Primary Health Care and Candomblé Terreiros: approaches and distances in the provision of care.

Abstract

Objective: to describe the convergence and divergence between Primary Health Care and Candomblé Terreiros in the provision of care.

Method: qualitative, descriptive study conducted in two health units in Camaçari, Bahia, with the participation of priests from Candomblé Terreiros, health professionals, and family health team managers. Data were collected through semi-structured interviews between September and October 2024 and submitted to Thematic Analysis, with the support of NVivo®.

Results: the exclusion and delegitimization of the knowledge of the terreiros was observed, influenced by cultural and religious barriers, prejudice, and gaps in professional training. Spiritual practices in the terreiros demonstrate a comprehensive care approach that articulates physical, emotional, social, and spiritual dimensions. Although limited, there are institutional initiatives to build closer ties through actions at specific events. In the terreiros, the limits of spirituality in health are recognized.

Conclusion: The relationship between Primary Care and the terreiros is marked by advances and gaps. Partnership between these entities can overcome barriers and promote more comprehensive care. The current model of health care is still exclusionary and discriminatory.