scholarly journals Possibilities and limits of participation in the municipal health council in a small municipality

2020 ◽  
Vol 13 (12) ◽  
pp. 90
Author(s):  
S. F. Cetolin ◽  
K. N. Michna ◽  
L. P. Trissoldi ◽  
A. T. Zimmermann ◽  
V. Beltrame ◽  
...  
Keyword(s):  
Public Health ◽  
Social Control ◽  
Basic Structure ◽  
Research Committee ◽  
Public Health Policies ◽  
Small Municipality ◽  
Health Area ◽  
Federal Constitution ◽  
Health Council ◽  
Municipal Health

This article presents results of a research carried out with the objective of analyzing the participation of Social Control in the sphere of Public Health Policy of a small municipality, located in the Extreme West of Santa Catarina. This is a qualitative study, carried out with the participation of twelve directors, six representatives of non-governmental entities and six of governmental entities. Data were collected between August and December 2019, through interviews with open and closed questions. The research was approved by the Ethics and Research Committee. All requirements contained in the Resolution of the National Health Council - CNS 466/2012 were observed and respected. The limits for the participation of members in the Council, time and lack of knowledge in the health area were found as limits, and with regard to the possibilities, a broader view of the health services offered, and within this, the prioritization of actions and actions. It is observed that Social Control is very important and necessarily needs to be maintained and strengthened. The Federal Constitution of 1988 consolidated and predicted in its devices the participation of citizens in the formulation and implementation of Social Control, public health policies. It is hoped that the result of the research can boost proposals that are configured as responses to the strengthening of participation in Social Control, recognizing the Health Councils are deliberative and permanent collegiate organs of the SUS, existing in each sphere of government and members of the basic structure of the health system.

scholarly journals Experience report on strategy design for effective public health policies in the Piauí, Brazil, 2020

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Vilarinho ◽  
A Amorim ◽  
C Fé ◽  
O Cardoso
Keyword(s):  
Public Health ◽  
Life Expectancy ◽  
The State ◽  
Health Policies ◽  
State Planning ◽  
Public Health Policies ◽  
Strategic Actions ◽  
Health Area ◽  
Swot Matrix ◽  
Definition Of

Abstract Aim Report of the ascending, collective and participative process of construction of the Strategic Action Plan of the State Secretariat of Health of Piauí for the period from 2020 to 2023 and its compatibility with the Planning and Management Instrument of the State of Piauí - PPA (Plano Pluri Yearly). Action developed for the Institutional Development Program of SUS. We sought consistency and compatibility for health needs and Government priorities, implementing public health policies, technical, operational and financial feasibility and feasibility, impact and improvement in living conditions and health of the population, reducing inequalities, expanding the access to inclusive health policies, increase in citizen's life expectancy and life expectancy at birth. Methods Workshops, with technical staff from the Health Secretariat and the State Planning Secretariat, using the Situational Strategic Planning-PES, in addition to the Balanced Scorecard, and the SWOT Matrix. The SESAPI Strategic Map was previously built, with priorities for the identification of plans and results oriented to the goals. Results The SWOT Matrix focused on analyzing the environment or scenarios, internal and external, with strategies to maintain strengths, reduce the intensity of weaknesses, use opportunities and protect against threats. The technical health priorities were legitimized and made compatible with the State Planning Secretariat, in Workshops with Social Representations of the 12 Regional Development Territories of the State. Conclusions The prioritized strategic actions embodied the definition of Budgetary Actions for the health area that conform to the LOA- Annual Budget Law, linking the estimated amounts to a set of indicators and desired and possible results to be achieved in the established period. The entire process was technically monitored and submitted to analysis and approval by the Social Control bodies in compliance with the provisions of the legislation in force. Key messages The prioritized strategic actions embodied the definition of Budgetary Actions for the health area and linked the estimated amounts to a set of indicators. All production has generated the formation of a government staff with managerial capacity to strategic planning and evaluation as part of training teams trained by the government.

