A institucionalização da participação social nas políticas de saúde: um estudo sobre o conselho e a 9ª Conferência Municipal de Saúde de Alegrete/RS

Abstract

Health is defended in the Federal Constitution as the social right of all and the duty of the state and in 1990 SUS was created to organize public health in Brazil based on the principles of universality, equity and integrality with decentralized services and community participation. The institutionalization of social participation in the management of the System took place by Law no. 8,142 of 1990 and other later regulations that standardized the Conferences and the Health Councils as collegiate bodies of representation. The work aims to highlight the incentives and obstacles to the participation of the population with the Municipal Health Council of Alegrete / RS and the research took place in the unfolding of the municipal pre-conferences and the 9th Municipal Health Conference. A documentary survey on the current structure was made. public health of the city and the Council (management, participating entities, frequency of meetings, means of dissemination, among others) analyzing what the current legislation and existing studies indicate on the subject. The counselors participated through a digital questionnaire identifying the profile and performance of the members. Questionnaires were given to residents of the localities where the municipal pre-conferences took place and those who attended the Municipal Conference. It was possible, when analyzing the legal structure and objectives of SUS, to assume that Brazilian citizens are favored to enjoy a system that meets their demands, however, it suffers from difficulties in financial maintenance, once the activities are provided free to users, something admirable and not seen in other countries. The city of Alegrete / RS has structured public health, but worries that the value of federal transfers to the municipality is decreasing compared to the previous year. The CMS of Alegrete / RS is organized and accessible, but there is still little presence of the population in its activities, in its composition there are not some public organizations and unions and its quantity has decreased since the institutionalization. The history of the Health Conferences demonstrates the strength that the population gathered in plenary has over the decisions of public managers. In Alegrete / RS, the data listed in the pre-conferences and the Municipal Health Conference demonstrated social differences through demographic data such as education, professions and ages and that the population still does not fully understand the meaning and importance of Health Conferences.