Vivências e desafios de saúde nas comunidades quilombolas do Vale do Ribeira: narrativas de histórias de vida

• Ano de defesa: 2018
• Autor(a) principal: Silva, Leide Sousa [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo; Brasil; São Paulo; UNIFESP; Ensino em Ciências da Saúde
• Palavras-chave em Português: Quilombo communities; oral life history; healthcare; Ribeira Valley; Comunidades quilombolas; história oral de vida; atendimento de saúde; Vale do Ribeira
• Link de acesso: http://www2.unifesp.br/centros/cedess/mestrado/teses/tese_231_leide_silva.pdf; https://repositorio.unifesp.br/handle/11600/51824

The quilombo communities are constitutionally recognized and defined by self-identification criteria, based on their historical paths, linked to their territorial relationship and ancestral connection to the enslaved black population of Brazil. This research sought to understand the Ribeira valley quilombo communities’ perceptions of health through their inhabitants’ accounts of their lived experiences, using the perspective of oral life history. The area chosen for research, the Ribeira valley, has the largest concentration of quilombo communities in the state of São Paulo. There are around 30 of them, three of which were part of the field work. The research used the qualitative method, allowing space for the collaborators’ subjective processes. Five open interviews were conducted with the communities’ members. The interviews were recorded, transcribed, textualized and transcreated, aiming to preserve each narrative’s singularity. The analysis were made through the hermeneutic phenomenology framework, using the immersion/crystallization approach. Four categories of analysis were used: identitary process, territorialization and resistance, perceptions of health and healthcare assistance in quilombo communities. These categories highlighted the progress achieved by the communities after constitutional recognition, the support of both governmental and non-governmental organizations and the creation of local associations. However, they show that the struggle to access public policies is still an obstacle to safeguard the rights of this population. Healthcare is not articulated with local knowledge or acknowledgment of community needs, indicating a detachment between public administration and society.