O pacto político na saúde do município de Campina Grande-PB no contexto de crise e de privatizações em curso

Abstract

This work aimed at analyzing the configuration of the political agreement on health policy for Campina Grande city, between 2011 and 2015; determining the crises and privatizations nature and their influence on the political agreement; identifying and describing the relationship between the social movements, municipal entities and the political pact on local health. The theoretical framework of the study is based, mainly, on the concepts of political agreement and social agreement (GUERREIRO; BRANCO, 2011), health policy (PAIM, 2008), social control (BRAVO; MENEZES, 2009), democracy (GERSCHMAN, 2004), collective political subject (GRAMSCI, 2010; SILVA, 2013); civil society (FEURY, 1995) and hegemony (GALLO; NASCIMENTO, 1995; COUTINHO, 1999; SOUZA, 2013). The research hypothesis was that the health policy for Campina Grande city was negatively influenced by the agreement due to its conservative nature. In order to rich the said objective as well as to prove the referred hypothesis, an exploratory qualitative investigation was designed within an approach based on Marx`s dialectic method. Secondary data were collected by means of a bibliographic and documental review and primary data through a questionnaire to sixteen subjects representing six segments that function in the local health service from November, 2016 and august, 2017. The main results confirmed the research hypothesis and showed that (a) 58% of the research subjects made a negative evaluation of its impact on the city social movements and organizations, because it left no room for them to influence effectively on the execution of local health policy and in defense of Brazilian Health System , (b) 92,8% considered that there were more throwbacks than advances in the execution of that policy, (c) 78,5%, declared that the groups participating in the agreement are guided by personal interest and favor privatization of public services, and (d) 85,7% believed that privatization and prioritization of curative health instead of preventive health are the main causes for the city`s deficient basic health attention.