AgÃncia Nacional do PetrÃleo / A presente dissertaÃÃo refere-se ao Plano Municipal de SaÃde de Fortaleza, por meio de uma anÃlise sob o enfoque da participaÃÃo cidadÃ, no perÃodo de 2001 a 2004. A grande meta da saÃde foi assegurar a municipalizaÃÃo, com a configuraÃÃo de um Sistema Municipal de SaÃde, permitindo, em um primeiro momento, a implantaÃÃo de vÃrios serviÃos e programas de atenÃÃo bÃsica, e o fortalecimento das aÃÃes de vigilÃncia, e posteriormente a ampliaÃÃo da oferta de atenÃÃo especializada e a reorientaÃÃo da atenÃÃo hospitalar. Priorizou-se oferecer uma assistÃncia integral que pudesse dar cobertura à maioria absoluta das famÃlias do MunicÃpio. O Plano Municipal de SaÃde (2001 - 2004) teve como premissas a mudanÃa na estratÃgia de intervenÃÃo sobre os problemas de saÃde com a reorientaÃÃo do modelo assistencial e a descentralizaÃÃo das aÃÃes de saÃde. Foram aplicadas entrevistas semi-estruturada voltadas à populaÃÃo usuÃria dos serviÃos prestados no Hospital Distrital Gonzaga Mota â Barra do CearÃ, como tambÃm aos gestores e profissionais da saÃde, incluindo um tÃcnico responsÃvel pela elaboraÃÃo do referido plano e um ex-membro do Conselho Municipal de SaÃde do municÃpio de Fortaleza, referente à gestÃo de 2001 a 2004. Conclui-se que, este trabalho aponta alguns avanÃos importantes na medida em que as tentativas de superaÃÃo do modelo proposto, embora seja visÃvel a fragilidade exposta no Plano Municipal de SaÃde. / The present dissertation mentions the Municipal Plan to it of Health of Fortaleza, by means of an analysis under the approach of the participation citizen, in the period of 2001 and 2004. The great goal of the health was to assure the municipalizaÃÃo, with the configuration of a Municipal System of Health, allowing, at a first moment, the implantation of some services and programs of basic attention, and the fortalecimento of the actions of monitoring, and later the magnifying of offers of specialized attention and the reorientation of the hospital attention. It was prioritized to offer an integral assistance that could give covering to the absolute majority of the families of the City. The Municipal Plan of Health (2001 - 2004) had as premises the change in the intervention strategy on the problems of health with the reorientation of the assistencial model and the decentralization of the actions of health. Interviews half-structuralized come back to the using population of the services given in the District Hospital Gonzaga Mota - Bar of the CearÃ, as well as to the managers and professionals of the health had been applied, including for the former-member and one responsible technician elaboration related plain of the City council of Health of the city of Fortaleza, referring to the 2001 and 2004. One concludes that, this work points some important advances in the measure where the attempts of overcoming of the considered, either even so visible model the fragility displayed in the Municipal Plan of Health.