MONITORING AND EVALUATION: A CHALLENGE FOR INDIGENOUS HEALTH. A FEDERAL GOVERNMENT CASE REPORT

ABSTRACT: Introduction and objective: The native Brazilian health system must give access to public health to over 800 thousand native people who live in 5 thousand villages, distributed all over the national territory. Today there is a lack of information about this health system and also a lack of specific health indicators. This context makes difficult to manage this health system but also contrast with the amount of data collected by the teams, who act at 750 Primary Health Care Unities. These teams used to fill 12 worksheets monthly. Although the massive quantity of data collected, there was no knowledge generated to support decision-making, both at the local and federal level of management. This scenario motivated the development of a continuously process of monitoring and evaluation (M&E) on native health. Therefore, the present paper describes the implementation of the M&E of the ambulatory production of the native health teams and discusses the no prioritization of this management tool. Method: this research is a critical-reflexive narrative of the federal management of the native Brazilian health system. Results and Conclusions: the main results after XX months of development of M&E were: institution of regular flows of information upload in accordance with the uniqueness of each native health district (NHD), reports production for local and central management, better planning of supplies, teams and transportation based on information and strengthening of the M&E at the local level and the relationship with the NHD. This work culminated in greater transparency of the decision-making process and of the native brazilian health accountability.