Práticas discursivas dos gestores sobre a transferência de políticas do tratamento diretamente observado da tuberculose - Manaus (AM)

Abstract

MONCAIO, A.C.S. Discursive practices of managers about the policy transfer of Directly Observed Therapy of tuberculosis-Manaus (AM). 2014. 136p. Thesis

Transferência De Política: Perspectiva Do Tratamento Diretamente Observado Da Tuberculose

“…In addition, the policy transfer tends to also be impacted by a poor integration between the managers/coordinators of disease control programs and the team of professionals who operationalize the policy, with consequences that can compromise from the diffusion of the information to the innovative process of achieving the desired results, since the achievement of the established goals, including those for the TB control, goes through a process of planning of actions that requires not only the participation and integration of the management and professionals of SUS from different levels of the government, but also from the civil and the academic society, considered as fundamental in relation to the entire evaluation and continuity process. 13 In addition, thinking about the transferring of a public policy, in our case the DOT, implies recognizing the specificities and the local reality of the scenarios of its implementation. Thus, the popular participation and, particularly, the social control, are fundamental pieces when the subject involves the necessary contextual adaptation, making possible the existence of a more inclusive, participatory and qualified process from its formulation to the decision making.…”

“…Thus, the popular participation and, particularly, the social control, are fundamental pieces when the subject involves the necessary contextual adaptation, making possible the existence of a more inclusive, participatory and qualified process from its formulation to the decision making. 13 When analyzing the Knowledge domain, it is possible to observe that the incorporation of other institutions/actions, besides the health sector as a way to obtain success in DOT, stood out among the other items, presenting the highest score of this dimension. In fact, the success of the treatment requires care based on the concept of integrality, in this sense, intersectoral measures; the issue of bonding and accountability are unparalleled strategies for strengthening this type of care in the context of the Primary Health Care.…”