Faced with the global, national and state scenario, affected by the new variant of the
Coronavirus, international and national authorities launched measures that needed to be planned
and implemented rigorously, in order to contain the spread of the virus and the impact of more
individuals, with deaths and sequelae. This need was reinforced in the pandemic situation, based
on the confirmed cases and deaths reported by COVID-19 among the indigenous peoples of the
state of Pará. Thus, this thesis sought to analyze the processes of planning and implementing
actions and services aimed at indigenous health, during this period of pandemic due to COVID19.
To conduct this process, a mixed study was adopted, with a qualitative and quantitative
approach, using a specialized bibliography focused on regionalization, indigenous health,
interdisciplinarity, impacts of COVID-19, care networks, with historical documentation,
regulations, theses, and scientific articles. The complexity posed by this study also required
different methodologies, which helped the researcher understand and analyze the facts and
phenomena from different perspectives, thus enabling interdisciplinary dialogue. Thus,
descriptive-exploratory qualitative research was adopted and, therefore, a documentary analysis
was carried out, based on the contingency plans against Covid-19 of the Special Secretariat for
Indigenous Health, of the state of Pará, of the Special Indigenous Health Districts of Pará and
strategic municipalities, as well as the analysis of vaccination coverage and morbidity and
mortality data of each district. As results found, it is important to mention that there was no
planning linked to the municipalities as governed by legislation, the implementation of
contingency plans had an impact on vaccination coverage and morbidity and mortality
indicators, despite the “biases” of the route and the governance of actions and services during
the pandemic they were “crossed” by macro and micropolitics that historically persist. There
have been many advances, but there are still challenges to be overcome in the spaces of macro
and micro politics of meetings between districts and municipalities, between districts and the
Department of Public Health of the State of Pará, between districts and the Special Secretariat
for Indigenous Health, in the regions and macro-regions of Pará. Seeking strategies and
strengthening existing ones, such as the steering group and the interagency commissions with
indigenous health, can be a path to governance.
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