Políticas públicas em saúde: um estudo do enfrentamento à pandemia da COVID-19 no município de Tapiramutá/BA

Abstract

The general objective of the present study is to describe the process of readjustment of health planning and management instruments, with a view to facing the pandemic resulting from Covid-19, in Tapiramutá in the state of Bahia, in compliance with the political guidelines that guide planning in the SUS. Therefore, ti was decided to carry out a descriptive exploratory study, of the experience report type, a qualitative research with the use of bibliographic review and a case study through the application of questionnaires to public managers involved in the administration and servisse of the services offered by the hospital, primary care and epidemiological surveillance. The results found showed that the municipality of Tapiramutá in Bahia was aligned with the political guidelines that guide planning in the SUS because, within the purpose, the municipality created, adhere to and implemented two guiding health plans: Municipal Contigency Plan and the Municipal Plan of Immunization. Howevwe, according to the research, it was possible to observe some limitations such as the lack of qualified profissionals and the nou-use of tools to implement public health policies. In addition, the limited buget and lack of resources may be, among others, some of the bottlenecks observed by public administrators in managing the management of Covid-19. It is suggested that improvements in management can be implemented in the municipality of Tapiramutá, such as quality tools in public health management, qualification and exapnsion of the number of employees and a planning focused on the complete cycle of public policy, encompassing implementation na evaluation and its feedback effects towards the productions of new solutions in public health. Decentralization on the part f the ferderal administration can be seen, however there was no promotion of the reduction of inequalities. There was a transfer of the supply of basic health services to munipalities, but the standard of suplly of these services did not improve.