Análise das resoluções do Conselho Municipal de Saúde de Belo Horizonte no período de 1991 a 2010

Abstract

The scope of this study is to observe how the relationship between participative and representative democracy in Belo Horizonte's Municipal Health Council (Conselho Municipal de Saúde de Belo Horizonte - CMS/BH) has been developing since its foundation in 1991 through to 2010. The methodology applied involved the analysis of approvals and vetoes from the Executive power regarding the council's resolutions, with special emphasis on the period between 1997 and 2008. The data were collected from the Resolutions Archive and from the CMS/BH webpage. The results were related to each mayor's term and to the segment of the council's presidents. The results show that only one resolution was vetoed by the Executive power, however 26% of the resolutions do not show any record of ratification, whereby 41% of these faced opposition from the authorities in the voting process. It is hoped that the reality presented may lead to reflections regarding the exercise of power, encouraging the council members to effectively build participative democracy in this space.

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

“…The analysis of this material was based on critical reading. This critical reading was focused on representative criteria of aspects relevant to the proposed approach, which revealed the modus operandi of social control in each area and which were identified from studies about health councils 6,34 . The criteria were as follows: 1) defined social control mechanisms; 2) the character conferred to social control; 3) the responsibility, recommendations and support to enable social control; 4) access to information; 5) control over the use of available resources; and 6) control of the implementation of decisions.…”

“…Within this same trend, other forms have occurred in Brazil that include participation through management councils and city conferences. Depending on the representative nature of social movements in the composition of the latter, among several other factors 34 , participation may be more or less effective, approaching participatory management with restriction in the case of city conferences. This type of 'bottom-up' trend is also found in health care in several countries such as Italy 35 , Portugal and Spain 36 , England 37 , Finland and New Zealand 38 .…”

Efetividade deliberativa em conselhos municipais de saneamento e de saúde: um estudo em Belo Horizonte-MG e em Belém-PA

“…The number of resolutions published and not published in the Official Gazette of the Municipality (DOM) is a variable that shows a possible tension between the council and the Executive, considering the formality for publishing the deliberations variable, belonging to the first group of variables under study, and what is signaled by the literature 28 . Predominance of managers/public power in the vocalization and proposition of themes.…”

“…Several works are cited about CMS/BH [24][25][26][27][28] . One of them highlights two possibilities 28 : 1) May-ors (between 1997 and 2008) were not publicly assuming their vetoes, because by not approving resolutions approved by the Council, which were not in line with their interests, they would be seeking to avoid the political burden that would mean vetoing them; 2) In the period mentioned above, by not triggering the Public Prosecutor's Office against the PBH for not ratifying the approved resolutions, the CMS/BH would still be experiencing limitations regarding the exercise of its power, due to historical aspects of Brazilian society or political-partisan links with the Executive.…”

“…The sanitation councils published all the resolutions that they approved in the period. However, the same was not the case with health councils, which may be related to the intentional curtailment of the council's deliberative capacity by the Executive and its difficulty to share power 13,28 .…”