Os conselhos de saúde em Alagoas: uma análise teórica e conjuntural

Abstract

This thesis is about the performance and effectiveness of social participation in the health councils, society legal instruments of control over the actions of the State. Its main objective is to analyze to which extent the state allows society to participate in decisions to determine the directions of health policy. To achieve the goal set literature and documentary research were used. The analysis starts from the assumption that the changes made to Brazilian social policies, especially after the adoption of neo-liberal project since 1989, encourage discussion of the role of health councils. The thesis is divided into three chapters. The first deals with social participation and social control, from the study of Gramsci s State and civil society relation, analyzes the Brazilian state and the consequences of the adoption of neo-liberalism. The second gives a general view of the health policy in the country, the emergence of the Movement for Health Reform and the achievements of the 1988 Constitution. It discusses the commercialization of health, the process of the "excluding globalization" and historically shows the beginning of the institutionalized social participation in Brazilian health policy. The third chapter expresses how the health councils are working, describes the current conjuncture in Alagoas, researches about the boards, presenting limits and challenges for this performance and analyzes them reflecting, more profoundly, on the roots of these problems. Concludes that the councils, in the reality of Alagoas, are unable to change the State and civil society relation, despite the fact that, potentially, they constitute themselves in forms of resistance within the limits of capitalist society.