Análise da fiscalização da execução das ações de saúde pelos conselheiros dos municípios da planície litorânea do Piauí : registros e percepções

Abstract

The health councils play a fundamental role in the participatory process of shaping public policies and overseeing health actions. Titled "Analysis of the Oversight of Health Actions Execution by Council Members of Municipalities in the Coastal Plain of Piauí: Records and Perceptions," this study aims to answer the guiding question of how members of the Health Councils in the Coastal Plain of Piauí exercise their oversight role in implementing health actions in their respective municipalities. One of the objectives is to analyze how municipal health councils in the Coastal Plain of Piauí carry out oversight in the execution of health actions in their municipalities. The methodological approach involved field research with a corpus composed of six interviews guided by a semi-structured script applied to health councilors of municipalities in the Coastal Plain of Piauí. The analysis of the interviews was based on Michel Pêcheux's discourse analysis, considering categories such as discourse, subject-position, interdiscourse, and production conditions. In addition to field research, documentary research was also used to add elements to the interview analysis. Results highlight cases of councilors representing users but being appointed by the management, a lack of perceived effectiveness in their oversight role, limited knowledge of management instruments such as the Municipal Health Plan (MHP), Annual Health Programming (AHP), and Annual Management Report (AMR), with the use of the financial statement book as the primary oversight instrument. All interviewees requested training, reported a lack of proximity to the state and national health councils.