scholarly journals (Dis) connections between health councils and audit: advancements and challenges in the democratization of public health management

2019 ◽  
Vol 27 (1) ◽  
pp. 39-44
Author(s):  
José Reginaldo Pinto ◽  
Kamyla de Arruda Pedrosa ◽  
Pollyanna Martins ◽  
Antonio Rodrigues Ferreira Júnior ◽  
Bruna Dayane Rocha Maranhão
Keyword(s):  
Public Health ◽  
Health Management ◽  
Analysis Data ◽  
Qualitative Approach ◽  
Technical Cooperation ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
Health Council ◽  
Self Administered Questionnaire ◽  
Municipal Health

Abstract Background Aware of the importance of consolidating social control in the qualification of the Brazilian government’s Unified Health System (SUS) management, it is important to highlight that the audit must implement technical cooperation actions with the municipal, state and national health councils and with the three management spheres. Objective Analyze the interaction between the Municipal Health Councils and the SUS audit service. Method The research, with a qualitative approach, had the participation of 20 municipal health counselors, who worked in the largest health region of Ceará, Brazil, composed of 24 municipalities. The thematic content analysis data were collected using self-administered questionnaire. Results We observed a weak interaction between the Municipal Health Council and the SUS audit sector in the municipalities. Conclusion Counselors are unaware of their competencies and the functions of the municipal audit sector.

scholarly journals O controle social nas politicas públicas em saúde da era Temer / Social control in public health policies in the Temer age

2021 ◽  
Vol 4 (6) ◽  
pp. 25538-25555
Author(s):  
Mateus dos Santos Brito ◽  
Carolina Orrico Santos ◽  
Alexsandro de Melo Laurindo ◽  
Tailma Costa De Jesus ◽  
Priscylla Alves Nascimento Freitas ◽  
...  
Keyword(s):  
Public Health ◽  
Social Control ◽  
Health Policies ◽  
Public Health Policies

scholarly journals Structure of public health consortiums: a study in the intermunicipal consortiums of health in the mata mineira area

2020 ◽  
Vol 9 (8) ◽  
pp. e171985538
Author(s):  
Bruna Rodrigues De Freitas ◽  
Adriel Rodrigues de Oliveira ◽  
Kerla Fabiana Dias Cabral
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Division Of Labor ◽  
Qualitative Data ◽  
Population Based ◽  
Physical Structure ◽  
Medical Assistance ◽  
Small Cities ◽  
Federal Constitution ◽  
Municipal Health

One of the ways for small cities to deal rationally with the problems pointed out above has been through the municipalities associations for the implementation of public policies. Initiative is already foreseen in the legislation (law 11.107/95) and in the Federal Constitution itself of 1988 through the called intermunicipal consortia.  The purpose of intermunicipal health consortia is to make municipalities perform more efficiently and effectively the services vital to their population, based on the SUS principles. The municipalities come together to solve problems inherent to their region. Based on this vision, the intermunicipal health consortia seek to reduce costs and streamline accessible resources in order to offer medical assistance available in a municipality of the region to other municipalities in need of such services.  This research sought to verify how consortia are structured in terms of hierarchy, division of labor and sharing responsibilities. Interviews were carried out with the executive secretaries of the eight inter-municipal health consortia of Mata Mineira Area. For the analysis of the qualitative data was used the content analysis. For this, some subcategories were identified which are: physical structure, direction of the consortium, form of decision and apportionment. The results showed that they need improvements and adjustments so that they can successfully meet the objectives for which they were created.

scholarly journals O controle social nas politicas públicas em saúde da era temer / Social control in public health policies in the temer age

