Perfil de morbidade da população indígena referenciada para a Casa de Saúde Indígena do Distrito Federal (CASAI/DF): um recorte dos itinerários terapêuticos dos pacientes oriundos dos Distritos Sanitários Especiais Indígenas (DSEI) Xavante e Xingu

Abstract

Little is known about the epidemiological profile of the indigenous population in terms of its various ethnic groups. Knowledge of morbidity and demand for services assists in the structuring of health services and systems geared to the specific characteristics and needs of the indigenous population. The Indigenous Health House of the Federal District (CASAI / DF), as a federal unit, serves several indigenous from many Special Indigenous Health Districts (DSEI) in the country. In order to trace the epidemiological profile of patients from the DSEI Xingu and Xavante referred to CASAI/ DF, we evaluated all records of patients of those who have gone through CASAI / DF from those DSEI, between January 2013 and December 2014. As a result of this descriptive epidemiological study, it was observed that, among the Xingu, prevailed morbidities associated with Chapter VI - diseases of the nervous system (14 patients / 17%), followed by musculoskeletal system diseases (15%) and cancer (12%), while that among the Xavante, prevailed congenital malformations (18.7%), followed by diseases of the musculoskeletal system (15.6%) and infectious and parasitic diseases (12.5%). However, metabolic diseases (hypertension, diabetes and obesity), appeared as the main comorbidities. With regard to the problems / challenges of therapeutic impact, "drug use discontinuity in base pole" and the "systematic monitoring deficit of local EMSI" were particularly significant in patients' records from the DSEI Xavante.