Management, Policy and Social Movements in the Upper Rio Negro Special Indigenous Health District

ABSTRACT

This article discusses the interplay of different forms of accountability in the context of the Indigenous Health Subsystem of Brazil’s Unified Health System (SASI-SUS), via a case study of the Rio Negro Special Indigenous Health District (DSEI-ARN) in the State of Amazonas. Focusing on a case of indigenous mobilisation triggered by a malaria outbreak it highlights some of the underlying dilemmas that derive from the embedding of conflicting accountability logics within the architecture of the SASI-SUS.

KEYWORDS:
accountability; social movements; indigenous health