The context of normative production in the implementation of indigenous health policy

Abstract

The article analyzes the implementation of indigenous health policy through an exploratory qualitative study, focusing on ministerial ordinances issued by the Ministry of Health between 2011 and 2022. The analysis followed the non-linear and interconnected policy cycle approach, exploring the interaction between ministerial ordinances, Brazilian National Health System (SUS) management, and political processes in indigenous health. The results indicated a prioritization of internal organization over guiding norms for providing assistance to indigenous peoples, which favored the political practice of resources distribution for coalition parties. It is concluded that the original doctrine of indigenous health policy has been overshadowed by the unrestricted adoption of managerial logic and resource disputes, preventing the Indigenous Health Care Subsystem from acting as a unique type of Primary Health Care in the country.

Keywords
Health public policies; Health of native population; Government policies and organization