Execução das ações de saúde do trabalhador na gestão municipal da saúde de Natal/RN, de 2018 a 2021: uma análise dos instrumentos de planejamento do SUS

Abstract

The objective was to analyze the actions planned and executed under the Municipal Policy for the Promotion of Workers’ Health within the SUS (Brazilian Unified Health System), at the municipal level, in order to identify what the Municipal Health Department of Natal planned and carried out to promote and protect workers’ health, and to compare whether the executed actions matched what was initially programmed by the administration. This was a documentary research focused on analyzing planning instruments, specifically the Annual Health Program (AHP) and the Annual Management Report (AMR) for the period from 2018 to 2021. The methodological process involved selecting documents by year, detailed reading, data collection, and organizing tables containing information from both instruments (AHP and AMR), followed by quantitative analysis of action execution and qualitative interpretation of the findings. The analysis showed that 156 actions related to worker health were planned; of these, 26.28% were fully executed, 26.28% were partially executed, and 36.54% were not executed. Additionally, 6.41% of the actions were omitted in one of the instruments, and 4.49% were added to at least one planning instrument but lacked any description or explanation. The results emphasize the importance of these instruments as essential tools for planning and accountability in health management. The study revealed inconsistencies between the AHP and AMR, as well as management failures and omissions that affected the transparency of the process. Although some advances and impactful actions were observed, the low execution rate and poor documentation indicate the need for improved strategies to promote worker health and to strengthen the management mechanisms aligned with the Municipal Policy for the Promotion of Workers’ Health under the SUS framework