Profile of municipal managers of healthcare in Brazil: an overview of three decades

Riquieri, Manuella Ribeiro Lira; Carvalho, André Luís Bonifácio de; Ouverney, Assis Luiz Mafort; Sarti, Thiago Dias

doi:10.1590/0034-761220220132x

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Forum: Practical Perspectives • Rev. Adm. Pública 56 (5) • Sep-Oct 2022 • https://doi.org/10.1590/0034-761220220132x copy

Profile of municipal managers of healthcare in Brazil: an overview of three decades

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Municipal health secretaries are strategic actors in the construction of the Brazilian national health system - SUS, actively participating in the system’s governance. The comparative analysis of the profile of municipal secretaries over three decades (1996, 2006, and 2017) was carried out using the database of three cross-sectional surveys carried out at the national level with structured questionnaires aimed at all municipal health secretaries in the country. The increase in female participation, greater diversity in ethnic and racial terms, greater professional qualification of managers, and the renewal of the generational profile, reiterates the advance of the democratization of these management spaces. Despite the renewal of the profile during SUS’s construction, the challenge remains to make the public machine more representative of Brazilian society as a whole.

Keywords:
unified health system; health management; job description; health manager

	Brazil			Northern			Northeastern			Midwestern			Southeastern			Southern
	1996	2006	2017	1996	2006	2017	1996	2006	2017	1996	2006	2017	1996	2006	2017	1996	2006	2017
Sex
Female	39.7	50.1	58	42.3	58.6	44.2	49.7	54.9	61.2	41.6	46.2	57.7	31.1	45.6	57.5	45.1	47.2	57.7
Male	60	49.2	42	57.7	41.4	55.8	51.3	43.6	38.8	57.5	53.8	42.3	69.5	54.3	42.4	54.4	51.6	42.3
Age
Up to 30	12.1	11.4	10	12.8	10	9.6	17.2	12.2	13.2	10.6	7.7	9.7	9.4	12.6	6.8	13	10.5	6.5
30 to 40	34.8	28.3	37.1	47.4	28.7	35	37	29.7	39	40.8	25.5	39.5	30.6	26	36.4	35.6	30.5	32.5
40 to 50	33.6	36.6	30.2	32.1	48.2	32.5	33.2	34.1	27.5	32.7	41.3	29.8	35.2	33	33.7	32.3	39.3	31.2
50 to 60	13.4	17.7	19.1	6.4	8.2	20.8	9.7	16.6	16.4	8	22.3	19	15.8	22.1	18.2	14.9	14.9	26.5
Over 60	3.9	3.7	3.6	1.3	0.9	2	2.1	4.4	3.8	4.4	3.2	1.9	6	5	4.8	2.3	2.1	3.2
Skin Color
White	84.2	69.3	59	47.4	33.8	38	68.1	51.8	46.2	76	68.4	57.8	89.7	83.4	69.4	94.6	89.5	89.7
Brown	11.5	26.4	35.3	42.3	64.9	54.3	29	41.6	478	15	25.2	37	5.9	13.8	23.4	2.8	7.2	7.8
Black	1.1	2.6	3.4	2.6	0	5.6	0.8	4	3.4	2.7	3.4	3.3	1.2	2.2	4.8	0.5	1.8	0.5
Asian	1.7	0.3	1.7	2.6	1.3	1	0	0	1.3	2.7	0.6	1.9	2.3	0.4	2.3	1.4	0.3	2
Indigenous	0.6	0.1	0.6	3.8	0	1	0.8	0	1.2	0.9	1.1	0	0.2	0	0	0.2	0	0
Level of Education
Incomplete Elementary	1.3	0.7	0.3	0	0	0.5	0.4	0.5	0.2	1.8	0	0.4	1.2	1.6	0.4	1.9	0.3	0.5
Incomplete High School	4.3	1.7	1.7	6.4	0	3	2.5	1.5	1.4	2.7	2.6	1.5	3	2.1	1	7	1.9	3.2
Incomplete College	20.9	29	17.2	50	49.9	23.4	16	23.4	14.6	31	35.8	18.3	14.9	23.3	16.3	23.5	34.8	20.8
Bachelor’s Degree	68.8	29.8	33.1	39.7	30.5	33.5	76.1	32.8	34.5	62.8	26.9	32.1	73.4	31.6	32.5	65.6	23.4	31
Specialization	-	34	42	-	19.6	36.5	-	36.4	42.8	-	31.4	43	-	36	43.7	-	34.1	40
Master’s Degree	2.7	2.9	5	1.3	0	2.5	2.9	3.5	5.4	0	0.9	4.5	4.8	2.9	5.6	0.9	4	4
PhD	1.5	0.6	0.7	2.6	0	0.5	1.7	0.2	1	0.8	1.1	0.4	2.5	1.1	0.6	0.2	0.4	0.5
Area of Training
Health other than medicine	33.2	33.7	62.4	43.6	42.3	60.3	43.6	39.6	68.2	37.2	32.2	59.4	28.8	30	58.7	30.7	27.2	54.3
Medicine	31.2	11.2	3.3	21.8	5.8	3.2	31.5	13.2	2.6	31	6.8	2.6	41.4	14.8	4.9	19.3	6.7	3.2
Others	35.6	55.1	34.3	34.6	51.9	36.5	24.9	47.2	29.2	31.8	61	38	29.8	55.2	36.4	50	66.1	42.5

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E-mail: rap@fgv.br

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[1] Manuella Ribeiro Lira Riquieri - Nutritionist with a degree from the Federal University of Paraíba (UFPB); Specialist Degree in Healthcare Management from the Oswaldo Cruz Foundation (Fiocruz); Master’s Degree in Sociology from the Federal University of Paraíba (UFPB); Ph.D. in Collective Health from the Federal University of Espírito Santo (UFES); Member of the Policy, Management and Evaluation of Collective Health Research Nucleus (Nupgasc). E-mail: manu_ribeiro3@hotmail.com