O controle social em saneamento e em saúde: análise comparativa com base nos marcos legais federais brasileiros

Abstract

Comparison between federal Brazilian legal frameworks in the areas of health and sanitation, from the perspective of participation, is the thread of this work, considering the pioneering of health and its possible influence on sanitation. The comparative effort was made from six analytical criteria: defined social control mechanisms; character given to social control; responsibility, recommendations and support to enable social control; access to information; control over the use of resources; control of the implementation of the resolutions. It was evaluated if the sanitation framework have been helped by health formulations and if have achieved produce more effective practices of social control in the conduct of public policy. The results show that, although it has received some influence from the health area, the water and sanitation framework is more restricted and has less potential to produce more effective practices, since it presents: 1) more restrictive mechanisms because they are not necessarily deliberative; 2) lack of a policy of training counselors and popular education to incentive participation; 3) absence of effective mechanisms for monitoring the use of resources.

Participação, representação e deliberação no processo decisório do Conselho Municipal de Saúde de Marabá-PA (2018-2020)

“…Vários autores têm estudado os conselhos de saúde. Do trabalho pioneiro de Carvalho 27 aos recentes 28 , a maioria aborda, de forma mais ou menos ampla, a concepção, o funcionamento e os limites dos conselhos, seja de forma mais ensaística 29-32 , seja por meio de estudos de caso [33][34][35] .…”

Participation, representation, and deliberation in the decision-making process of the Municipal Health Council of Marabá-PA (2018-2020)

“…Several authors have studied health councils. From the pioneering work by Carvalho 27 to the recent ones 28 , and most of them approach, more or less broadly, the conception, functioning and limits of councils, either in a more essayistic way 29-32 , or through case studies [33][34][35] .…”

Espaço público: a participação dos usuários junto aos serviços de saneamento em Salvador/BA

“…Desde as décadas de 1980 e 1990, movimentos ligados à reforma sanitária envolveram lutas a favor de políticas sanitárias com amplo acesso e participação dos usuários, inclusive apoiadas pela Constituição Federal de 1988 e por diretrizes contidas no Sistema Único de Saúde (Bravo & Correia, 2012;Rolim, Cruz & Sampaio, 2013;Souza & Heller, 2019).…”