This article aims to analyze Equity Promotion Policies in Health implemented

Satisfação e responsividade em serviços de atenção à saúde da Fundação Oswaldo CruzUser satisfaction and responsiveness in the healthcare services at Fundação Oswaldo Cruz

Avaliação da atenção à saúde da criança (0-5 anos) no PSF de Teresópolis (RJ) segundo a percepção dos usuáriosChildren health care evaluation (0-5 years)

An intervention study for schistosomiasis control is being carried out in the county of Afonso Cláudio, state of Espírito Santo, Brazil, having begun in February 1992. This study is an alternative response to classical control methods. The project is being developed using an interdisciplinary approach and involves both research and service institutions. The organization of health services at the primary care level is part of the project. Participant observation is seen as the methodological point of departure for guiding data collection and analysis and the intervention process in local reality. Control methods are restricted to the medical treatment given to all infected individuals and to improvements in the sanitation facilities available in the area. These methods are obviously integrated with the above-mentioned social actions. Consisting of three phases - pre-control, control (intervention), and final evaluation - the project is now in its intervention phase, lasting approximately three years.

Based on the Qualification course of External Evaluators for the Accreditation process in the Unified Health System (SUS), held in 2018, this paper aims to discuss the challenges to the training process of these evaluators from a perspective of participatory evaluation to contribute to the improvement of external evaluation and self-evaluation devices. To this end, 33 documents produced with the practice of these devices were analyzed within the project. In external evaluation, the main challenge is to ‘look at the other’. This specific type of perspective requires the External Evaluation Team’s mastery over the previous knowledge, skills, and attitudes necessary for the work to capture knowledge, intentions, and relationships expressed in the statements of the subjects. In self-evaluation, the main challenge is ‘looking at oneself’. Taking oneself as an object of knowledge and field of transformation requires specific ways of doing to gain quality in work processes. Building a culture of evaluation in which the information produced supports decision-making is a challenge for the ombudspersons, which can be overcome with the Quality Benchmark of the Ombudsperson Services of the SUS.

This article discusses the role of the Brazilian Federal Executive in the provision of public goods and in the articulation of federal entities in the health sector. The articles present an exploratory review of the public policy for extremely vulnerable social groups and analyze the functions of the Ministry of Health (MOH) in sectorial development.This thematic option was based on the observation that there is a veritable lack of studies that present and analyze the role of the MOH throughout the process of constitutionalizing the issue of health in the country. This abdication is particularly worrisome because in the New Democracy the MOH increased its sphere of institutional influence and power, assuming the ownership of the policy of assistance to individual public health previously pertaining to the Ministry of Social Security. In addition to this broadening of decision-making power, the MOH consolidated its historical competencies in health surveillance and the capacity to provide individual goods, such as high-cost drugs and vaccines.The growth in scale and scope of the performance of the Federal Executive in health care is reflected in its effective capacity to ensure the right to health, to promote collective well-being, and to use public resources with effectiveness and quality. This task is especially relevant because Brazilian intellectual production has undergone socialization in relation to the constraints that affect the action of the Central Government throughout the process of consolidation and democratic development. The few works on the MOH's work remain focused on defending the guidelines of the Unified Health System, abdicating the exercise of criticism about the contradictions, dilemmas and possibilities of Federal Executive action.It is considered that, by disseminating intellectual production on a relevant set of interventions at the federal level, this Edition contributes to a understanding of the contemporary experience of public policy for the health sector in Brazil.

RESUMO O artigo buscou refletir sobre os desafios teórico-práticos enfrentados no caminho metodológico de construção do processo de Acreditação Institucional de ouvidorias do Sistema Único de Saúde (SUS), na elaboração dos materiais pedagógicos e nas dinâmicas de interações fundamentais entre os atores envolvidos. Discorre-se sobre a trajetória de uma parceria de trabalho entre uma equipe de pesquisadores e um departamento do Ministério da Saúde, que visa apoiar teórico-metodologicamente as ações do setor trabalhando os grandes temas da participação e do controle social e, em particular, das ouvidorias, gerando evidências para a tomada de decisões da gestão. São apresentados e problematizados desafios enfrentados no caminho da parceria e do processo de um ponto de vista metodológico, reflexivo e participativo, apresentando-se ideias, noções e conceitos que sofreram evolução, e que presidem os materiais pedagógicos elaborados para instrumentalização do processo de Acreditação Institucional de ouvidorias do SUS enquanto balizamento teórico-prático. Conclui-se que a adoção de um desafiador método de trabalho construtivista e participativo representa um salutar esforço pelo autoaperfeiçoamento e pela garantia da afirmação de valores e princípios democráticos, efetivos na busca constante pela qualificação das ações das ouvidorias, da própria atividade de pesquisa, da prática da gestão e dos serviços e políticas públicas.

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