Participação social nas audiências públicas de prestação de contas das secretarias municipais de saúde: uma análise no conselho municipal de saúde do município de Barueri - SP

Abstract

Born in 1988 the National Health System and with it, the complexity and difficulties that a public system ends up causing nationwide. Becomes the overriding need for greater control by the population of resource management used in the provision of health services. In this context, social control is materialized in the creation of councils and health conferences. The councils are bodies comprising representatives of the public and managers with the task of overseeing the actions of the SUS, verifying that the application of the public money is allocated the priority health needs of the population. Thereafter, health managers were held accountable to the community, to ensure information transparency of services. Public hearings of accountability, in laws to occur every quarter, are the tools that public managers use to account to the people in a direct way, giving the opportunity for ordinary citizens to clarify doubts, charge services directly to managers and participate in the formulation of public health policies. This study aimed to evaluate the participation of municipal health counselors at the public hearings of accountability of the Health Secretary of Barueri - São Paulo, and identify as problematic as this participation is occurring, whereas the health counselors have a role fundamental in overseeing the Government. Thus, little or no participation in public hearings does not contribute to the effective exercise of social control in any municipality. Then performed an exploratory qualitative research, where data were collected through a structured questionnaire, together with health counselors this municipality. Thus, it was possible to analyze the profile of health advisors, identify the attributes that are associated to non-attendance at the public hearings that public accountability and, finally, evaluating the opinions of active counselors in these hearings as the quality of the information presented . Through the main search results it is concluded that there is no effective participation of councilors in the public hearings of accountability of the Health Department of the City of Barueri - SP. And the main reason that lead to nonparticipation is a little commitment of directors, caused by lack of knowledge about their responsibilities in the CMS. At the end of the research were raised some suggestions in order to stimulate the participation of health counselors in public hearings of accountability of the Health Secretary of Barueri - SP.