Controle social da saúde: estrutura organizacional do conselho da saúde

Abstract

During the formulation of the 1988 Constitution, was based on the right to health. Health services being extremely social relevance, the State ensure conditions necessary for health care for the population, ie, health is a priority. The popular participation in state actions stem from the long process of social struggles in this way social control is the management of the company on the public policy of the State. This process ensured public participation in the law of the Unified Health System (SUS). In this sense, institutional mechanisms have been designed, such as Councils and Health Conference, for the exercise of social control. Therefore social control is an institutional interest in health management. Being a continuous process of democratization, in this sense, the subject / citizen must be the center of the process of evaluating actions in health services. In short, social control is a field of social relations, in which subjects participate through different joints, which are processed in the domestic and foreign institutional spaces, in order to identify the needs of health workers and community groups in co-responsibility with government bodies - Ministry of Health, State and Municipal Health aimed to analyze the health advice of two cities in the metropolitan region of Porto Alegre to verify the actual existence and society participation in monitoring and construction public health. Well as the number of members users, managers and health workers and their ages, sex and education. We conducted a quantitative and descriptive study of the work and activities of members of municipal health councils. On occasion were interviewed health secretaries in the cities of Sapucaia do Sul and São Leopoldo. Was approached the concept, the organization and the importance of health councils in the inspection and construction of the Unified Health System (SUS). Of the 48 study participants 50% (24/48) were representatives of users of the National Health System, 25% (12/48) of the Municipal Health workers, 10.42% (5/48) of the service providers Health System Municipal and 14.58% (7/48) of members of the executive, appointed by Municipal Mayors. The results demonstrate the need for a more effective participation of society in the social control of the NHS and the more efficient dissemination by the government than it is and what it is for the city council health and a greater technical knowledge, it seems the great hindrance to the performance of the council.