Caceres ONV, Vieira L, Costa ELM, Oliveira ACM, Marques CAM, Sanches LC. Necropolitics, territorial exception, and Indigenous agency in Brazilian health: an integrative review (2019-2025). Interface (Botucatu). 2026; 30: e250609 DOI: https://doi.org/10.1590/interface.250609
Abstract
The health of Indigenous peoples in Brazil is inseparable from political and epistemic disputes, transcending the restricted analysis of epidemiological indicators or access difficulties, under the influence of colonial persistence and the actions of a state that has been historically oriented towards expropriation, invisibility, and abandonment. This study analyzes, through an integrative review of Brazilian scientific literature (2019-2025), how Achille Mbembe’s necropolitics critically examines state abandonment mechanisms, the production of territories of exception, and Indigenous protagonism in the Indigenous Health Care Subsystem. The results demonstrate the naturalization of precariousness as a technology of government, the territorialization of exception, and the emergence of anti-necropolitical practices that reaffirm collective agency in formulating alternatives to the continuity of care and the reduction of preventable deaths.
Keywords
Indigenous health; Necropolitics; Territory of exception; Collective agency
Access in: https://doi.org/10.1590/interface.250609
