<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232025000110152</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202501753</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Entre saberes e direitos: saúde, cultura e resistência nas comunidades quilombolas da Amazônia sob a perspectiva da Política Nacional de Saúde Integral da População Negra (PNSIPN)]]></article-title>
<article-title xml:lang="en"><![CDATA[Between Knowledge and Rights: Health, Culture, and Resistance in Amazonian Quilombola Communities from the Perspective of the National Policy for the Comprehensive Health of the Black Population (PNSIPN)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[Edna Cristina Santos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ataíde]]></surname>
<given-names><![CDATA[Amanda Moutinho]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pantoja]]></surname>
<given-names><![CDATA[Ana Paula Ferreira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaves]]></surname>
<given-names><![CDATA[Danielle de Souza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Estado do Pará Departamento de Desporto ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Evandro Chagas Seção de Patologia ]]></institution>
<addr-line><![CDATA[Ananindeua Pará]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Universitário da Amazônia  ]]></institution>
<addr-line><![CDATA[Curso de Medicina Belém]]></addr-line>
<country>Pará</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>16</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232025000110152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232025000110152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232025000110152&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVO:  O presente estudo analisa as desigualdades em saúde enfrentadas por comunidades quilombolas da Amazônia brasileira, considerando determinantes sociais, barreiras de acesso, saberes tradicionais de cuidado e os desafios de implementação da Política Nacional de Saúde Integral da População Negra (PNSIPN).  MATERIAIS E MÉTODOS:  A pesquisa consistiu em uma revisão de literatura, com enfoque antropológico, abrangendo artigos científicos, documentos governamentais e multilaterais, além de livros que contextualizam aspectos históricos, legais e culturais. Os descritores utilizados foram: "quilombolas", "saúde pública", "antropologia médica", "políticas públicas em saúde" e "Amazônia".  RESULTADOS:  A saúde quilombola está intimamente ligada à territorialidade, espiritualidade e práticas ancestrais, sendo afetada por múltiplos determinantes sociais e estruturais. A precariedade no acesso aos serviços básicos de saúde, invisibilidade estatística e racismo institucional são barreiras significativas à efetivação da equidade. A pesquisa evidencia ainda a centralidade dos saberes tradicionais e da resistência das mulheres quilombolas no cuidado em saúde. A discussão mostra que, embora a PNSIPN represente um avanço normativo importante, sua implementação é desigual, especialmente em áreas remotas da Amazônia, carecendo de estratégias territorializadas e interculturais.  CONCLUSÃO:  A promoção da saúde quilombola requer um olhar interdisciplinar, atento às singularidades culturais, históricas e territoriais, alinhados aos ODS 3 e ODS 10. A Antropologia médica oferece ferramentas para reconhecer e valorizar saberes tradicionais, promovendo diálogo intercultural e subsidiando políticas públicas mais inclusivas. A superação do racismo estrutural e a adoção de práticas que respeitem singularidades históricas, culturais e territoriais são essenciais para assegurar o direito à saúde integral dessas populações.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVE:  This study analyzes the health inequalities faced by quilombola communities in the Brazilian Amazon, considering social determinants, access barriers, traditional care practices, and the challenges in implementing the National Policy for the Comprehensive Health of the Black Population (PNSIPN).  MATERIALS AND METHODS:  The research consisted of a literature review with an anthropological approach, covering scientific articles, governmental and multilateral documents, and books addressing historical, legal, and cultural aspects. The descriptors used were: "quilombolas," "public health," "medical anthropology," "public health policies," and "Amazon."  RESULTS: Quilombola health is closely linked to territoriality, spirituality, and ancestral practices, and is affected by multiple social and structural determinants. Limited access to basic health services, statistical invisibility, and institutional racism are significant barriers to achieving equity. The study also highlights the centrality of traditional knowledge and the resistance of quilombola women in health care. The discussion shows that although the PNSIPN represents an important normative advance, its implementation is uneven, especially in remote areas of the Amazon, requiring territorialized and intercultural strategies.  CONCLUSION:  Promoting quilombola health requires an interdisciplinary perspective sensitive to cultural, historical, and territorial specificities, aligned with SDG 3 and SDG 10. Medical Anthropology provides tools to recognize and value traditional knowledge, promote intercultural dialogue, and support more inclusive public policies. Overcoming structural racism and adopting practices that respect historical, cultural, and territorial singularities are essential to ensuring the right to comprehensive health for these populations.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Ecossistema Amazônico]]></kwd>
<kwd lng="pt"><![CDATA[Antropologia Médica]]></kwd>
<kwd lng="pt"><![CDATA[Quilombolas]]></kwd>
<kwd lng="pt"><![CDATA[Racismo Estrutural]]></kwd>
<kwd lng="pt"><![CDATA[Políticas de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Saúde das Minorias Étnicas]]></kwd>
<kwd lng="en"><![CDATA[Amazonian Ecosystem]]></kwd>
<kwd lng="en"><![CDATA[Anthropology, Medical]]></kwd>
<kwd lng="en"><![CDATA[Quilombola Communities]]></kwd>
<kwd lng="en"><![CDATA[Systemic Racism]]></kwd>
<kwd lng="en"><![CDATA[Health Policy]]></kwd>
<kwd lng="en"><![CDATA[Health of Ethnic Minorities]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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