Estruturas de Indiferença: Racismo Institucional e seus Efeitos na Saúde dos Povos Indígenas no Brasil

• DOI: .

• Palavras-chave: Saúde Indígena; Determinantes Sociais da Saúde; Políticas de Saúde.

• Keywords: Indigenous Health; Social Determinants of Health; Health Policies.

• Abstract: This study aimed to analyze the manifestations of institutional racism in health services and policies directed toward Indigenous populations in Brazil. A narrative review was conducted in December 2025, using the LILACS, BDENF, and SciELO databases, covering publications from 2020 to 2025. The results show that institutional racism operates in three dimensions: management and standardization of SasiSUS, training of health professionals, and territorial practices. Structures of indifference, epistemic racism, and human rights violations were identified. It is concluded that overcoming this scenario requires structural transformations, including intercultural protocols, curriculum reformulation, and strengthening Indigenous participation in decision-making processes.