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Limites da gestão municipal na incorporação de tecnologias: o caso da mamografia na região do Médio Paraíba / The boundaries of the municipaladministration in the incorporation of technologies: the case of mamography in the Middle ParaíbaMarina Fátima de Oliveira Marinho 13 December 2010 (has links)
O trabalho buscou avaliar as dificuldades e limites da gestão municipal na incorporação de serviços de mamografia em sete municípios selecionados na região do Médio Paraíba. Utilizando abordagem metodológica qualiquantitativa, se desenvolveu a partir do levantamento de dados secundários sobre o parque
tecnológico de serviços e a produção de mamografias nos municípios selecionados e da realização de entrevistas semi-estruturadas aplicadas junto aos gestores municipais e aos responsáveis pelos setores de Controle, Avaliação e Auditoria das localidades. A análise das entrevistas identificou sete categorias temáticas principais: (1) o conhecimento do nível local sobre o problema de saúde em tela, onde se pode constatar dificuldades para uma análise mais precisa da situação de saúde relacionada ao câncer de mama nas localidades; (2) o conhecimento dos processos de tomada de decisão, onde se pode perceber que a gestão municipal
esbarra em uma série de dificuldades que impossibilitam, em muitos casos, a incorporação de tecnologias nos serviços próprios, trazendo como única alternativa a compra dos serviços mamográficos; (3) a oferta e acesso aos exames mamográficos, evidenciando precariedade, pois é facilitada somente a porta de
entrada nos serviços de Atenção Básica; (4) a produção dos procedimentos, revelando que, de uma forma geral, os gestores têm se esforçado por cumprir com as metas pactuadas, ainda que o exame das informações disponíveis mostrem que seu alcance encontra-se, via de regra, distante do pretendido; (5) a regulação e monitoramento dos serviços mamográficos, onde pode se perceber a baixa adesão ao Sistema de Regulação nas gestões locais; (6) a satisfação quanto à prestação dos serviços contratados, usualmente avaliadas de forma subjetiva e ancorada tão somente na falta de reclamações; e, por fim, (7) dificuldades na tomada de decisão relativa à incorporação de um serviço mamográfico próprio, que esbarram em
impedimentos políticos, administrativos e financeiros. Pode-se concluir que o estudo permitiu extrair subsídios capazes de contribuir para o conhecimento e reflexão sobre as práticas de incorporação tecnológica e monitoramento dos serviços
mamográficos na região. / The study aimed to evaluate the difficulties and limits of the municipal administration in the incorporation of mammography services in seven selected cities in the Middle Paraíba. Using qualitative-quantitative methodological approach, developed from the data collection side of the park service and the production technology of mammography in selected cities and conducting semi-structured interviews with the managers applied and municipal sectors responsible for monitoring, evaluation and Audit of locations. The analysis of interviews identified seven major themes: (1) knowledge of local health problem on the screen, where you can see difficulties in a more precise analysis of the health situation related to breast
cancer in the localities, (2 ) knowledge of the processes of decision making, where you can see that the municipal administration was hampered by a number of difficulties that make it impossible in many cases, the incorporation of technologies in their own service, bringing only alternative to the purchase of mammography services, ( 3) the supply and access to mammographic studies, showing insecurity, it
is facilitated only port of entry to primary care services, (4) the production procedures, revealing that, in general, managers have been struggling to meet with the agreed targets, in considering the available information shows that their power is as a rule, far from being attained; (5) the regulation and monitoring of mammography services, which can realize low compliance with the Regulatory System the local administrations, (6) satisfaction regarding the provision of contracted services, usually evaluated on a subjective s and anchored solely in the absence of complaints, and, finally, (7) difficulties in making a decision on the incorporation of a
service mammography itself, which runs into political impediments, administrative and financial. It can be concluded that the study allowed to extract subsidies can contribute to knowledge and reflection on practices in technological and monitoring of mammography services in the region.
