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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
231

Accounting for economic disparities in financing municipal infrastructure in South Africa: a case study using data from the cape Winelands District Municipality

Josie, Mervyn Jayaprakash January 2011 (has links)
<p> <p>&nbsp / </p> </p> <p align="left">In this thesis I argue that by taking account of economic disparities and backlogs in intergovernmental infrastructure grants to municipalities in South Africa, government will effectively meet its constitutional obligation to equitably allocate infrastructure grants to local government according to the principles of parity, proportionality and priority (Young, 1994). Municipalities will thus be able to provide basic services to households in keeping with the Bill of Rights of the Constitution of South Africa (1996). Adapting the Petchey et al (2004) provincial capital expenditure grant model to the provision of municipal services using secondary data and information from local municipalities in the Cape Winelands District, I evaluate whether government&rsquo / s existing municipal grants are allocated equitably and, whether they account for disparities that differentiate municipalities from each other. The findings from my analysis show that the current approach to financing municipal infrastructure does not sufficiently account for disparities and thus, undermines the requirement for equitability, adequacy and efficiency of intergovernmental allocations. Consequently, the right of citizens to basic municipal services is compromised and the macroeconomic structure is weakened. Furthermore the institutional arrangements for local government autonomy is undermined because municipalities cannot ensure stability, predictability, flexibility and economic efficiency of infrastructure budgets. As municipalities receive part of their finance from national government through infrastructure grants, I used data from five local municipalities to examine the extent to which there is equitability and efficiency in the way this finance is allocated. To this end I constructed and applied a composite disparity index for each municipality to my adapted municipal infrastructure grant model to analyze and observe the impact of economic disparities in grant allocations. The findings show that a grant model that accounts for economic disparities satisfies the constitutional, economic and institutional considerations that should inform municipal grant allocation decisions. I conclude the thesis by highlighting the limitations and possibilities of using a municipal infrastructure grant model that accounts for economic disparities and, I propose some recommendations for applying such a model in South Africa.</p>
232

The challenge of cooperative government and its implications for the financial and fiscal management systems in South Africa

Tshambe Ngoy, Ntanda N'shii January 2009 (has links)
<p>Can a country function without a legislative framework able to inform decisionmaking processes taken at different spheres of government? To what extent would actions conducted at various&nbsp / spheres of government be efficiently coordinated and informed by appropriate channels of constitutional provisions and legislative amendments to consolidate financial and intergovernmental&nbsp / fiscal relations policy-making tools for the realization of an efficient local developmental state? Answers to the above mentioned two questions refer to normative fiscal policy principles and&nbsp / prescriptive instruments of intergovernmental fiscal transfer design, whose orientation suggests better ways of framing sound and coherent programs and interventions that strengthen&nbsp / cooperative synergy and transfer knowledge of experience gained in empirical investigations and various South African environments of higher academic learning. Growing evidence&nbsp / acknowledges South Africa as one of the young democratic countries that has been going through a period of transition over the past three years as it changes its system of public finance from&nbsp / a structure suited to the old apartheid system to one consistent with the new South African Constitutional dispensation. While the former system was highly centralized, the newconstitution makes a clear commitment to municipal governments as important providers of government services, with greater tax and spending powers. Even as local autonomy has been substantially increased,&nbsp / there remains uncertainty as to the most appropriate design of a system of intergovernmental fiscal grants to metropolitan areas and townships. This study analyses this situation and further&nbsp / develops a generic design for intergovernmental transfers and its suitability to the realities of South African municipalities on the ground within the framework of Cooperative Government. This&nbsp / study concludes that fiscal&nbsp / management, as a cross-cutting discipline, is a&nbsp / powerful instrument for government&rsquo / s revenue sources at the national, provincial and local government levels.&nbsp / Financial management should be regarded as a co-coordinating mechanism managing government&rsquo / s expenditure and catalyzing sound financial relationship for an efficient management in the&nbsp / country, thus allowing government to budget effectively for the delivery of goods and services in order to attain the constitutional mandate of a developmental state.</p>
233

Intergovernmental fiscal relations in South Africa.

