Investeringarna i Sverige inom folkhälsa genomförs på flera nivåer; både på regional och lokal nivå. Dessa investeringar genomförs av landsting och deras respektive kommuner. Folkhälsoarbetet är under ständig utveckling, även i Sörmland, där det sker en omorganisation där nya styrmetoder skapas. Syftet med studien var att studera styrning och organisation av folkhälsoarbetet i fem av kommunerna i Sörmland. För att besvara syftet med denna studie användes en kvalitativ metod där data samlades in med semistrukturerade intervjuer. Respondenterna i denna studie var fem strateger och samordnare från fem olika kommuner i Sörmland. Materialet analyserades med en manifest innehållsanalys. Resultatet som framkom var att de som arbetade med folkhälsofrågor i kommunerna har olika utbildning och erfarenhet. De flesta av dem arbetar 50 procent med folkhälsa, resterande procent med utredning och projektledning. Dessa betraktas som "vanliga uppgifter." Det finns ett folkhälsonätverk i Sörmland där kommunerna samarbetar vilket kan ses som samverkan. Respondenterna anser att politiken är ytterst ansvarig för folkhälsan och decentralisering förekommer i kommunerna. Alla kommuner använder planer och strategier; det varierar i hur evidensbaserat arbetet är och om omvärldsanalys genomförs. Detta genomförs dels genom nätverksmötena. På grund av folkhälsoarbetets organisering inom kommunerna, styrning och ansvarsfördelning mellan kommuner och politiker, samt hur uppföljning av folkhälsoarbetet ser ut så varierar förutsättningarna att förbättra folkhälsan i kommunerna. / In Sweden, investments in Public Health are conducted at several levels; both at the regional and the local level. These investments are conducted by the county council and their respective municipalities. Public health work is under constant development, as well as in Sörmland, where there is a reorganization in which new control methods are being discussed. The purpose of the study was to investigate the governance and organization of public health investments in five of the municipalities in Sörmland. To answer the purpose of this study , qualitative methods was used and data was collected by semi-structured interviews. The respondents in this study were five strategists and coordinators from five different municipalities in Sörmland. The material was analyzed by a manifest content analysis. The result that emerged was that public health workers in the municipalities have different educational backgrounds and experience. The majority of the public health workers work 50 percent in public health, and the rest in investigation and project management. These are regarded as “common tasks.” There is a public health network in Sörmland where municipalities work together which can be seen as cooperation. The respondents feel that the politicians are is ultimately responsible for the public health and decentralization is present in the municipalities. All municipalities use plans and policies; it differs in how evidence-based the work is, however social and environmental analyzes are carried out. This is carried out partly through networking meetings. Due to the organization of the public healthwork in the municipalities, control and allocation of responsibilities between municipalities and management, and the follow-up of public health-interventions makes it more or less effective when it comes to improving public health.

Submitted by Cláudia Bueno (claudiamoura18@gmail.com) on 2016-03-09T20:10:55Z No. of bitstreams: 2 Dissertação - Paulo de Alencar Monteiro Filho - 2015.pdf: 4580898 bytes, checksum: 33e64057727972599006284c69c140d4 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-03-10T12:09:12Z (GMT) No. of bitstreams: 2 Dissertação - Paulo de Alencar Monteiro Filho - 2015.pdf: 4580898 bytes, checksum: 33e64057727972599006284c69c140d4 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2016-03-10T12:09:12Z (GMT). No. of bitstreams: 2 Dissertação - Paulo de Alencar Monteiro Filho - 2015.pdf: 4580898 bytes, checksum: 33e64057727972599006284c69c140d4 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2015-04-15 / The geography have increasingly been concerned to conduct a refined analysis of the socio-spatial relations, identifying and diagnosing problems in a heterogeneous society and simultaneously contribute to the planning and management of space. Thus, it is essential to understand how the relationships are aimed at establishing the quality of life of the population. In this sense the present study sought to interpret the public health of the city of Jataí (GO): its physical structure; management organization; polarizers points and their importance socio. For this research were adopted the following instruments: a literature review about the concepts of health networks; research before organs such as the Municipal Health Secretariat (SMS), Municipality of Jataí, Department of the Unified Health System (DATASUS), Brazilian Institute of Geography and Statistics (IBGE), among others. Semi-structured interviews covering the municipal manager were held, the technical and administrative Directions SMS; besides the use of questionnaires to sample form to health professionals of the Municipal Center Dr. Serafim de Carvalho. The analysis of municipal Jataí health revealed important information used to understand it. Initially there is the demographic question. The growth of population Jataiense brought new needs the sectors of public administration, especially in the health area. The increase in external causes such as violence, traffic and drug trafficking, combined with a structure not kept pace with population growth have made the viscous municipal and hospital-centered, culminating in a compulsory choking the Municipal Health Center Dr. Serafim de Carvalho. / A geografia têm se preocupado cada vez mais em realizar uma análise refinada das relações socioespaciais, identificando e diagnosticando os problemas de uma sociedade heterogênea e, simultaneamente contribuindo com o planejamento e gestão do espaço. Desta forma, torna-se fundamental compreender como se constituem as relações que visam estabelecer a qualidade de vida da população. Neste sentido o presente trabalho buscou interpretar a rede pública de saúde do município de Jataí (GO): sua estrutura física; organização de gestão; pontos polarizadores e sua importância socioespacial. Para esta pesquisa foram adotados os seguintes procedimentos metodológicos: revisão bibliográfica acerca dos conceitos de redes de saúde; investigação junto a órgãos como a Secretaria Municipal de Saúde (SMS), Prefeitura Municipal de Jataí, Departamento de Informática do Sistema Único de Saúde (DATASUS), Instituto Brasileiro de Geografia e Estatística (IBGE), entre outros. Foram realizadas entrevistas semiestruturadas abrangendo o Gestor municipal, as Direções técnica e administrativa do SMS; além da aplicação de questionários de forma amostral aos profissionais de saúde do Centro Médico Serafim de Carvalho. A análise da rede municipal de saúde de Jataí revelou importantes elementos que serviram para compreendê-la. Inicialmente destaca-se a questão demográfica. O crescimento da população jataiense trouxe consigo novas necessidades aos setores da administração pública, sobretudo na área de saúde. O aumento das causas externas como a violência, o trânsito e o tráfico de drogas, aliados a uma estrutura que não acompanhou o crescimento populacional tornaram a rede municipal viscosa e hospitalocentrica, culminando numa asfixia compulsória do Centro Municipal de Saúde.