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Gestão Ambiental e destinação final de resíduos sólidos urbanos no município de Miguel Pereira - RJ: um estudo de caso / Environmental management and urban solid waste destination in the contry of Miguel Pereira - RJ: a case studyMarian Arias Villares 31 March 2009 (has links)
A presente dissertação visa analisar a gestão ambiental municipal de Miguel Pereira, com ênfase no caso da implantação do aterro sanitário municipal. Para tal foram realizadas pesquisas bibliográficas, eletrônicas e documentais, assim como entrevistas com os principais envolvidos no processo da gestão ambiental e dos resíduos sólidos no município de Miguel Pereira. Inicialmente foi realizada uma revisão bibliográfica com os conceitos das principais questões relativas a políticas e gestão públicas e políticas ambientais. São apresentados, além desses conceitos, um histórico da temática ambiental, incluindo a criação do conceito de desenvolvimento sustentável e uma abordagem mais específica do gerenciamento de resíduos sólidos. O estudo de caso realizado no município de Miguel Pereira constou de uma visita de campo e entrevistas realizadas, respectivamente, em maio de 2008 e fevereiro de 2009. Foi também realizada uma análise e uma síntese da tomada de preços realizada para o novo aterro sanitário e do Relatório Ambiental Simplificado apresentado para o processo de licenciamento ambiental desse serviço. Concluiu-se que o município de Miguel Pereira não possui um sistema de gestão ambiental e que a recém-formação da Secretaria Municipal de Meio Ambiente de Miguel Pereira deve ser analisada como uma oportunidade para a criação das diretrizes ambientais municipais. / The following dissertation aims to analyze the environmental municipal management of Miguel Pereira, emphasizing the case of the implementation of the municipal landfill. Bibliographic, electronic and documental researches were performed, so as interviews with the mains characters involved on the process of the environmental management and of the solid waste in the Miguel Pereiras county. Initially it was performed a bibliographic revision with the concepts of the main questions related to policies and public management and environmental policies. Are presented, besides this concepts, an historical of the environmental thematic, including the creation of the concept of sustainable development and an approach more specific of the solid waste management. The case study performed in the county of Miguel Pereira consisted in a field visit and interviews performed, respectively, in May 2008 and February 2009. It was also performed an analysis and a synthesis of the bidding performed for the new landfill and of the Environmental Report presented to the environmental licensing process of the activities. It was concluded that the Miguel Pereiras county doesnt have an environmental management system and that the new formation of the Miguel Pereira Environmental Municipal Secretariat should be analyzed as an opportunity for the creation of environmental municipal guidelines.
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Limites da gestão municipal na incorporação de tecnologias: o caso da mamografia na região do Médio Paraíba / The boundaries of the municipaladministration in the incorporation of technologies: the case of mamography in the Middle ParaíbaMarina Fátima de Oliveira Marinho 13 December 2010 (has links)
O trabalho buscou avaliar as dificuldades e limites da gestão municipal na incorporação de serviços de mamografia em sete municípios selecionados na região do Médio Paraíba. Utilizando abordagem metodológica qualiquantitativa, se desenvolveu a partir do levantamento de dados secundários sobre o parque
tecnológico de serviços e a produção de mamografias nos municípios selecionados e da realização de entrevistas semi-estruturadas aplicadas junto aos gestores municipais e aos responsáveis pelos setores de Controle, Avaliação e Auditoria das localidades. A análise das entrevistas identificou sete categorias temáticas principais: (1) o conhecimento do nível local sobre o problema de saúde em tela, onde se pode constatar dificuldades para uma análise mais precisa da situação de saúde relacionada ao câncer de mama nas localidades; (2) o conhecimento dos processos de tomada de decisão, onde se pode perceber que a gestão municipal
