Distrito Sanitario Especial Indigena Manaus

What Distrito Sanitario Especial Indigena Manaus does

Distrito Sanitário Especial Indígena Manaus (DSEI Manaus) is an indigenous-health service delivery operation run by Missão Evangélica Caiuá (CNPJ 03747268000180), a private Brazilian nonprofit established in 2000. Its legal headquarters is in Dourados, Mato Grosso do Sul, with the Manaus district office serving as the regional operational base. The entity operates under Convênio Nº 882478/2019 with Brazil's Ministry of Health (Concedente) and SESAI (Secretaria Especial de Saúde Indígena) to deliver healthcare and complementary services to indigenous populations in the Manaus DSEI, aligned with the PNASPI policy and the SASISUS indigenous health subsystem. Service scope covers Basic Health Units and CASAI (Casas de Atendimento Indígena) operations, recruitment and payment of contracted healthcare professionals, permanent education for community health workers, social control programs, and integrative health practices.

Revenue is derived entirely from federal government grants transferred via the SICONV/Transferegov platform; the Manaus convênio carries a total value of R$27,404,826 (split across the 2019 and 2020 exercises), with no private-sector revenue streams, no discretionary pricing, and no private equity or capital-markets funding involved. All resource management, accountability, and reporting flow through the federal government's SICONV system, and recruitment is conducted via public selective processes (processos seletivos simplificados) published as editais on the Convênios SESAI website. The organization has no proprietary technology — it operates as a contract-managed public-health service delivery vehicle, with operational software limited to standard web, email (Hostinger webmail), HR portal, and federal procurement tooling.

Missão Evangélica Caiuá, the parent operating entity, currently manages 9 such convênios across 4 Brazilian states (Acre, Amazonas, Mato Grosso do Sul, and Roraima), aggregating approximately R$261,997,862 in total contract value across districts including Parintins, Manaus, Alto Rio Purus, Vale do Javari, Yanomami, Médio Rio Solimões, Mato Grosso do Sul, Médio Rio Purus, and Alto Rio Solimões. Distribution is direct: services are delivered through DSEI health units and CASAI facilities, while hiring flows through public editais. The organization's competitive position rests on its regulatory mandate under SESAI/PNASPI, multi-decade community relationships, and specialized indigenous-health workforce — not on technology, brand, or product differentiation.

Name

Distrito Sanitario Especial Indigena Manaus

Legal name

MISSAO EVANGELICA CAIUA

Website

https://convenios.missaocaiua.org.br

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

11–50 employees

Short description

Missão Evangélica Caiuá is a Brazilian nonprofit (founded 2000) operating nine federal convênios with SESAI to deliver healthcare, staffing, and community health worker training to indigenous populations across Manaus, Amazonas, Acre, Roraima, and Mato Grosso do Sul under the PNASPI/SASISUS framework.

Ownership category

akta.pro rank

Product category

Indigenous Healthcare Services

NAICS

Health and Welfare Funds (525120), Religious, Grantmaking, Civic, Professional, and Similar Organizations (813)

SIC

Services-Social Services (8300), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Government Program Administrative Services (Medicare/Medicaid ASO/TPA) (HLAEALAO)

akta.pro secondary industries

Health Equity, Access & Social Determinants Programs (BPAIAJAO), Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH), Maternal, Newborn, Child & Adolescent Health (MNCAH) Partnerships (HLAJAOAG)

Keywords

• Indigenous healthcare services
• Public health management
• Government health agreements
• Primary care delivery
• Community health workforce

Headquarters

HQ city

Manaus

HQ country

Brazil

HQ region

Latin America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Others

Revenue model

1. Federal Government Healthcare Grants (Convênios): Revenue is derived entirely from federal government grants (convênios) administered through SESAI (Secretaria Especial de Saúde Indígena) and transferred via the SICONV/Transferegov platform. Funds are allocated for healthcare service delivery, staffing salaries, permanent education, social control, and integrativa practices within indigenous health districts. Each district has separate convênio agreements with specific annual disbursements.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Missão Evangélica Caiuá operates the Convênios SESAI service line, delivering complementary healthcare services and actions to indigenous populations across nine DSEI districts (including the Manaus district) under PNASPI policy. The core deliverable includes staffing and managing healthcare professionals in Basic Health Units (UBS) and CASAI facilities, providing permanent education and training for indigenous community health workers, running social control programs, and supporting integrative health practices. All operations are funded via federal convênios with the Brazilian Ministry of Health, with total contract values reaching approximately R$ 262 million across all districts.

