Avaliação da capacidade de governo de uma secretaria estadual de saúde para o monitoramento e avaliação da Atenção Básica: lições relevantes

Avaliação da Vigilância da Síndrome Gripal: estudo de casos em unidade sentinela

“…The turnover of professionals contributes to the discontinuity of the work and, when frequent, mainly in the management, can interfere negatively in the conduction of a program. The capacity of government is expressed through the team leadership, in the definition of profiles and the amount of professionals needed for the organization (SaMPaio et al, 2011;PaiM, 2007).…”

Desenvolvimento da capacidade avaliativa na gestão da atenção básica: um estudo de caso exemplar em Santa Catarina, Brasil, de 2008 a 2011

“…O estudo de Sampaio et al 20 aponta fatores relevantes para alcançar um contexto favorável à capacidade de governo: direcionalidade na gestão e definição clara das funções internas, capacidade 8 , que analisaram a mesma secretaria estadual, indicam que o desenvolvimento da capacidade avaliativa teve grande influência do contexto político-organizacional existente previamente, ao qual se soma a criação de um setor para monitoramento e avaliação na atenção básica. A definição de estruturas organizacionais para a inserção da avaliação nos processos desenvolve barreiras protetoras para evitar a diluição do que foi alcançado 18 .…”

Práticas de monitoramento na gestão municipal em saúde e sua interface com a enfermagem

“…The practice of monitoring healthcare is associated with the development and exercise of competences and management attributes such as directionality, command, conduct, communication, regulation, and the execution of government decisions; the formulation of policies and programmes; decision making and the planning of actions, programmes and projects; assessments of the health status of a population; guidance for process implementation, consolidation, and the reshaping of health practices; more assertive planning with respect to necessary resources; and monitoring of the implementation of actions and resource use (3)(4)(9)(10) . The challenges are the consolidation of an assessment and monitoring culture that can be perennially perpetuated inside public organisations even with the changing of teams after political turnover (4) .…”

“…Restructuring processes expose the difficulties of municipalities and states caused by the absence of a government project, with direct repercussions on the focus of management and the availability of professionals and their qualification (10) . When the government fails to offer technical and operational support to the municipalities and states, it weakens the union-state-municipal triad and distances itself from the SUS project based on the sharing of responsibilities Rev Gaúcha Enferm.…”

“…2016;37(spe):e2016-0019 between federated entities. It is therefore necessary to strengthen and develop monitoring actions that are supportive or intrinsic to planning and management (9)(10) . From the perspective of healthcare management, nursing is inserted in the scope of planning, monitoring, and assessment at different levels of the system.…”