Efetividade das ações e conhecimentos dos participantes dos conselhos municipais de saúde sobre controle e participação social

Abstract

INTRODUCTION: Social control and participation, provided for in Organic Health Law 8,142, of December 28, 1990, and in Resolution No. 453, of May 10, 2012, constitute, legislatively, the guarantee of the inclusion of the population in management and inspections of the Unified Health System (SUS), promoting improvement and quality in services with popular involvement. From the municipal representative entities formed by the Municipal Health Councils (CMS), the guiding question of this study arises: “What is the perspective of the members of the Municipal Health Councils on the effectiveness of their actions and knowledge about the role of control and social participation?” OBJECTIVE: The objective of this study is to understand the process of actions of counselors and the implementation of roles and knowledge as provided for in legislation. METHODOLOGY: This is research with a qualitative approach of an exploratory and descriptive nature. The subjects of the study were members of the CMS, representatives of the population, health professionals and management of the Seridó Oriental Microregion, made up of 6 municipalities selected for convenience, justified by the proximity of the location to the educational institution and the favorable availability of the location for the reception of the study. The sample was justified by the saturation criterion. Data collection took place through open/in-depth interviews with a focus group script. For data analysis, Bardin's content analysis was used, assisted by the IRaMuTeQ tool with R 4.1.3. RESULTS: Content analysis revealed four thematic classes: “knowledge”, “action”, “social control” and “subjective experiences and perspectives on the Municipal Health Council”. These classes made it possible to understand the thinking about the role and performance perspectives of counselors and their effectiveness. The observation and discussion of key concepts that permeate municipal health councils, considering the characteristics and aspects, enabled a broad understanding of the processes that involve social control and participation. FINAL CONSIDERATIONS: The work investigated the perception of municipal health councilors about their processes of activities and actions in reflection on their effectiveness and knowledge about the role of control and social participation in public health management, with emphasis on CMS, seeking to understand its practices, challenges and contributions to strengthening the SUS. It is possible to infer that CMS play a fundamental role in promoting social participation and monitoring resources and actions destined to public health, with the effectiveness and knowledge of counselors sometimes ambiguous and linked to complex performance variables depending on the location and reality of the council.