Desafios e efetividade da participação popular nos conselhos de saúde

Abstract

In 1988 the Unified Health System was created through the Federal Constitution, through it began a new proposal for health policies making it as the right of all and duty of the state, this process was strengthened by the popular movements that fought for the creation of this new model. Social Control is present in several areas, including health and aims to monitor public policies through its representatives, besides having a decisive role in the definition and implementation of these policies. The Unified Health System uses the Municipal Health Council as a means of complying with the constitutional principle of “community participation” to ensure social control over the city’s health actions and services. The aim of this study was to know the role of health councils in the Unified Health System, research in the descriptive modality, exploratory through the integrative review of the scientific literature. In the results, it is possible to perceive the incidence of recurrent and important themes about the functioning and importance of health councils. One of the themes that dominated the results was the representativeness of the Health Council and it is still the last to be bureaucratized by making the mere systematic vote without debate. It can be related that both the lack of real representativeness and the bureaucratization of the Councils is linked to the formation of counselors for this activity. And finally, health managers also need to be trained and understand health councils as a place to propose new and better public health policies.