Plano de ação para a criação do conselho local de saúde do distrito de Ipoema-MG

Abstract

Both in Health Organic Law and in the Brazilian Constitution of 1988 it is foreseen the participation of the community in the management and control of the Unified Health System (UHS). The regulation of this participation was established by the Federal Law n° 8.142/1990, which also defines the Conference of Health as an instance of management of the SUS. However, in Ipoema, Itabira District - MG, there is still no Local Health Council (LHC). The District is located 42 km from the downtown, where there is a population estimated of 2700 inhabitants who use the services of Family Health Strategy. This study aims to build an action plan for the creation and implementation of a LHC in Ipoema. To achieve the goal, it was conducted a brief survey of data on the history of creation of the Health Councils in Itabira and a municipal legislation relevant. Also it was made a literature review that supported the formulation of the action plan. Discussions with the residents of the municipality and the health team were also performed. In developing the Plan of Action was adopted the following dynamics: description of the step to be developed, following the theoretical framework discussed in the discipline Planning and Evaluation of Health Actions, Specialization Course in Primary Care Family Health at the Federal University of Minas Gerais and an specification of the proposal of intervention related to the step described. Itabira accounts with the Municipal Health Council (MHC), which was deployed in 1992, and was also expected in the municipal legislation that established the MSC, the existence of the LHC in each health unit or health district. After the reviewing literature, it became clear that the imposition of Health Councils (HC) is a form of effective social participation in politics UHS. The Action Plan contains elaborated: identification of critical nodes, design of operations for its problem, identification of critical resources, feasibility analysis plan, operating plan preparation. The action plan proposed is an administrative tool to facilitate a intervention in the identified problem, but there is still a hard work to be done by the effective implementation of a LHC in Ipoema; concurrently to the implementation of the plan, flaws that should be corrected eventually are to be perceived during its execution.