Controle social na saúde pública no Estado da Bahia: uma análise da atuação do Conselho Estadual de Saúde

Abstract

This dissertation aimed to analyze how the performance of the State Health Council of Bahia (CES/BA) was characterized, from 2016 to 2019, regarding the elaboration, implementation, and monitoring of Health Planning instruments (Health Plan, Annual Health Program, and Annual Health Report), considered essential for the Unified Health System (SUS). We sought to understand whether there were any changes in the way that the CES/BA acted as Social Control of the SUS, after the advent of Federal Ordinance No. 3,992/2017, which changes the way in which financial resources are transferred to subnational entities. This is a research with a qualitative and exploratory approach, using as a method the content analysis of documents and semi-structured interviews carried out with the most assiduous counselors and those with greater participation in the forum. Among the results found, we highlight the misalignment in the 9th Bahia State Health Conference and the date of sending the Pluriannual Plan to the Legislative House; the non-compliance of the health manager with the regulations that govern Social Control; the incipient participation of the CES/BA in the formulation of Health policies; the lack of transparency and unpreparedness of the directors for the performance of their duties; the conflicting relationship between the health manager and the collegiate. We hope that this research will contribute to the effectiveness of Social Control exercised by health councils, in the search for more efficiency in meeting the demands of the population, considering the implementation of Public Health Policies established by the SUS manager.