Uma análise das capacidades técnico-administrativas das políticas públicas de saúde de Maceió

Abstract

This article aims to analyze, through a qualitative method, how the principle of state capacities and governance was employed in the implementation of public health policies in the municipality of Maceió, Alagoas, through its Municipal Health Department, from 2017 to 2022. This analysis emphasized technical and administrative capacities and was conducted through documentary research, examining the department's strategic plans and internal regulations, as well as essential governance principles such as accountability and advocacy. During the research, we sought information on the number of health service units, beds, and basic consultations that indicated the municipality’s technical-administrative capacities from the following sources: Secretaria Municipal de Saúde de Maceió; IBGE and IBGE (MUNIC. In the second stage, we analyzed the State-Level Regionalization Master Plan, two Municipal Health Plans, a State Health Plan, and non-institutional websites to infer political-institutional capacities, accountability, and municipal advocacy during the aforementioned period. Through the research, we concluded that Maceió has technical-administrative and political institutional state capacities, with a large number of healthcare facilities, hospital beds, and professionals. It is also a major healthcare reference center for other municipalities in the region. Issues such as the underfunding of the SUS, implicit forms of privatization, and limited social participation in decision-making were persistent during the period analyzed.