esbarra em uma série de dificuldades que impossibilitam, em muitos casos, a incorporação de tecnologias nos serviços próprios, trazendo como única alternativa a compra dos serviços mamográficos; (3) a oferta e acesso aos exames mamográficos, evidenciando precariedade, pois é facilitada somente a porta de
entrada nos serviços de Atenção Básica; (4) a produção dos procedimentos, revelando que, de uma forma geral, os gestores têm se esforçado por cumprir com as metas pactuadas, ainda que o exame das informações disponíveis mostrem que seu alcance encontra-se, via de regra, distante do pretendido; (5) a regulação e monitoramento dos serviços mamográficos, onde pode se perceber a baixa adesão ao Sistema de Regulação nas gestões locais; (6) a satisfação quanto à prestação dos serviços contratados, usualmente avaliadas de forma subjetiva e ancorada tão somente na falta de reclamações; e, por fim, (7) dificuldades na tomada de decisão relativa à incorporação de um serviço mamográfico próprio, que esbarram em
impedimentos políticos, administrativos e financeiros. Pode-se concluir que o estudo permitiu extrair subsídios capazes de contribuir para o conhecimento e reflexão sobre as práticas de incorporação tecnológica e monitoramento dos serviços
mamográficos na região. / The study aimed to evaluate the difficulties and limits of the municipal administration in the incorporation of mammography services in seven selected cities in the Middle Paraíba. Using qualitative-quantitative methodological approach, developed from the data collection side of the park service and the production technology of mammography in selected cities and conducting semi-structured interviews with the managers applied and municipal sectors responsible for monitoring, evaluation and Audit of locations. The analysis of interviews identified seven major themes: (1) knowledge of local health problem on the screen, where you can see difficulties in a more precise analysis of the health situation related to breast
cancer in the localities, (2 ) knowledge of the processes of decision making, where you can see that the municipal administration was hampered by a number of difficulties that make it impossible in many cases, the incorporation of technologies in their own service, bringing only alternative to the purchase of mammography services, ( 3) the supply and access to mammographic studies, showing insecurity, it
is facilitated only port of entry to primary care services, (4) the production procedures, revealing that, in general, managers have been struggling to meet with the agreed targets, in considering the available information shows that their power is as a rule, far from being attained; (5) the regulation and monitoring of mammography services, which can realize low compliance with the Regulatory System the local administrations, (6) satisfaction regarding the provision of contracted services, usually evaluated on a subjective s and anchored solely in the absence of complaints, and, finally, (7) difficulties in making a decision on the incorporation of a
service mammography itself, which runs into political impediments, administrative and financial. It can be concluded that the study allowed to extract subsidies can contribute to knowledge and reflection on practices in technological and monitoring of mammography services in the region.
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Optimalizace financování Žďáru nad Sázavou / Optimalization of Municipality FinancingŠtursová, Klára January 2012 (has links)
The goal of my dissertation, on the theme financing optimization, is to find out the needs of dwellers in town Žďár nad Sázavou. On the basis of my results I will suggest new financing solutions according to town budget expenditure. Partial target is to analyse income and expenditure budget of Žďár nad Sázavou and its fulfilment. My dissertation is divided into three parts theoretical, analytical and practical. The first part specifies crucial terms and principles related to studied points at issue. In the second part is analysed financial management for the past five years. In the last part are suggested solutions for separated activities in Žďár nad Sázavou according to questionnaire survey. Conclusion consists of synthesis and final summaries of detected information and deficits in financial management in Žďár nad Sázavou.