Shabalala, Dumisani Sipho Derrick. January 1999 (has links)
Objective of the study. This study is about the intergovernmental fiscal relations in South Africa. The primary objective is to review the international experience of fiscal decentralisation with the view to providing answers to the issue of revenue sharing, problems of expenditure and revenue assignment, and the impact of the whole decentralization on the size of the public sector in South Africa. Methodology. The methodology adopted in this study includes (1) a review and comparison of the practise of fiscal decentralisation in four countries, and (2) an econometric investigation into the impact of fiscal decentralisation on the size of the public sector, using time series quarterly data for the period 1993/94 to the second quarter of 1998/99. Regarding the econometric investigation, a single linear regression model including fiscal decentralisation, fiscal collusion, income and population are assumed to influence the size of the public sector. Study Findings. Our analysis provides certain interesting results. First, the countries reviewed tend to assign functions in a manner that is consistent with the public finance theory that functions that are distributive in nature and those that are meant to ensure the country's stability should be reserved exclusively for the federal or national government. Whereas the Australian, Canadian and Brazilian's revenue decentralization show a number of significant taxes that are devolved to the lower levels of government, Germany represents a strong collection at the center. The discrepancy is compensated for by the use of equalization grants in the German model. Second, fiscal decentralisation is found to exert a negative influence on the size of the public sector, although the impact is statistically not significant. The insignificance of the impact of fiscal decentralisation on the size of the public sector is explained in terms of the fact that there has, in fact, been very little decentralisation in South Africa. The size of the provincial and local government own source revenue relative to the consolidated general government expenditure is very little, pointing to the serious lack of revenue raising powers by the sub-national governments and thus the absence of any meaningful extent of decentralisation. Third fiscal-collusion exerts a significant negative influence on the size of the public sector. That is, the size of the public sector will reduce if provinces and local authorities are granted enough power to raise their own revenues. This result indicates that the massive transfers of revenue from the national government to the provinces and local authorities (revenue sharing) significantly reinforces the expanding influence of the decentralised expenditures financed through revenue transfers. Fourth, the overall size of the country's population is found to be inversely related to the size of the public sector supporting the argument that as population increases, economies in providing services are reaped. / Thesis (M.Com.)-University of Natal, Pietermaritzburg, 1999.
234

Integrated coastal management to sustainable coastal planning

Norman, Barbara, barbara.norman@canberra.edu.au January 2010 (has links)
Integrated coastal management (ICM) has been the basis for coastal planning and management since the 1970s. The theory and practice of ICM is based on the premise that increased integration of planning and management in the coastal zone will lead to improved environmental and social outcomes for the coast. In the context of global and national trends, this thesis examines the application of ICM in three place-based coastal case studies in Victoria: the Gippsland Lakes, Point Nepean and the Geelong region. The particular focus is on the twin challenges of coastal urbanisation and the impacts of climate change. Through a wide range of applied research techniques including focus groups, the research explores the pressures, issues, impacts and implications for ICM and beyond. The case studies point to a number of important implications for ICM and identify opportunities for a more sustainable approach to coastal planning. In reviewing the research findings, a set of five steps and six principles are proposed to respond to policy failures and provide for a transition to more sustainable coastal planning in Victoria. The five steps involve expanding the theory of ICM to be outcome based and regional in its approach to coastal planning and management. In the context of climate change, a more adaptive and systems approach has been incorporated along with recognising the even greater importance of community engagement in coastal planning processes during a period of increased uncertainty and change. The principal instrument for change is a tripartite intergovernmental agreement on sustainable coastal planning underpinned by a set of six principles. These include: agreed and shared outcomes for the coastal environment to facilitate horizontal and vertical integration; an adaptive and systems approach integrating science and urban planning drawing on experience and knowledge in both disciplines; incorporation of the shared outcomes and an adaptive approach into urban and regio nal planning systems for local implementation; regional governance arrangements for integration of policy outcomes and community involvement; capacity building for sustainable coastal planning including interdisciplinary research and community education and long term monitoring and evaluation. The transition from ICM to sustainable coastal planning does not discard ICM but rather incorporates its strengths and adapts the concept to meet the twin challenges of coastal urbanisation and climate change. Further research questions are posed to indicate how the research findings could be further developed as part of a future coastal research agenda. The research findings seek to make a contribution to the theory and practice of ICM to build a pathway to coastal planning for the benefit of our coast and future generations.
235

Prelude to equalization, New Brunswick and the Tax Rental Agreements, 1941-1957

Slumkoski, Corey James Arthur January 1999 (has links) (PDF)
No description available.
236

