Dimensão político-institucional na implementação da vigilância alimentar e nutricional : o caso da macrorregião dos vales - RS.

Abstract

In this thesis, the process of public policies implementation was analyzed considering the policy analysis approach with other theoretical referentials used in this field in Brazil. The research refers to the implementation of the nutritional and alimentary surveillance public policy, at the alimentary security policy, substanciated at the Federal Constitution (1988), under the responsibility of the Federate beings, from the Health Organic Law (number 8080/90). The investigation of the policy implementation at local and regional levels was based on the expected correspondence between the decided by federal level of the policy and the the local arenas movements and decisions, that define the nutritional and alimentary vigilance management, in the Vales-RS macroregion territory. The conceptions here developed point to a low institutional capacity to launch nutritional and alimentary surveillance actions. The analysis identified political, institutional and structural problems. Among the structural difficulties (com 2 efes) are the scarce integration between the nutritional and alimentary surveillance, public health and other connected social policies, so as low capacity for regional actors articulation involved in this proccess. Considering institutional difficulties, nutritional and alimentary surveillance, some actions are proposed by the state level, with little concern to the regional peculiarities. At last, a considerable amount of difficulties (com 2 efes) is related to political variables. The inflections at the State Government affairs are highlighted because of the low priority of this policy in the State ruling agenda, and the analysis showed a long distance between the discursive acknowledgement of the relevance of this policy and its effective importance by the ruling members regarded the actions and results. So, in a general way, the regional logic is not strongly present in the formulation, implementation, planning, financing and regulation of the State nutritional and alimentary Surveillance policy.