Análise comparativa do planejamento na construção de Duas unidades básicas de saúde: Estudo de caso em comunidades indígenas no Estado do Maranhão

Abstract

Indigenous health in Brazil faces unique and complex challenges that require specific and culturally sensitive solutions. Amid these needs, the construction of Primary Health Units (UBS) in indigenous communities emerges as a fundamental priority to ensure equitable access to health services. This study aims to analyze the planning processes involved in the construction of two Primary Health Units (UBS) in an indigenous community in the municipality of Nova Olinda, with the goal of highlighting best practices and the challenges encountered. A case study was conducted, analyzing two distinct UBS construction projects, Piquizeiro and Capitão Mirá, located in indigenous communities in the municipality of Nova Olinda, Maranhão. The results showed that the Piquizeiro UBS project adhered to the main planning stages, standing out for efficiently completing all planning phases, resulting in a successful project delivery. In contrast, the construction of the UBS in the Capitão Mirá village was marked by various planning and execution failures, resulting in a project that did not adequately meet the criteria proposed in the initial plan. Therefore, it was concluded that planning and control are fundamental pillars for the success of UBS constructions in indigenous communities. The adoption of rigorous practices and consideration of local particularities are essential to achieving satisfactory results and effectively meeting the needs of the communities