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(Dis) connections between health councils and audit: advancements and challenges in the democratization of public health management

(Des) conexões entre conselhos de saúde e auditoria: avanços e desafios na democratização da gestão pública em saúde

Abstract

Background

Aware of the importance of consolidating social control in the qualification of the Brazilian government’s Unified Health System (SUS) management, it is important to highlight that the audit must implement technical cooperation actions with the municipal, state and national health councils and with the three management spheres.

Objective

Analyze the interaction between the Municipal Health Councils and the SUS audit service.

Method

The research, with a qualitative approach, had the participation of 20 municipal health counselors, who worked in the largest health region of Ceará, Brazil, composed of 24 municipalities. The thematic content analysis data were collected using self-administered questionnaire.

Results

We observed a weak interaction between the Municipal Health Council and the SUS audit sector in the municipalities.

Conclusion

Counselors are unaware of their competencies and the functions of the municipal audit sector.

Keywords:
community participation; health councils; administrative audit; health management

Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro Avenida Horácio Macedo, S/N, CEP: 21941-598, Tel.: (55 21) 3938 9494 - Rio de Janeiro - RJ - Brazil
E-mail: cadernos@iesc.ufrj.br