Vigilância sanitária: o processo de descentralização em Minas Gerais

• Ano de defesa: 2017
• Autor(a) principal: Laguardia, Filipe Curzio
• Orientador(a): Cruz, Marcus Vinícius Gonçalves da
• Banca de defesa: Fortes, Fátima Beatriz Carneiro Teixeira Pereira, Fahel, Murilo Cássio Xavier, Guimarães, Eliete Albano de Azevedo
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Fundação João Pinheiro
• Programa de Pós-Graduação: Programa de Mestrado em Administração Pública
• Departamento: Escola de Governo Professor Paulo Neves de Carvalho
• País: Brasil
• Palavras-chave em Português: Vigilância sanitária; Descentralização; Cooperação; Políticas públicas; Minas Gerais
• Área do conhecimento CNPq: ADMINISTRACAO PUBLICA::POLITICA E PLANEJAMENTO GOVERNAMENTAIS
• Link de acesso: http://repositorio.fjp.mg.gov.br/handle/tede/387

Sanitary control is a typical state activity that is present in the various societies as one of the oldest and most complex dimensions of public health. The decentralization of health surveillance actions was determined based on the Federal Constitution of 1988 and Law nº. 8.080 / 90, which regulated the Sistema Único de Saúde. This research analyzed how this process occurred in the state of Minas Gerais considering its social policies determinants in the institutional, structural and political dimensions, according to Arretche (2000). This is a descriptive-analytical study with a qualitative approach. The data collection was done through bibliographic research, documentary analysis and interviews with key informants addressing the policy of decentralization of sanitary surveillance in Minas Gerais from 1988 to 2015. After a content analysis, the results showed that the process in Minas Gerais followed the institutional trajectory of the sector in Brazil, initially structuring the service at the state level and in the large municipalities through national policies and following decentralization to all 853 municipalities through the Projeto Estadual de Fortalecimento da Vigilância em Saúde. Fragilities have been identified in the tructure of municipalities in terms of financial management capacity, availability of equipment for routine actions and effectiveness of work processes. In the perspective of the political action factors, the state decentralization project established a cooperative relationship between state and municipalities, but was punctual in the relationship with society, and it is necessary to move forward in communication channels and health education actions for the citizen.