Challenges for effective popular participation and social control in SUS management: integrative review

ABSTRACT

Community participation is a constitutional guiding principle of the public health system in Brazil, regulated by Law No. 8.142, of 1990. The objective was to understand the challenges faced for effective popular participation and social control in the management of the Unified Health System (SUS). For this purpose, an integrative literature review was carried out in the databases of PubMed, Lilacs, Scopus, Embase and Web of Science, using indexed descriptors and their synonyms, in Portuguese, English and Spanish. As inclusion criteria, complete articles published between 1988 and 2020 were considered, in the aforementioned languages. And, as exclusion, theses, dissertations, monographs, manuals and duplicate articles. The 64 articles selected addressed as challenges the struggle for their own interests, the political-party influence, the distance between representatives and those represented, the lack or inadequate permanent health training, the lack of infrastructure in deliberative spaces, among others. In this sense, in order to overcome obstacles, it is essential to guarantee the plurality of members, transparent criteria in their choice, turnover of counselors, development of transparent management, democratization of information and training of health counselors, through educational practices permanent.

KEYWORDS
Health management; Unified Health System; Social control policies; Social participation