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Analysis of government compliance in the provision of water and sanitation to rural communities: a case study of Lepelle Nkumpi local municipality, Limpopo provinceMothapo, Raesibe Anna January 2020 (has links)
Masters in Public Administration - MPA / A persistent challenge facing especially post-apartheid South African rural municipalities is
service delivery compliance. Under the guise of scarcity, rural municipalities repeatedly do not
comply with legislation, policies and guidelines for the provision of drinking water and basic
sanitation services for the poor. Yet, such challenges concern equity, justice and fairness to
social policy and seriously impact the sustainability of livelihood of millions of rural
households. The main objective of this study is to analyse the extent to which Lepelle Nkumpi
Local Municipality has complied with or deviated from specific policies and legislation
governing the provision of water and sanitation services at the Gedroogte, Ga Molapo and
Magatle (in Zebediela) rural communities and the response of communities. The study was
also intended to determine the extent to which water challenges affect the livelihood of the
people in the communities. It highlights the refugee-like conditions that millions of South
African citizens experience despite official statistics that claim that 86% of the country has
access to potable water. A mixed methods design was used for this analysis. The qualitative
methods that are used in the study include use of in-depth interviews, site visits, personal stories
and the Municipal Integrated Development Programme (IDP). Participatory mapping of water
sources; story-telling about water issues; timelines and trend lines by focus group members;
transect walks and 7 key informant interviews were used to collect data. A total of 657
quantitative interviews were conducted in three communities. Service delivery compliance has
been grossly ineffective and inefficient in Lepelle Nkumpi Local Municipality, especially in the
Gedroogte, Ga Molapo and Magatle rural communities. The findings were that these rural
communities still depend on state-owned boreholes for accessing drinking water, which are
regularly broken and/or in disrepair. Sanitation service provision in the rural communities does
not comply with the approved policy of providing ventilated improved pit (VIP) toilets. New
settlements have increased the demand for clean water. Shortages of staff with relevant skills
such as management, technicians, and administrators are one of the main reasons why there is
a scarce supply of drinking water and basic sanitation services at the Gedroogte, Ga Molapo
and Magatle communities. Inaccessibility to nearby treatment plants for waste disposal services
(situation per community) and inaccessible disposal facilities and the use of disposal sites also
affect the health conditions of community members within the Lepelle Nkumpi Local
Municipality.
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För- och nackdelar med distansarbete : En kvalitativ fallstudie på en svensk kommunledningsförvaltning / Advantages and disadvantages of teleworking : A qualitative case study of a Swedish municipal management administrationAlkemark, Anton, Manhem, Karl January 2022 (has links)
Covid-19 pandemin skapade en global hälsokris med svåra konsekvenser för företag och arbetare runt om i världen. I Sverige gav Folkhälsomyndigheten ut allmänna restriktioner som skulle följas i syfte om att begränsa smittspridningen av Covid-19. Konsekvenserna resulterade i att många företag och organisationer blev påtvingade till att arbeta på distans och då blev det inte längre ett alternativ att genomföra arbetet fysiskt på arbetsplatsen längre utan distansarbete blev den enda lösningen. Tidigare forskning presenterar att det har varit en stor och krävande omställning för flera företag runt om i världen att övergå från fysiskt arbete på plats till distansarbete. Vidare framkommer det att olika företag har olika förutsättningar för att kunna bedriva och utföra distansarbete. Studiens syfte var att undersöka vad personalen anser om att bedriva distansarbete inom en kommunledningsförvaltning. Syftet besvarades genom att undersöka vilka för- och nackdelar som personalen upplever att det finns med att utföra distansarbete inom en kommunledningsförvaltning. Semistrukturerade intervjuer har varit studiens tillvägagångssätt för datainsamling. Intervjufrågorna utformades utifrån studiens tidigare forskning och litteraturstudie. Totalt har fyra intervjuer genomförts på kommunledningsförvaltningen på en kommun i södra Sverige. Det empiriska materialet analyserades utifrån Jacobsens analysprocess av kvalitativa data som innefattar fyra olika steg. Därefter jämfördes det empiriska materialet med litteraturstudien för att efterlysa samband mellan studien och tidigare forskning. Efter att analyseringsprocessen av det insamlade resultatet var sammanställt hade fyra fördelar och tre nackdelar identifierats med att genomföra distansarbete på en kommunledningsförvaltning. De fyra fördelar som identifierades var: ökad flexibilitet, ökad produktivitet, effektivare möten och att medarbetarna slipper pendling. De tre nackdelar som identifierades var: ingen anpassad arbetsmiljö, sämre kvalité på möten och svårt att förhålla sig till