2021 ◽  
Vol 4 (6) ◽  
pp. 24598-24615
Author(s):  
Mateus dos Santos Brito ◽  
Carolina Orrico Santos ◽  
Alexsandro de Melo Laurindo ◽  
Tailma Costa De Jesus ◽  
Priscylla Alves Nascimento Freitas ◽  
...  
Keyword(s):  
Public Health ◽  
Social Control ◽  
Health Policies ◽  
Public Health Policies

scholarly journals Accountability and social control: how the process works

2021 ◽  
Vol 15 ◽  
pp. e166382
Author(s):  
Andréa de Oliveira Gonçalves ◽  
João de Abreu Faria Bilhim ◽  
Ricardo Borges de Rezende ◽  
Rodrigo de Souza Gonçalves
Keyword(s):  
Action Research ◽  
Local Government ◽  
Social Control ◽  
Research Process ◽  
Group Interview ◽  
Research Approach ◽  
Action Research Approach ◽  
Health Council ◽  
Municipal Health

Adopting an action research approach, this study presents the findings of an analysis of accountability and social control processes in place between the local government (Municipal Health Office) and the Anápolis-Brazil Municipal Health Council. The different stages of the action research process entailed: observation of plenary meetings, analysis of the composition of the council, a group interview with council members and the training of council members. The main results were the tabling and approval of a resolution defining a template for accountability reports and the drafting of a handbook with guidelines on how to read and analyze accountability reports. Members of the health council were seen to change their views concerning the process of analyzing the reports, the new emphasis being on their quality and on connecting them with the planning information. In the light of Habermas’s perspective, the authors question the role of training and the intention implicit in the guidelines: are they an opportunity for empowerment/liberation or, on the contrary, an instrument of domination and alienation?

A Pluralidade do Conceito de Saúde: o Poder de Voz dos Usuários do SUS em uma Conferência Municipal de Saúde/The Plurality of the Concept of Health: the Voice Power of Unified Health System (SUS) Users in a Municipal Health Conference

1970 ◽  
Vol 5 (2) ◽  
pp. 91-99 ◽  
Author(s):  
Renato Augusto Passos ◽  
Sylvia da Silveira Nunes ◽  
Luiz Felipe Silva
Keyword(s):  
Public Health ◽  
Health System ◽  
Health Sector ◽  
Minas Gerais ◽  
Ethnographic Study ◽  
Local Health ◽  
Research Committee ◽  
Unified Health System ◽  
Concept Of Health ◽  
Municipal Health

RESUMOObjetivo: O presente trabalho teve como objetivo principal analisar o conceito de saúde sob a perspectiva de um grupo de usuários do SUS moradores de um município de pequeno porte situado no sul de Minas Gerais, em uma conferência municipal de saúde. Materiais e métodos: Tratou-se de um recorte da dissertação intitulada “Cotidiano e saúde(s): estudo etnográfico dos usuários do SUS em um município do Sul de Minas” aprovado pelo comitê de ética em pesquisas da Faculdade de Medicina de Itajubá (FMIT), sob parecer 618.702. O estudo foi transversal de pesquisa qualitativa etnográfica, com levantamento de dados realizado por meio de observação participante. Resultados e discussão: Ao refletir sobre as necessidades em saúde, o grupo demonstrou a pluralidade de situações que envolvem o conceito de saúde relacionando-o a questões como a necessidade de atividades físicas regulares, a necessidade de água tratada, os riscos da ingestão de alimentos contaminados, a necessidade da coleta de lixo acumulado nos bairros rurais, a inclusão de terapias alternativas (homeopatia e acupuntura) nos serviços de saúde, entre outros. Conclusão: As propostas finais aprovadas na Conferência Municipal de Saúde demonstram a necessidade em ampliar os modos de lidar com métodos centrados em produção de dados ligados às doenças, visto a pluralidade de maneiras de lidar com o conceito de saúde(s). Apontam para necessidade do setor público de saúde planejar suas ações baseadas nas necessidades da comunidade e atuar em conjunto com outros setores, como o de infraestrutura urbana e rural, transporte, meio ambiente, educação, entre outros.Palavras chave: Conferências de saúde, Sistema Único de Saúde, Formação de conceito. ABSTRACTObjective: This study aimed to analyze the concept of health from the perspective of a group of public health system (SUS) users who live in a small city  in southern Minas Gerais, in a local health conference. Materials and methods: This was a clipping of the dissertation entitled "Daily life and health: ethnographic study of SUS users in a southern city of Minas" approved by the ethics in research committee of the Medicine School of Itajubá (FMIT), under report 618,702. The study was a cross ethnographic qualitative research, with data collection conducted through participant observation. Results and discussion: When thinking over health needs, the group demonstrated the plurality of situations involving the concept of health relating it to issues such as the need for regular physical activity, the need for clean water, the risks of contaminated food intake, the need of accumulated garbage collection in rural districts, the inclusion of alternative therapies (homeopathy and acupuncture) in health services, among others. Conclusion: The final proposals approved at the Municipal Health Conference demonstrate the need to broaden the ways of dealing with methods focusing on data production linked to disease, considering the plurality of ways to deal with the concept of health. It points to the need for the public health sector to plan their actions based on community needs and work together with other sectors, such as urban and rural infrastructure, transport, environment and education among others. Keywords: Health conferences, Unified Health System, Concept Formation.