Product overview

Convênios SESAI is a health services management operation run by Missão Evangélica Caiuá that manages 9 government agreements (convênios) across Brazilian states (Acre, Amazonas, Mato Grosso do Sul, and Roraima) to provide healthcare services to indigenous communities through the SESAI/SASISUS system. The service encompasses payment of contracted healthcare professionals, permanent education and training for indigenous community members, social control, and integrative health practices. Resource management and accountability are handled through the federal government's SICONV platform.

Differentiator

Problem solved

Functional benefit

Products and services

• Convênios SESAI — Gestão de Saúde Indígena A federal-convênio-managed healthcare service delivery operation covering nine DSEI districts (including Distrito Manaus) across Acre, Amazonas, Mato Grosso do Sul, and Roraima. Provides complementary health services, recruits and manages healthcare professionals, supports permanent education and training of indigenous community health workers, social control programs, and integrative health practices in Basic Health Units (UBS) and CASAI facilities. Funded entirely via SESAI/Ministry of Health convênios administered through SICONV.

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Three partnerships are on record, tiered core.

• SESAI (Secretaria Especial de Saúde Indígena)coreOthers · 17 January 2019Primary governmental partner responsible for establishing healthcare objectives for indigenous peoples. The organization operates under the PNASPI (Política Nacional de Atenção à Saúde dos Povos Indígenas) and SASISUS (Subsistema de Atenção à Saúde Indígena) framework through convênio agreements.
• Ministério da Saúde (Ministry of Health)coreOthers · 17 January 2019Federal grant provider (Concedente) for all convênio agreements. Manages the SICONV/Transferegov platform for fund transfers and accountability. All convênio agreements (N° 882477/2019 through 882485/2019) are granted directly by the Ministry of Health.
• FUNASA (Fundação Nacional de Saúde)coreOthers · 1 January 2000Historical partner since 2000 for the management of indigenous health services through convênio agreements. FUNASA was the original federal health foundation that established the partnership framework for healthcare delivery to indigenous populations before SESAI was created.

Scale indicators4 records

Recent moves4 records

Expansion highlights4 records

Emerging players

• Conselho Indigenista Missionário (CIMI): Brazilian indigenous rights and advocacy organization linked to the Catholic Church, working on health and territorial rights of indigenous peoples. Comparable for sustained engagement with indigenous communities and dependence on federal/nonprofit funding.
• Instituto Socioambiental (ISA): Brazilian nonprofit focused on indigenous peoples and environmental issues, including health advocacy and programs in Amazonian indigenous territories. Adjacent to MEC due to overlapping indigenous-community footprint and federal grant funding.

Others

• GRAACC: Brazilian nonprofit pediatric oncology hospital that relies substantially on SUS (Brazilian public health system) contracts and donations. Comparable as a mission-driven health nonprofit operating at meaningful scale with mixed government and philanthropic funding.

Direct peers

• Pastoral da Criança: Brazilian faith-based nonprofit delivering community health and social support services to vulnerable populations, including indigenous and rural communities. Comparable to MEC as a nonprofit intermediary funded by government and donations to deliver health-adjacent services at scale.
• Hospital de Amor (Hospital de Câncer de Barretos): Major Brazilian nonprofit hospital that sustains much of its operations through government contracts (SUS) and provides healthcare services nationally. Comparable for the nonprofit-with-government-funding model delivering health services to underserved populations.
• Cáritas Brasileira: Brazilian Catholic charitable organization delivering social assistance and community-based services nationwide, including to indigenous populations. Operates a similar nonprofit-government partnership model addressing health and welfare needs of underserved groups.
• Médicos Sem Fronteiras (MSF Brasil): International medical-humanitarian NGO providing healthcare services in remote and underserved regions of Brazil, including indigenous territories. Comparable for delivering frontline health services to indigenous populations through institutional, multi-year operational deployments.

Broad incumbents

• UNICEF Brasil: UN agency operating in Brazil focused on child and adolescent health, including indigenous communities. Adjacent peer due to shared indigenous-health mission footprint and dependence on multilateral/government funding flows.
• Fundação Oswaldo Cruz (Fiocruz): Brazilian federal public health institution linked to the Ministry of Health, conducting research, training, and service delivery in public health including indigenous health. Comparable as a federally connected health-services entity operating under ministerial oversight.
• Organização Pan-Americana da Saúde (OPAS/PAHO Brasil): Regional WHO-affiliated health agency coordinating public health initiatives across the Americas, including indigenous health programs in Brazil. Comparable as a federally connected, mission-driven health-services entity working with indigenous populations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/missaocaiua
• Instagraminstagram.com/missaocaiua
• LinkedInlinkedin.com/company/distrito-sanitario-especial-indigena-manaus

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Distrito Sanitario Especial Indigena Manaus