Pr ticas de planejamento e implementa o de

ARTIGO ARTICLE

Práticas de planejamento e implementação de políticas no âmbito municipal
Municipal health policy planning and implementation Ana Luiza Queiroz Vilasbôas 1
Jairnilson Silva Paim 2

1 Departamento de Saúde,
Universidade Estadual de
Feira de Santana, Feira de
Santana, Brasil.
2 Instituto de Saúde Coletiva,
Universidade Federal da
Bahia, Salvador, Brasil.

Correspondência
A. L. Q. Vilasbôas
Departamento de Saúde,
Universidade Estadual de
Feira de Santana.
Rua Manoel Gomes de
Mendonça 307, apto. 2401,
Salvador, BA
41810-820, Brasil. [e-mail] Abstract

Introdução

Municipal health policy planning can include exemplary practices for expanding the population’s access to health services. The current study seeks to analyze the limits and possibilities of planning practices for policy implementation by a municipal health department. The empirical data were analyzed based on a concept of planning practices and the theoretical link between the three spheres of government and the postulate of coherence. The use of unstructured strategic planning practices by the management team allowed a significant expansion in the supply of services to the population, but lacked the scope to overcome the limits imposed on the organization’s governability by the health services funding model, characterized by strong induction from the federal level. The project was the most robust vertex in the government triangle and led to the development of initial expertise by the municipal management team, thereby ensuring a certain level of governability over the health project. The goals of increasing the supply of health services were constrained by the method’s weakness and the organization’s institutional insipience.

No âmbito governamental, o ciclo de políticas é um modo de representação do complexo processo que envolve a construção de uma determinada decisão e sua execução. A implementação de políticas é um dos momentos desse processo, implicando a operacionalização das