Monitoring in Health Promotion: an experience in the training of adults in a Brazilian northeastern state

This article aims to systematically describe and reflect on the experience of implementing monitoring processes of the Programa Ação Saúde (PAS), or Health Action Programme, as an experience of translation, contextualized in the interface between primary care from the Sistema Único de Saúde (SUS), or Unified Health System, and communities with urban-rural characteristics. The PAS has established itself as a pedagogic proposition based on skills and has used the methodology of problematization. The processes of the PAS are taken under the perspective of translation operations, such as: problematization, mobilization, networking and alignment. The monitoring of those processes highlights the dilemmas of measurement, monitoring and shared reflection of their tangible and intangible effects. The implementation of the monitoring system, mediated by a public academic institution sought to contribute to models of public-private partnerships in social development policies. Among the promising connections established in the PAS, the identification of the public agenda in the health sector has been emphasized as a route to be strengthened and improved, as well as advocacy actions around the choice of local themes and priorities. It was concluded that the configuration of the health promotion network was influenced by different geopolitical contexts of the municipalities, especially for the sustainability and implementation of local projects and the incentive to a local culture in Monitoring and Evaluation - M&E.

shared monitoring; methodology of problematization; social technical networking; maternal and child health