Labor and Workers in Brazil

Título

Controle social e gestão participativa em saúde pública em unidades de saúde do município de Campo Grande, MS, 1994-2002

Saúde e Sociedade

Autor

Milca Lopes de Oliveira

Eurivaldo Sampaio de Almeida

Assunto

Conselhos de saúde

Controle social

Democratic Management

Gestão democrática

Gestão participativa

Health Councils

Participatory Management

Participação social

Social Control

Social Participation

Abstract

Social participation in Brazil has evolved from workers' and union movements into a legitimate process conducted through Social Councils. In the Public Health field this practice was recognized by Law 8142/90. This study aims to analyze the practice of Social Control by Healthcare Unit Councils and its influence on health policies of the municipality of Campo Grande, state of Mato Grosso do Sul. Five case studies were conducted, with minutes of meetings as the main source of data and a document of ILPES/CLAPS (1975) as reference for analysis. The councils are organized as boards with one coordinator and one secretary. Additional features include parity in composition, fragile representation, and monthly meetings. The decision-making process gives significant attention to technical-administrative and technical-operational elements. From 1998 to 2002, Social Control was made stronger by more effective procedures, but deliberation capacity needs to be strengthened with capacity-building initiatives that include technical, political, and administrative elements, representation, empowerment of society, the wide publicity - also in the media - of Council activities, greater social mobilization, and articulation between Councils and municipal spheres that have an interface with the health sector.

volume

18

issue

1

Páginas

141-153

Date

2009-03

título curto

Saúde e Sociedade

Língua

pt

issn

0104-1290

uri

http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0104-12902009000100014&lang=pt

Publisher

SciELO Saúde Pública