Repactuação das relações intergovernamentais na implementação da política de assitência social : uma análise na região metropolitana de Porto Alegre

Papi, Luciana Pazini January 2014 (has links)
As relações intergovernamentais no Brasil, longe de se caracterizarem como um fenômeno estático ou determinado unicamente pelo arcabouço formal/legal, têm revelado, desde a promulgação da Constituição de 1988, uma dinâmica variável aos contextos políticos do país, sendo pactuadas e repactuadas entre os níveis governamentais. Nesse processo, que pode ser observado em diferentes políticas públicas, e especialmente na assistência social, há aspectos descentralizadores e centralizadores, assim como uma combinação entre ambos, dependendo das agendas e preferências dos governantes que ocupam o centro do sistema político. Dessa forma, assim como as competências dos entes federativos são redesenhadas, aspectos como a autonomia para formular e implementar políticas públicas também são afetadas. Argumenta-se que esse processo é resultante do forte papel que o centro sempre possuiu na determinação das relações federativas no Brasil, que se moldam a partir dos seus interesses. A partir dessa premissa, o trabalho investiga a repactuação das relações intergovernamentais na implementação da política de assistência social sobre a influência de duas agendas políticas vigentes no governo federal: sob os governos de Fernando Henrique Cardoso, em que há a adoção de políticas de reajuste fiscal e de reformas descentralizantes que tornam o município o principal responsável pela formulação e implementação da política de assistência social; e sob os governos do presidente Lula, período orientado pela retomada do papel do Estado na promoção do desenvolvimento econômico e social, em que as políticas de proteção social não contributivas ganham espaço fundamental. Neste período, em que tem origem o Sistema Único da Assistência Social, é possível observar uma nova relação entre os níveis governamentais na implementação da assistência social, havendo uma maior coordenação da política em nível federal e o reforço do papel dos municípios como executores de uma política formulada nacionalmente. A partir da análise, busca-se contribuir com as interpretações que entendem a dinâmica da federação brasileira como algo mais complexo do que a clássica forma dicotômica, centralização versus descentralização, sístole versus diástole, argumentando que tais formatos podem conviver em uma única política pública a depender das agendas e preferências dos governantes. Do ponto de vista metodológico, o trabalho parte da observação dos processos de formulação e implementação da assistência em quatro municípios da Região Metropolitana de Porto Alegre: Alvorada, Canoas, São Leopoldo e Viamão no interregno de 1994 a 2010. / Intergovernmental relations in Brazil, far from being characterized as a static phenomenon or determined solely by formal/legal framework, have been revealed, since the promulgation of the 1988 Constitution, a variable dynamic to the political contexts of the country, being agreed between government levels. In this process can be observed aspects decentralizing and re-centering in different public policy, and especially in social assistance, as well as a combination of both, depending on the trajectories of the policies and agendas of the rulers who occupy the executive center of the political system. Thus, as the responsibilities of governmental entities are redrawn, aspects such as the autonomy to formulate and implement public policies are also affected. It is argued that this process results from the strong role that the center has always possessed in the determination of the federative relations in Brazil, which are molded from its interests. From this premise, the work investigates the renegotiation of intergovernmental relations in the implementation of the social assistance policy on the influence of two political agendas of the federal government: the government of Fernando Henrique Cardoso, in which there is the adoption of policies of fiscal adjustment and decentralizing reforms, making the municipality the primary responsible for the formulation and implementation of social assistance policy; and governments of President Lula, period which originates the Unified System of the Social Assistance, driven by a political agenda that retakes the role of the State in promoting economic and social development. In this period it is possible to observe a new relationship between the government levels in the implementation of social assistance, where there is greater coordination of policy at the federal level, being the municipalities the executors of a policy formulated nationwide. From the analysis it is looking up to contribute with the interpretations that understand the dynamics of the Brazilian Federation as something more complex than commuting movements that alternate periods of centralizing and decentralizing, and furthermore, that these formats do not possess intrinsic qualities. From the methodological point of view, the work starts from the observation of the processes of formulation and implementation of the Assistance in four municipalities of the Metropolitan Region of Porto Alegre: Canoas, São Leopoldo, Alvorada and Viamão in the interregnum from 1994 to 2010.
237

