O SUS na lógica da descentralização

Yúnes, João

doi:10.1590/s0103-40141999000100006

Cited by 13 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The importance of the availability of municipal estimates on the frequency of childhood malnutrition resides in the fact that the municipality is a primary federal entity for the country's political organization and for implementing public policies in the social sector. 11 The fi rst estimates of the risk of childhood malnutrition in Brazilian municipalities were produced using statistical predictive models, developed from the nutrition survey carried out by the Brazilian Institute of Geography and Statistics (IBGE) in 1989 (National Health and Nutrition Survey -PNSN). Estimates were produced for all 4,489 Brazilian municiaplities existing at that time.…”

mentioning

confidence: 99%

Estimativas da prevalência de desnutrição infantil nos municípios brasileiros em 2006

et al. 2013

View full text Add to dashboard Cite

OBJECTIVE:To estimate the prevalence of malnutrition in children for all Brazilian municipalities. METHODS:A multilevel logistic regression model was used to estimate the individual probability of malnutrition in 5,507 Brazilian municipalities in 2006, in terms of predictive factors grouped according to hierarchical levels. The response variable was child malnutrition (children aged from six to 59 months with height for age and sex below -2 z-scores, according to the World Health Organization standard). The predictive variables were determinants of malnutrition measured similarly by the National Demographics and Health Survey-2006 RESULTS:The study detected a statistically signifi cant chance of malnutrition in male children, those living in households with two or more individuals per room, those belonging to the lowest quintiles of the socioeconomic score, those with three or more children under fi ve in the household, those with no access to running water or located in the North. There was a negative dose-response association between FHS coverage and the chance of malnutrition (p = 0.007). FHS coverage in the municipality equal to or greater than 70% showed a 45% reduction in the chance of infant malnutrition. Estimates of the prevalence of child malnutrition show that most of the cities have the risk of malnutrition under control, very low or low. Risks of greater magnitude exist only in 158 municipalities in the North Region. CONCLUSIONS:Childhood malnutrition as a public health problem is concentrated in the cities of the North region, where FHS coverage is lower. A protective effect of FHS in relation to child malnutrition was found in the country as a whole, irrespective of other determinants of the problem.

show abstract

mentioning

confidence: 99%

Estimativas da prevalência de desnutrição infantil nos municípios brasileiros em 2006

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Durante os dez primeiros anos de implantação do SUS (1990SUS ( -2000, a estratégia da descentralização das ações e serviços, sobretudo, para o nível municipal, não esteve associada a uma proposta de regionalização, tensionando a lógica sistêmica e solidária do SUS (VIANA, 1994;YUNES, 1999). Ao mesmo tempo em que se definiam as competências e responsabilidades dos três níveis de governo no âmbito do sistema nacional de saúde, era preciso também se atentar para as formas de relacionamento entre as esferas para garantir a integração e a articulação dos serviços no território, a partir da estratégia de regionalização das redes assistenciais, o que não ocorreu no início da construção do SUS (VIANA, 1994).…”

Section: Em 1956 O Ministério Da Saúde Criou O Departamento Nacionalunclassified

O enfoque regional na política de saúde brasileira (2001-2011): diretrizes nacionais e o processo de regionalização nos estados brasileiros

Albuquerque¹

View full text Add to dashboard Cite

Albuquerque MV. The regional focus in Brazilian health policy (2001-2011): national guidelines and the regionalisation process in the states [thesis]. Faculty of Medicine, University of Sao Paulo, SP (Brazil); 2013. The aim of this study is to analyse the regional focus in Brazilian health policy (2001-2011), considering the changes in national guidelines and the regionalisation process in the states. The theoretical framework was based on human geography (geografia nova) and public policy analysis (historic institutionalism), and the work involved methods including bibliographic research on the topic, secondary data analysis, documental analysis and interviews with key players in the regionalisation process in the states. The conclusion was drawn that in the ten-year period regional focus evolved in the sense that the health region has become the central means for addressing the territorial dimension of universalised health care and inducing changes in the policy, planning, funding, management and technical organisation of the Unified Health System (SUS), in order to ensure more effective State action and guarantee the right to health care. The national guidelines can be classified into three phases: "regulatory regionalisation", "live regionalisation" and "contractual regionalisation". From 2010 onwards, the strong association between the regionalisation guidelines and the health care networks tended to prioritise the networks' focus on SUS planning, making the idea of regionalisation more complex. But the ability to induce changes and ensure universalisation through the health care networks and regions relies fundamentally on the formation of the health system and policies in the states. The geographic situations that characterise the four major Brazilian regions (Concentrated Region, Amazon, Northeast and Central-West) allied to the form of political organisation of the territory create limitations and specificities for the planning and regional management of the SUS. Recent experience of regionalisation in the states (2007-2010) has shown different stages of this process, according to the contexts (historical-structural, political-institutional and state of affairs), the directionality (ideology, scope, actors, strategies and instruments) and the characteristics of the regionalisation (institutionalism and governance). The institutionalism of the health regions tends to be more advanced and its governance more cooperative and coordinated in the states where there is a stronger tradition of regional planning, the contexts are more favourable, regionalisation is prioritised on the state and municipal health agendas (and/or the agendas of the boards of local secretaries) and where the state secretaries play a key role in planning. Contexts that tend to favour the process of regionalisation of the SUS are more populated areas that are densely urbanised and modernised, with a high concentration of technologies, professionals, material and immaterial flows, equipment and public and private resources for health care.

show abstract

“…In this period there were also four national health conferences (9 th CNS in 1992, 10 th CNS in 1996, 11 th CNS in 2000 and the 12 th CNS in 2003). Meetings between civil society and the State, in a deliberative forum where the health system guidelines for the following years are defined (Yunes, 1999).…”

Section: The State and The National Health Policy In Brazil: Some Notesmentioning

confidence: 99%

O papel do Estado nas políticas públicas de saúde: um panorama sobre o debate do conceito de Estado e o caso brasileiro

2015

View full text Add to dashboard Cite

This article is the result of a narrative literature review. The objective is to show the development of an overview on the ideological debate on the design of state health policies. We argue that the role of the state in the development of health policy, even under the pressure of the global market, may create alternatives to promote and drive economic and social development, meaning they are not subject to economic constraints imposed by the liberal ideal of market. Here is a part of a theoretical discussion about the construction and presence of the State in Latin America, particularly in Brazil. We take the approaches of the Marxist tradition and liberal to the issue as reference. This discussion allows us to understand the historical role of the state in the maintenance of social policies, specifically health, is an alternative to public control eases the intense capital mobility promoted by economic globalization. In this sense, the theme makes the Brazilian health an important issue of social sciences, why is the historicity of the construction of the Brazilian health system, as a public policy that can mirror the actual reconstruction of the institutional framework of the Brazilian state with the establishment instances of negotiation between the various spheres of power that strengthen the state in this process of democratization of Brazilian society.

show abstract

O SUS na lógica da descentralização

Cited by 13 publications

References 0 publications

Estimativas da prevalência de desnutrição infantil nos municípios brasileiros em 2006

Estimativas da prevalência de desnutrição infantil nos municípios brasileiros em 2006

O enfoque regional na política de saúde brasileira (2001-2011): diretrizes nacionais e o processo de regionalização nos estados brasileiros

O papel do Estado nas políticas públicas de saúde: um panorama sobre o debate do conceito de Estado e o caso brasileiro

Contact Info

Product

Resources

About