Made available in DSpace on 2014-12-17T15:46:22Z (GMT). No. of bitstreams: 1 AparecidaDAM_DISSERT.pdf: 1458913 bytes, checksum: 15034e77b963640e7c6d2f9640d69544 (MD5) Previous issue date: 2011-02-16 / Health policies in Brazil, the decentralization of SUS management responsibilities for the three spheres of government has driven the creation and regulation of the audits of health services in the National Audit Office, this is a trend of neoliberal policies imposed by international bodies like the World Bank and IMF to peripheral countries characterized by productive restructuring and reforming the state focuses on the presence of two competing projects in the area of health: Health Sector Reform Project which is based on the democratic rule of law with the assumption of health as social right and duty of the State in defending the extension of the conquest of rights and democratization of access to health care guaranteed through the public financing strategies and the effective decentralization of decisions pervaded by social control and privatized Health Project which is based on the state minimum, with a reduction in social spending or in partnerships and privatization, stronger nonprofit sector, subject to capitalist interests, is made effective through strategies targeting health policy and refilantropiza??o actions. In this context, the present study is an analysis on the work of social audits of public health in infants from a qualitative and quantitative approach, embodied by the critical method of dialectical Marxist social theory that enabled us to unveil the characterization, the demands, challenges and outline the profile of Social Work in teams inserted audits of SUS in RN, but also provided evidence to demonstrate the prospects and possibilities of this area of activity of social workers. It was also found that through the audit work that the state fulfill its role as bureaucratic and regulator of health services with efficiency, effectiveness and economy. Yet, paradoxically, the audits of SUS may provide a vehicle for enforcing rights and ensuring the fundamental principles contained in the project of health reform, because it can be configured in a space of political struggle as representing a new field of knowledge production that needs to be appropriate for a theoretical critic able to redirect the social interests in favor of the user. From this perspective, it is concluded that the work of social audits of public health in infants despite the social relevance that prints, as they constitute an activity study of reality and its transformation proposition requires a transformative political action guided the discussion Marxist theory holds that the ethical project professional politician of Social Work / Nas pol?ticas de sa?de do Brasil, o processo de descentraliza??o das responsabilidades da gest?o do SUS para as tr?s esferas de governo tem impulsionado a cria??o e regulamenta??o das auditorias em servi?os de sa?de no Sistema Nacional de Auditoria. Isso constitui uma tend?ncia da pol?tica neoliberal imposta pelos organismos internacionais como Banco Mundial e FMI aos pa?ses perif?ricos caracterizado pela reestrutura??o produtiva e a reforma do Estado que incide na presen?a de dois projetos em disputa na ?rea da sa?de: o Projeto de Reforma Sanit?ria que tem como base o Estado Democr?tico de Direito com a premissa da sa?de enquanto direito social e dever do Estado, na defesa da amplia??o da conquista dos direitos e democratiza??o do acesso aos servi?os de sa?de, garantido atrav?s das estrat?gias de financiamento p?blico efetivo e da descentraliza??o das decis?es perpassadas pelo controle social; e o Projeto Privatista de Sa?de que tem por base o Estado m?nimo, com diminui??o dos gastos sociais ou atrav?s de parcerias e privatiza??es, fortalecimento do terceiro setor, condicionado aos interesses capitalistas, efetiva-se atrav?s das estrat?gias de focaliza??o das pol?ticas de sa?de e a re-filantropiza??o das a??es. Nesse contexto, o presente estudo consiste numa an?lise sobre o trabalho do assistente social nas auditorias p?blicas de sa?de no RN a partir de uma abordagem quali-quantitativa, consubstanciada pelo m?todo cr?tico dial?tico da teoria social marxista que nos permitiu desvelar a caracteriza??o, as demandas, os desafios e tra?ar o perfil profissional do assistente social inserido nas equipes de auditorias do SUS no RN, como tamb?m forneceu elementos para demonstrar as perspectivas e possibilidades dessa ?rea de atua??o do assistente social. Constatou-se tamb?m que ? atrav?s dos trabalhos de auditoria que o Estado cumpre seu papel burocr?tico e regulador dos servi?os de sa?de com efic?cia, efici?ncia e economicidade. No entanto, paradoxalmente, as auditorias do SUS podem representar um instrumento de efetiva??o de direitos e garantia dos princ?pios fundamentais contidos no projeto de reforma sanit?ria, pois tanto pode se configurar num espa?o de lutas pol?ticas quanto representa um novo campo de produ??o de conhecimento que precisa ser apropriado por um referencial te?rico cr?tico capaz de redirecionar os interesses sociais em favor do usu?rio. Nessa perspectiva, conclui-se tamb?m que o trabalho do assistente social nas auditorias p?blicas de sa?de no RN apesar da relev?ncia social que imprime, por se constituir uma atividade de estudo da realidade e proposi??o de sua transforma??o, requer uma a??o pol?tica transformadora pautada no debate te?rico marxista que sustenta o projeto ?tico pol?tico profissional do Servi?o Social