As relações entre esferas de governo na implementação do Programa Minha Casa, Minha Vida: um estudo no município de Teresina-PI

Carvalho, Ana Carolina Nunes 11 August 2014 (has links)
Submitted by Tatiana Lima (tatianasl@ufba.br) on 2015-11-20T20:11:17Z No. of bitstreams: 1 Ana Carolina Nunes, Carvalho.pdf: 3823224 bytes, checksum: 7e2189a2315e8907169e1b5bff7933eb (MD5) / Approved for entry into archive by Tatiana Lima (tatianasl@ufba.br) on 2015-12-01T21:19:17Z (GMT) No. of bitstreams: 1 Ana Carolina Nunes, Carvalho.pdf: 3823224 bytes, checksum: 7e2189a2315e8907169e1b5bff7933eb (MD5) / Made available in DSpace on 2015-12-01T21:19:17Z (GMT). No. of bitstreams: 1 Ana Carolina Nunes, Carvalho.pdf: 3823224 bytes, checksum: 7e2189a2315e8907169e1b5bff7933eb (MD5) / Esta pesquisa tem por objetivo descrever e analisar as relações entre as diferentes esferas de governo da Federação brasileira no processo de implementação do Programa Minha Casa, Minha Vida (PMCMV) no Município de Teresina-PI. Trata-se de uma pesquisa exploratória de natureza qualitativa e adota como estratégia o estudo de caso. Para tanto, realizaram-se entrevistas com informantes-chave, representantes da esfera federal, a Caixa Econômica Federal (CEF); da esfera estadual, a Agência de Desenvolvimento Habitacional do Estado do Piauí (ADH-PI); e da esfera municipal, a Secretaria Municipal do Trabalho, Cidadania e de Assistência Social (SEMTCAS) e a Secretaria Municipal de Desenvolvimento Urbano e Habitação (SEMDUH). Foram também analisados documentos, relatórios expedidos pelas instâncias e a legislação que regulamenta o PMCMV. A abordagem teórica fundamentou-se nos conceitos de federalismo e de relações intergovernamentais, enquanto que, na análise dos dados coletados, utilizou-se a técnica de análise do discurso, buscando compreender os padrões de relações que emergem dos dados, sem preocupação em comparar a modelos e tipologias de relações intergovenamentais observados na literatura. Os resultados da pesquisa atestam que, nas relações entre as esferas federal, estadual e municipal para implementar o PMCMV, no Município de Teresina-PI, ainda que apresentem evidências de desequilíbrio de poder de decisão entre estas esferas, como já apontado na literatura, existe uma certa complementaridade de ações voltadas para a execução do Programa. Os dados revelam que a instância estadual teve uma participação reduzida no processo de implementação do PMCMV, e o Município de Teresina, representado pela SEMTCAS e pela SEMDUH, teve um papel mais relevante, embora a maior cota de poder decisório esteja concentrada na Caixa Econômica Federal, agente financiador e operador do Programa. Os achados ainda revelam que a complementaridade de ações entre as esferas de governo esteve pautada no cumprimento de funções já previamente estabelecidas nas normativas do Programa, embora os constrangimentos observados na relação entre as instâncias de governo tenham decorrido das carências estruturais do próprio Município. Além disso, a configuração da estrutura decisória do PMCMV foi desenhada numa perspectiva menos compartilhada, assumindo um caráter mais vertical e centralizado, com forte indução da esfera federal. Espera-se que os resultados desta pesquisa contribuam para ampliar o conhecimento sobre as relações intergovernamentais estabelecidas para a implementação de políticas públicas de habitação através do PMCMV, no contexto federativo brasileiro. / This research aims to describe and analyze the relations between the different spheres of government of the Brazilian Federation in the implementation process of the Minha Casa, Minha Vida Program (PMCMV) in Teresina-PI. This is an exploratory qualitative research and it adopts the case study strategy. To this end, interviews were conducted with key informants and representatives from the federal sphere, the Federal Savings Bank (CEF); the state sphere, the Housing Development Agency of the State of Piauí (ADH-PI); and municipal sphere, the City Department of Labour, Citizenship and Social Assistance (SEMTCAS) and the Municipal Urban Development and Housing Secretariat (SEMDUH). Documents, reports issued by instances and the legislation governing the PMCMV were also analyzed. The theoretical approach was based on the concepts of federalism and intergovernmental relations, while for the data analysis, the technique of discourse analysis was used and, from the analytical point of view, the concepts of federalism and intergovernmental relations were used as foundation, seeking to understand the patterns of relationships that emerge from the data, without the concern of comparing models and types of intergovernmental relations observed in the literature. The research results show that in the relationship between federal, state and municipal spheres, to implement PMCMV in Teresina-PI, even with evidence of imbalance of power of decision between these spheres, as pointed out in the literature, there is a certain complementarity of actions for the implementation of the Program in the city. The data reveal that the state instance had a limited involvement in the implementation process of PMCMV, and the city of Teresina, represented by SEMTCAS and SEMDUH, had a more important role, although the largest share of decision-making power is concentrated in the CEF, funder and operator of the Program. The findings also reveal that the complementarity of actions between the spheres of government has been guided in the accomplishment of functions which were already established in the regulations of the Program, although the constraints observed in the relationship between the levels of government were the result of structural deficiencies of the municipality itself. Moreover, the configuration of the decision-making structure of the PMCMV was designed in a less shared perspective, assuming a more vertical and centralized character, with strong induction of the federal sphere. It is expected that the results of this research contribute to broaden the knowledge about intergovernmental relations established for the implementation of housing policies through PMCMV, in the Brazilian federal context.
238

