Controle social de políticas públicas : os conselhos municipais e sua forma de atuação e controle na execução de políticas públicas - uma observação crítica sobre a atuação do Conselho Municipal de Saúde de Santa Cruz do Sul.

Abstract

The importance of the municipal councils, while instance of deliberation, where the population may act in a democratic way and to monitor the actions of the Government, was expanded with the promulgation of the 1988 Federal Constitution and Law nº 8.080/90. Community participation and social control are indispensable for the functioning of the health system in the three spheres of Government. The problem was if the City Council of Santa Cruz do Sul, besides deciding on health policy guidelines, would perform the social control of the implementation of the policy through monitoring and surveillance of actions? And if, when performing social control, act in a systematic manner as a body with specific powers and procedures defined by the Board, or depends on casual actions individually taken by Councillors? The overall objective was to verify if the City Council of Santa Cruz do Sul Health operates in the supervision of their own decision-making and as such control is realized. For delimitation, by studying the actions of the Council between 2015 to 2016, developing the project in the first year and joining the Council in the second. The hypothetical deductive method was used, with documentary and bibliographical research, Habermas array, and with the use of case study. The research links to the Contemporary Constitutionalism as public health policies and the importance of the exercise of social control are current themes and linked to such research. The Board members of the Municipal Council of health of Santa Cruz do Sul were invited to answer a questionnaire formulated from a series of statements about the goals of this study. This is a study of both diagnosis as intentional experience of the Municipal Council of health of Santa Cruz do Sul. Of diagnosis because the interviews made it possible to trace the perception of Councillors in the face of decision-making and their respective monitoring. And intentional because search point ways to improve its performance. It was found, in the first chapter, the importance of social control linked to public policies and the importance of ethics of speech for deliberative democracy and the importance of this social control. Also analyzed the structure of the municipal health Councils while social control instance and arena for the deliberative practice, being possible to realize his approach to the concept of civil society of Habermas and its connection with the social control and the deliberative democracy. Finally, the third chapter held a critical analysis on the performance of the Municipal Council of health of Santa Cruz do Sul, being possible to observe the absence of systemic organ performance in relation to complaints, as well as the ignorance of many counselors on the mechanisms and instruments available for the conduct of social control. Completing this survey, it can be affirmed that, even without a systemic action, the City Council of Santa Cruz do Sul Health operates in deliberation and choice of municipal health policy guidelines and performs social control of implementation through monitoring and supervision of the actions of the public authorities.