health of their population and the commitment of managers. Therefore, access to health and assistance received by the studied communities required to be prioritized since the care provided is not unique and has not met the health demands and needs of the remaining quilombos in northern Tocantins, Brazil.

Keywords: health care; public health policies; vulnerable communities; group with ancestors from the African continent (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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