Federalismo e regionalização do sistema de saúde: a experiência do estado do Espírito Santo, Brasil / Federalism and regionalization of the health system: the experience of the state of Espirito Santo, Brazil

Marilia Coser Mansur Mesquita 30 April 2010 (has links)
Este estudo analisa o grau de desenvolvimento das políticas de saúde no Espírito Santo no contexto das experiências de regionalização realizadas desde 1990, buscando avaliar a gestão estadual da saúde e as relações intergovernamentais na organização do sistema de saúde de forma regionalizada. Está apoiado em pesquisa baseada em entrevistas com atores-chave do processo e na análise de documentos de gestão e de relatórios das reuniões da Comissão Intergestores Bipartite estadual e Colegiados Intergestores Bipartites Microrregionais. O contexto analisado retrata a situação fiscal e financeira do estado, o marco institucional e a capacidade de atuação própria da Secretaria de Estado da Saúde e, finalmente, a experimentação de diferentes modelos de regionalização no período de análise. O estudo conclui que, para que a regionalização seja fortalecida, os processos de divisão do território devem harmonizar a lógica do setor da saúde e a regionalização de outros setores e instituições. Para tanto, são estabelecidos pontos de partida para uma perspectiva e ação mais integrados / This study examines the degree of development of health policies in the state of Espírito Santo, in the context of regionalization experiences conducted since 1990, seeking to assess the state of health management and intergovernmental relations in the organization of the health system on a regional basis. It is supported by research based on interviews with key actors in the process and analysis of management documents and reports of meetings of the state Comissão Intergestores Bipartite and Colegiados Intergestores Bipartites Microrregionais. The results of the analysis depict the tax situation and financial status of the state, the institutional framework and capacity for action of its own State Department of Health and, finally, the trial of different models of regionalization in the period of analysis. The study concludes that for regionalization to be strengthened, the processes of territorial division should harmonize the logic of the health sector and the regionalization of other sectors and institutions. To this end, there shall be established starting points for a more integrated perspective and action
239

Efeitos das transfer?ncias intergovernamentais sobre as finan?as p?blicas dos munic?pios do Rio Grande do Norte (2001-2010)

