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Revista de Enfermagem Referência
versão impressa ISSN 0874-0283versão On-line ISSN 2182-2883
Resumo
VENTURA, Carla Aparecida Arena et al. Analysis of the context components proposed by the World Health Organization in a municipal health council. Rev. Enf. Ref. [online]. 2023, vol.serVI, n.2, suppl.1, e22032. Epub 07-Jun-2023. ISSN 0874-0283. https://doi.org/10.12707/rvi22032.
Background:
Studies on social participation point out some limitations in participatory architecture. For this reason, the World Health Organization designed a model with key components for bringing civil society and governments closer together.
Objectives:
This study aimed to identify the aspects that influence participation based on the components proposed by the World Health Organization.
Methodology:
This case study used a qualitative and cross-sectional approach. Data were collected through document analysis, non-participant observation, and semi-structured interviews in 2020 and 2021 with the municipal health council members of an inland city in the state of São Paulo, Brazil.
Results:
Weaknesses were observed in the council’s institutional structure, such as excessive bureaucracy, lack of user representativeness, and council members’ insecurity regarding the municipality’s health-related economic-financial issues.
Conclusion:
There is a need to strengthen the culture of participation in this municipal health council, disseminate the activities developed, and reformulate the technical-bureaucratic dynamics that predominate in this environment.
Palavras-chave : social participation; municipal health council; social determinants.