Conselho municipal de saúde de Parintins: quando o controle social incomoda a administração pública

Abstract

During the last three years (2013-2016) one of the authors of this article served as a counselor at the Municipal Health Council (CMS) of the city of Parintins/AM and this experience provided a series of reflections and philosophical, sociological, political and pedagogical questions. The presented data were collected following a methodological orientation of qualitative research, using as research techniques and instruments: field research, case study, documentary analysis, systematic observation and participant observation (once one of the researchers is a counselor of CMS/PIN) and semi-structured interviews. The presented data also reinforce the debate provided in different researches that identify numerous obstacles for public policy councils to fully exercise their functions, such as: lack of autonomy and organization of the Council, physical structure, coronelist and clientelist politics, political-partisan influence, low technical qualification of counselors representatives of civil society and even lack of participatory interest in society at general. Among the many problems that exist in the dynamics of the CMS/PIN, the most serious aspect pointed out in this research is the authoritarian way in which public management acts to prevent the CMS/PIN from fulfilling its function: the more the Council exercised its role of Social Control and supervision of public management, more obstacles he has had to face over the last few years, culminating in its closure due to lack of structural and organizational conditions of operation. Key-words: Social Control; Oversight; Coronelism; Health Council.