Brito, Johnatan Rafael Santana de 06 December 2011 (has links)
Made available in DSpace on 2014-12-17T14:34:43Z (GMT). No. of bitstreams: 1 JohnatanRSB_DISSERT.pdf: 3910794 bytes, checksum: 43d57ca72250e58dc10b9d5c0f6f4a53 (MD5) Previous issue date: 2011-12-06 / The Brazilian tax structure has specific characteristics and the performance level of government. The autonomy given to municipalities to manage their activities after the 1988 Constitution, made them highly dependent on intergovernmental transfers of resources, revealing the fragility of the administrative capacity of these entities. The vertical gap revealed by the constitutional structure of the Brazilian fiscal federalism model contributes to the formation of this specific feature that you are eroding the tax base and the ability of municipal own revenues. Although there was a better regulation of these transfers after the enactment of the Fiscal Responsibility Law, it is observed that the amount of resources transferred to the municipalities of Rio Grande do Norte is very high and is the main source of revenue of municipalities. In light of the theory of federalism and fiscal decentralization, in particular, the theories related to intergovernmental transfers, we seek to diagnose the transfers from the systematization of information on the origin, destination and value. We used the econometric model of System Dynamic Panel GMM in making the diagnosis and verification of the impact of transfers on public finances of the municipalities of the newborn, associated with a review in light of the theory of fiscal federalism and intergovernmental transfers. The paper presents some proposals for the transfer system and the composition of spending in order to contribute to greater tax efficiency / A estrutura fiscal brasileira apresenta caracter?sticas espec?ficas quanto ? atua??o das esferas de governo. A autonomia dada aos munic?pios para a gest?o de suas atividades, ap?s a constitui??o de 1988, os tornou altamente dependentes das transfer?ncias intergovernamentais de recursos, revelando a fragilidade da capacidade administrativa destes entes. A brecha vertical revelada pela estrutura constitucional do modelo de federalismo fiscal brasileiro contribui para a forma??o dessa caracter?stica espec?fica que acaba minando a base tribut?ria municipal e a capacidade de arrecada??o pr?pria. Embora tenha havido uma melhor regulamenta??o dessas transfer?ncias ap?s a promulga??o da Lei de Responsabilidade Fiscal, observa-se que a quantidade de recursos transferidos aos munic?pios do Rio Grande do Norte ? bastante elevada e constitui a principal fonte de receita desses munic?pios. ? luz da teoria do federalismo e descentraliza??o fiscal e, em particular, nas teorias relacionadas com as transfer?ncias intergovernamentais, busca-se diagnosticar as transfer?ncias a partir da sistematiza??o das informa??es quanto ? origem, o valor e o destino. Utilizou-se o modelo econom?trico de Painel Din?mico System GMM na elabora??o do diagn?stico e na verifica??o do impacto dessas transfer?ncias nas finan?as p?blicas dos munic?pios do RN, associado a uma an?lise ? luz da teoria de federalismo fiscal e das transfer?ncias intergovernamentais. O trabalho apresenta algumas proposi??es para o sistema de transfer?ncias e na composi??o dos gastos a fim de contribuir com uma maior efici?ncia fiscal
240

Federalismo e regionalização do sistema de saúde: a experiência do estado do Espírito Santo, Brasil / Federalism and regionalization of the health system: the experience of the state of Espirito Santo, Brazil

Marilia Coser Mansur Mesquita 30 April 2010 (has links)
Este estudo analisa o grau de desenvolvimento das políticas de saúde no Espírito Santo no contexto das experiências de regionalização realizadas desde 1990, buscando avaliar a gestão estadual da saúde e as relações intergovernamentais na organização do sistema de saúde de forma regionalizada. Está apoiado em pesquisa baseada em entrevistas com atores-chave do processo e na análise de documentos de gestão e de relatórios das reuniões da Comissão Intergestores Bipartite estadual e Colegiados Intergestores Bipartites Microrregionais. O contexto analisado retrata a situação fiscal e financeira do estado, o marco institucional e a capacidade de atuação própria da Secretaria de Estado da Saúde e, finalmente, a experimentação de diferentes modelos de regionalização no período de análise. O estudo conclui que, para que a regionalização seja fortalecida, os processos de divisão do território devem harmonizar a lógica do setor da saúde e a regionalização de outros setores e instituições. Para tanto, são estabelecidos pontos de partida para uma perspectiva e ação mais integrados / This study examines the degree of development of health policies in the state of Espírito Santo, in the context of regionalization experiences conducted since 1990, seeking to assess the state of health management and intergovernmental relations in the organization of the health system on a regional basis. It is supported by research based on interviews with key actors in the process and analysis of management documents and reports of meetings of the state Comissão Intergestores Bipartite and Colegiados Intergestores Bipartites Microrregionais. The results of the analysis depict the tax situation and financial status of the state, the institutional framework and capacity for action of its own State Department of Health and, finally, the trial of different models of regionalization in the period of analysis. The study concludes that for regionalization to be strengthened, the processes of territorial division should harmonize the logic of the health sector and the regionalization of other sectors and institutions. To this end, there shall be established starting points for a more integrated perspective and action

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