A participação do Conselho Municipal de Saúde na consolidação da estratégia de saúde da família e na organização da atenção básica

Abstract

The Family Health Strategy consolidation, as an instrument of health care improvement, and in accordance with the constitutional principles contained in legislation that rules the SUS, must be understood as strategy for the structuring of health networks and its progressive development within the management and assistance process, which must be assimilated, discussed and regulated by social control. Although the mechanisms for exercising social control are theoretically well defined, the difficulties encountered in ensuring the consolidation of the new care model in Brazil raise the issue of effective participation of the Municipal Health Councils in formulating strategies and regulation of health care networks. This is a descriptive study with focus directed toward the evaluation of the actions of Araçuaí Municipal Health Council, Jequitinhonha Valley. The 85 minutes drawn up during the period of 16.11.2004 to 10.09.2009 were analyzed, which reported all actions and interventions of the Council. From this point, they were classified into seven groups and compared quantitatively, besides having a qualitative analysis of the actions and the functioning of the Municipal Health Council. The results show that even in an active and organized Municipal Health Council as the one of Araçuaí, the contribution of the Municipal Council for the consolidation of the Family Health Strategy (FHT)is still much smaller than its necessary. It is concluded that the actions of Araçuaí City Council is turned to the regulation of the system and its still beginning concerning the formulation of health strategies. The change in this way of acting may mean greater involvement in the struggle for consolidation of the FHT and Primary Health Care organization.