arbetstider. / The Covid-19 pandemic created a global health crisis with severe consequences for companies and workers around the world. In Sweden, the Swedish Public Health Agency issued general restrictions that were to be followed in order to limit the spread of Covid-19. The consequences resulted in that many companies and organizations has forced to telework and it was no longer an option to carry out the work physically at the workplace anymore and telework became the only solution. Previous research shows that it has been a large and demanding transition for many companies around the world to switch from physical work at the workplace to telework. Furthermore, it appears that different companies have different conditions for being able to conduct and perform telework. The purpose of the study was to investigate what the staff thinks about conducting telework within a municipal management administration. The purpose was answered by examining the advantages and disadvantages that the staff feel there is in carrying out telework within a municipal management administration. Semi-structured interviews have been the study's approach to data collection. The interview questions were designed and based on the study's previous research and literature study. A total of four interviews were conducted at the municipal management administration in a municipality in southern Sweden. The empirical material was analysed and based on Jacobsen's analysis process of qualitative data that includes four different steps. The empirical material was then compared with the literature study to call for a connection between the study and previous research. After the analysis process of the collected result was compiled, four advantages and three disadvantages had been identified with carrying out telework at a municipal management administration. The four advantages that were identified was: increased flexibility, increased productivity, more efficient meetings and that employees avoid commuting. The three disadvantages that were identified was: no adapted work environment, poorer attitude at meetings and difficulty in relating to working hours.
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Gestión local participativa para la seguridad ciudadana en la municipalidad distrital de Santa RosaAdrianzen Silva, Omar Heysen January 2024 (has links)
Esta investigación tiene como objetivo proponer un plan de gestión local participativa para mejorar la seguridad ciudadana local en Santa Rosa. Se utilizó un enfoque de naturaleza cualitativa de tipo de caso de estudio, debido a que no existen investigaciones locales sobre la variable estudiada. Primero se elaboró un cuestionario para estudiar los factores de análisis, que fueron: gestión local municipal, ciudadanía y acciones de redes los cuales se usaron para desarrollar una entrevista semiestructurada, donde cuenta con 13 preguntas de acuerdo con los tres factores de análisis previamente determinados. Se tomó como muestras a los actores claves que fueron: alcalde distrital, subprefecto, representante de las rondas campesinas, coordinador de las juntas vecinales, comisario distrital, jefe de seguridad ciudadana y cinco ciudadanos del distrito de Santa Rosa. Los resultados mostraron que la inseguridad ciudadana se vio afectada en mayor porcentaje por la violencia familiar, violencia contra la mujer y los robos debido a la falta de políticas de seguridad por parte de la municipalidad a los ciudadanos. Asimismo, se evidencio la falta de participación de los ciudadanos en las mesas de diálogo y en la elaboración del plan de acción. Los pobladores percibieron que la falta de convenios, alianzas y apoyo logístico debilita el trabajo de patrullaje integrado en la lucha contra la inseguridad en todo el distrito. Se ha propuesto un plan de gestión participativa con el fin de reducir este flagelo que afecta la convivencia social entre las familias del distrito de Santa Rosa. / This research aims to propose a participatory local management plan to improve local citizen security in Santa Rosa. An exploratory-type qualitative approach was used, since there are no local investigations on the variable studied. In the first place, a questionnaire was developed to study the analysis factors, which were: local municipal management, citizenship and network actions, which were used to develop a semi-structured interview, where it consists of 13 questions according to the three factors previously determined. Key actors were sampled: district mayor, sub-prefect, representative of the peasant rounds, coordinator of neighborhood councils, district commissioner, head of citizen security, and five citizens of the Santa Rosa district. The results show that citizen insecurity was affected in a higher percentage by family violence, violence against women and robberies due to the lack of security policies by the municipality for citizens. Likewise, there is evidence of the lack of citizen participation in the dialogue tables and in the preparation of the action plan. Neighbors perceived that the lack of agreements, alliances and logistical support weakens the patrol work integrated in the fight against insecurity throughout the district. A participatory management plan has been proposed to reduce this scourge that affects social coexistence among families in the Santa Rosa district.
