DECISION PROCESS IN THE MANAGING BOARD OF HEALTH PUBLIC POLICIES IN STATE OF MINAS GERAIS

Abstract

The study had as its central objective analyzed the decision process of the Regional Health managing Board under the vision of the deliberation and participation principles through a qualitative approach, based on multiple case studies of interpretative character. A deep research was performed with the view to serve as a preliminary study for further more diversified studies. This depth-research was performed in two steps: Interviews were made with council sitting members and alternates of the municipal/regional councils; Participation in meetings and forums organized by the counsels, with the Non Participant Observation Technique, enabling this way a higher proximity and accuracy in obtainment of data and information. The results pointed that there are primordial worries in the health councils to exert the watching role and the improvement of the local and regional health, although there are recognized limits of actuation from councils and critics towards the incipient actuation in some cases. The experience lived form part of the counselors, especially by the performance of some community leaderships and affiliates of unions and political parties, is also a relevant factor to affect the decision making about actions and public policies targeted towards public health. It was found that the social Medias had prominent role to the narrowing of communication between the health councils and the community reached by their actions. Conclusively the study reveals the interest of the population for the services linked to the health counselors, participative actions of engagement, transmission of competency to the counselors, tightening of the shared public management through new cooperation policies, creation of itinerant councils, investment in infra-structure and improvement in the accountability and supervision of the councils