MANAGEMENT AND THE MUNICIPAL HEALTH PLAN OF THE MUNICIPALITY OF CAÇADOR, STATE OF SANTA CATARINA

Abstract

The article aimed to analyze health management and Municipal Health Plans (PMS), in the municipality of Caçador, located in the Midwest of Santa Catarina. The study was conducted by the systemic method, with bibliographic research procedures, analysis of the PMS and Annual Management Reports (RAGs), by a questionnaire answered by the municipal manager and a member of the Municipal Health Council. The main results, the lack of establishing specific guidelines in the Municipal Health Plans (goals, general and specific objectives, program implementation schedule, financial control), the presentation of confusing and difficult to measure data in the PMS, as well as the lack of data for analysis of the Annual Management Reports. The need for convergence between the elements defined in the Municipal Health Plan and the analysis of these elements in the Annual Management Reports was perceived. Still, the intense popular participation in the Municipal Council is important, as well as an incisive performance of the Council in the entire cycle of municipal health management. The right to health is inherent to all Brazilian citizens, and it is up to the State to promote, prevent and ensure assistance in the event of health problems in the population. It is a right guaranteed by public social policies, following the guidelines of the Unified Health System (SUS). Nevertheless, public policies have power relations in their context. However, the decision on whether or not to implement them depends on the articulation and pressure of society and the groups that work with the government. After all, public resources are usually limited and unevenly distributed.