A reinvenção do controle social na gestão de políticas públicas: o caso dos conselhos municipais de saúde da Paraíba.

Abstract

This work aims at analyzing the performance of the institutional health councils from an indicating diagram that was constructed having as a basis the analysis of the themes that were relevant in the group of the theoretical and empirical studies about the council of public politics managers in Brazil. In this research there were four groups of themes associated in a "qualitative" approach using, fundamentally, methods of participating observation. Through this procedure, the intention was "reconstruct the reality" of the action developed in the Municipal Health Council with the objective of reproducing a real overview of the social control exercised in its scope, considering the details of the "institutional arena" that is the Council and the profile of the actors that star the scenes there developed. First of all, it was demonstrated that to study the "institutional performance" of the council inside the context of the "social control" and vice versa, it is necessary to analyze the structures in which they are included, observing the configuration of the local power, the "civic culture" of the community observed through a "sketch" of the local civic society and, finally, the context of the public management of health services. The second group of themes was related to the configuration of the Municipal Health Council itself: origin, nature, structure, budget, within regiment, composition, institutional profile (plurality, parity). The third group of themes was based on the characteristics of the counselors: sociological profile, qualification, capacitating and performance (representation, credibility, legitimacy). Lastly, the fourth group of themes defined the functioning of the councils themselves: planning the activities, regularity of meetings, dynamics (system of convocation, development of discussions, registers) and its effectiveness in the implementation and publication of decisions. As a result of this work a diagnostic of the circumstances of the Municipal Health Council and the definition of a theoretical-methodological diagram adequate to the evaluation of their "institutional performance", that is, about the evaluation of their capacity of self-constriction as "a mechanism to reach purposes and not only to reach agreements", in a very simple model of governing: social demands ->politics interaction -> government -> politics option -> implementation.