scholarly journals Using Unstated Cases to Correct for COVID-19 Pandemic Outbreak and Its Impact on Easing the Intervention for Qatar

Biology ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 463
Author(s):  
Narjiss Sallahi ◽  
Heesoo Park ◽  
Fedwa El Mellouhi ◽  
Mustapha Rachdi ◽  
Idir Ouassou ◽  
...  
Keyword(s):  
Public Health ◽  
A Priori ◽  
Epidemiological Models ◽  
Sir Epidemic Model ◽  
Gulf Region ◽  
Epidemiological Modeling ◽  
Public Health Policies ◽  
Sir Epidemic ◽  
The Impact ◽  
Case Data

Epidemiological Modeling supports the evaluation of various disease management activities. The value of epidemiological models lies in their ability to study various scenarios and to provide governments with a priori knowledge of the consequence of disease incursions and the impact of preventive strategies. A prevalent method of modeling the spread of pandemics is to categorize individuals in the population as belonging to one of several distinct compartments, which represents their health status with regard to the pandemic. In this work, a modified SIR epidemic model is proposed and analyzed with respect to the identification of its parameters and initial values based on stated or recorded case data from public health sources to estimate the unreported cases and the effectiveness of public health policies such as social distancing in slowing the spread of the epidemic. The analysis aims to highlight the importance of unreported cases for correcting the underestimated basic reproduction number. In many epidemic outbreaks, the number of reported infections is likely much lower than the actual number of infections which can be calculated from the model’s parameters derived from reported case data. The analysis is applied to the COVID-19 pandemic for several countries in the Gulf region and Europe.

scholarly journals Overuse of Health Care in the Emergency Services in Chile

2021 ◽  
Vol 18 (6) ◽  
pp. 3082
Author(s):  
Ximena Alvial ◽  
Alejandra Rojas ◽  
Raúl Carrasco ◽  
Claudia Durán ◽  
Christian Fernández-Campusano
Keyword(s):  
Public Health ◽  
Emergency Services ◽  
Clinical Care ◽  
Tertiary Care ◽  
Public Health Policies ◽  
The Public ◽  
Healthcare Network ◽  
Use Of Emergency Services ◽  
Low Coverage ◽  
Different Levels

The Public Health Service in Chile consists of different levels of complexity and coverage depending on the severity and degree of specialization of the pathology to be treated. From primary to tertiary care, tertiary care is highly complex and has low coverage. This work focuses on an analysis of the public health system with emphasis on the healthcare network and tertiary care, whose objectives are designed to respond to the needs of each patient. A review of the literature and a field study of the problem of studying the perception of internal and external users is presented. This study intends to be a contribution in the detection of opportunities for the relevant actors and the processes involved through the performance of Triage. The main causes and limitations of the excessive use of emergency services in Chile are analyzed and concrete proposals are generated aiming to benefit clinical care in emergency services. Finally, improvements related to management are proposed and the main aspects are determined to improve decision-making in hospitals, which could be a contribution to public health policies.

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