SciELO - Scientific Electronic Library Online

vol.17 issue1Physical growth in schoolchildren from Florianópolis, Santa Catarina State, Brazil: a case-control studyReliability of the WPPSI-R test in the evaluation of cognitive development in preschoolers author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Cadernos de Saúde Pública

On-line version ISSN 1678-4464Print version ISSN 0102-311X


PESSOTO, Umberto Catarino; NASCIMENTO, Paulo Roberto do  and  HEIMANN, Luiza Sterman. Shared local health system management and community participation in Brazil. Cad. Saúde Pública [online]. 2001, vol.17, n.1, pp.89-97. ISSN 1678-4464.

The introduction of the Unified Health System (SUS) by the Brazilian government has helped enhance community participation. A survey in 12 municipalities in different States of the country focused on the decentralization process implemented by the Federal government (Basic Operational Ruling NOB01/93). Based on the ruling's implementation, community participation has improved in the municipalities, the number of local health councils has increased, and more local people have become involved in the process. Another important aspect of the new health policy has been the direct influence of the local health councils in managing the system. Local health councils have thus been an efficient channel for community involvement. This paper discusses how the population has been represented in such councils in the wake of the decentralization process. The authors ask, what is the relationship between social democracy and political democracy, and what kind of state reform should be carried out?

Keywords : Consumer Participation; Health System; Decentralization.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )