SciELO - Scientific Electronic Library Online

 
vol.22 issue12Pre-invasive cervical disease and uterine cervical cancer in Brazilian adolescents: prevalence and related factorsEvaluation of coverage by a neonatal screening program for hemoglobinopathies in the Recôncavo region of Bahia, Brazil author indexsubject indexarticles search
Home Page  

Cadernos de Saúde Pública

Print version ISSN 0102-311X

Abstract

MAGALHAES, Rosana  and  SENNA, Mônica de Castro Maia. Local implementation of the Family Health Program in Brazil. Cad. Saúde Pública [online]. 2006, vol.22, n.12, pp. 2549-2559. ISSN 0102-311X.  http://dx.doi.org/10.1590/S0102-311X2006001200005.

This article discusses the implementation of the Family Health Program in the municipalities of Camaragibe, Aracaju, São Gonçalo, and the Federal District of Brazil, aiming to identify possible interfaces between the program's shaping and different incentives structures, the local health system's case-resolving capacity, experiences with social participation, and accountability mechanisms. The article shows that aspects related to the constitution of local health systems in terms of the quantitative and qualitative supply of services, technical and management training within the Municipal Health Department, investment in other levels of care, and local political traditions are crucial variables for understanding the diversity of experiences in the implementation of the Family Health Program.

Keywords : Family Health Program; Policy Making; Health Public Policy; Decentralization.

        · abstract in Portuguese     · text in English     · pdf in English