Governos e sociedades locais em contextos de desigualdades e de descentralização

A inclusão de catadores em programas de coleta seletiva: da agenda local à nacional

“…Não obstante os problemas e limitações da descentralização (ARRETCHE, 1996;MELO, 1996;NUNES, 1996;NOGUEIRA, 1997;SOUZA, 2002), o fato é que os governos subnacionais, principalmente os governos locais, obtiveram maior autonomia e maiores responsabilidades na provisão de políticas públicas. Entre as atribuições dos municípios está a responsabilidade pela gestão dos resíduos sólidos -hoje um dos principais problemas ambientais urbanos e um dos maiores desafios aos governos municipais, dada a complexidade que envolve a situação do lixo.…”

A implementação de redes de atenção e os desafios da governança regional em saúde na Amazônia Legal: uma análise do Projeto QualiSUS-Rede

“…Analyzes about the municipalist realm of the Brazilian health system show diverse results and are strongly conditioned by the context of implementation, reflecting the realities of the municipalities and the political will of governmental stakeholders 1,5,6 . This setting has placed at the center of the debate the need to reconcile health policy decentralization with regionalization strategies in order to promote more complementary intergovernmental relations, balance autonomy and interdependence between government entities, encourage the formalization of agreements and organize an integrated health system at regional level 5,[7][8][9] .…”

Governance arrangements for specialized assistance in health regions in Brazil

“…7,8 However, the results on health decentralization are contradictory and highly dependent on the preconditioned locations, reflecting different financial and organizational capabilities for the provision of services and different governmental projects from Governors and Mayors. 9 There are problems related to the disintegration of regional institutions, services and practices, and difficulties to form cooperative arrangements among governments that guarantees full health access. 10 The second aspect is reflected in alterations in the forms of organizing Public Administration (deployment of different modalities of the Indirect Administration, such as the State Foundations) and the introduction of different mechanisms to recruit health workforce.…”