A estrutura das representações sociais sobre saúde e doença entre membros de movimentos sociais

Abstract

A estrutura das representações sociais sobre saúde e doença entre membros de movimentos sociais

O protagonismo dos Conselhos de Secretários Municipais no processo de governança regional

“…This study evidenced that the health councils are indispensable players, especially at state level, but they have fragile participation in the process of regionalization. Hence, councils seem to reproduce practices developed in other spheres, notably in municipalities, except in some cases, of work that is bureaucratized and distant from the health needs of the population [16][17] . These data show the need to commit them more forcefully to this political arena.…”

“…These data show the need to commit them more forcefully to this political arena. In addition, these councils have a greater dialogue with the population of the region and social movements, so that they take part of the territory where they live and participate in the construction of regional development [16][17] . From this perspective, it is understood that the regional consciousness and identity encompasses the identification of inhabitants with their region, both within and outside of it [18][19][20] .…”

“…Regarding CIB's activities, we identified that the important involvement of the state in the development of the health regions is recognized, however, the conduction of this process has occurred prescriptively, limiting the leading role and capacity of other stakeholders living together in the daily reality 5,10,17 . State's participation in the regionalization process is fundamental, although at times discrete to meet the needs of true regional development 5 .…”

“…State's participation in the regionalization process is fundamental, although at times discrete to meet the needs of true regional development 5 . In fact, the regionalization process has undergone strong political induction by federal and state entities, with a predominance of a centralized agenda that may hamper loco-regional development 5,10,17 . Notably, within the regions, it would be incumbent upon state governments to coordinate the planning process of which the municipalities are part as autonomous political entities 13 .…”

“…To this end, it is necessary to advance the construction of regional technical and political autonomy, recognizing regions as living and legitimate settings, capable of advancing more equitable decision-making between municipalities and reducing regional inequalities and improving access to health services to the population 5,[15][16][17][18] . This study evidenced that, despite the weaknesses of SUS governance bodies for the development of health regionalization, the pioneering experience of Ceará was emblematic, as a process involving several players for negotiation and agreement of decision-making for health regions 22 .…”