Organization of Work in a Special Indigenous Health District in the Northern Amazon

Perceptions of the Management Team

Abstract

This study aimed to describe the work process of the Division of Indigenous Health Care within the East Roraima Special Indigenous Health District, based on the management team’s perspectives following the implementation of the indigenous health nucleation model in Roraima in 2018. This qualitative exploratory study was developed using data collected through interviews with 11 higher-education professionals involved in managing the DSEI-East of Roraima. Each participant received a questionnaire containing sociodemographic information and open-ended questions. Data were analyzed using Content Analysis as the methodological foundation, adhering to principles of research exhaustiveness and representativeness, along with inferential and interpretative treatment of results. Concerning the nucleation process, 91% of respondents reported receiving no training. Sixty-four percent indicated they had engaged in management activities before the model’s implementation, and 82% stated they had worked in indigenous communities. Thus, the nucleation model outlined in the Technical Note proved challenging to implement, with the lack of training on the model recognized as a key determining factor.