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Identifying trends and relationships between key performance indicators to aid municipal mangement and decision makingSchoeman, Stephanus Johannes 12 1900 (has links)
Thesis (MScEng)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: South African municipalities are under pressure to improve the current state of the water andwastewater
service delivery industry. Knowing that there exists a need for improvement within the municipal
water and wastewater industry, the Department of Water Affairs (DWA) launched a municipal
strategic self-assessment (MuSSA) initiative to evaluate the business health of the industry. MuSSA
asks high level technical management staff five key questions about sixteen key business attribute areas.
This study seeks to determine if theMuSSA data can be used to aid municipal decision making,
by way of drawing correlations between key performance indicators contained in the MuSSA questions.
The correlations are to bring forth areas thatmust be focussed on to improve selected attribute
areas requiring attention within municipalities. Three areas have been chosen from theMuSSA data
to be investigated in this research project namely; (i)staff skill levels and capacity, (ii)non-revenue
water and (iii)the execution of planned water services activities.
In the MuSSA questionnaire there are questions addressing each of (i), (ii) and (iii) to determine
the municipality’s performance in each of the three areas. Non-parametric statistics are used to determine
with which of the MuSSA questions’ answers the relevant questions’ answers significantly
correlate for (i), (ii) and (iii). Engineering judgement and expert opinion are used to determine if the
questions correlating with the relevant questions for (i), (ii) and (iii) either affect, are affected by or
have no relation with the question. These results are then organized using a flow diagram and are
discussed in detail by way of a bivariate histogramof each correlation. The investigation revealed that municipalities not having sufficient technical management capacity
are not performing well on at least one of the five questions asked on eleven of the sixteen
MuSSA business attributes. The skill level of water and wastewater treatment works staff were found
to be strongly affected by technical management capacity and skill, water services planning and financial
sustainability of the organization. Municipalities training technical management and operational
staff showed a high percentage of skilled operational staff employed at treatment works. Water
and wastewater treatment works staff capacity are very dependent of the level of skill and capacity
of technical management employed by the municipality. Municipalities having appropriate budgets
and funding to appoint and train staff showed a tendency to be better at operational staff capacity
building than those lacking funding.
The reduction of non-revenue water (NRW) showed strong correlations with technical management
and network operational repair staff skills and development. Municipalities employing staff
with correct skills and experience combined, with commitment from management to reduce NRW by way of monitoring and practicing of pressuremanagement programs, significantly reduced NRW
percentages. Equally crucial to the reduction of NRW, as revealed from the investigation, is the practicing
of infrastructure asset management within the municipality. It was concluded that municipalities
should strive to reach a NRW percentage of 30% or less to become financially stable, due
to correlation between funding of routine operations and building up of cash reserve versus NRW
percentages.
Municipalities wanting to improve the execution rate of planned water services activities are recommended
to address, among other factors, technical management skill levels and capacity. Municipalities
lacking technical management skill and capacity reported a low percentages of planned
activities being executed. Also of high significance, is the technical operational staff skill levels and
capacity, due to their involvement in the execution of planned activates. The involvement of council
members in water and wastewater planning and the reporting of data and issues to council greatly
enhancesmunicipalities’ abilities to execute planned activities. This can mainly be contributed to increased
funding in situations where council members support planned projects. The lack of funding
was found to be a major inhibitor of the execution of planned activities. Even though a great deal of
municipalities indicated that they are effectively spending allocated budgets, this positive indication
is not seen in the percentage municipalities executing planned activities and leads to the conclusion
that there is a lack of funding. Municipalities taking actions in other areas of their business such as
infrastructure assetmanagement and planning were more effective at executing planned activities.
In all, it was concluded that technicalmanagement and operational staff skill levels and capacity
need to be present for amunicipality to function properly. Municipalities also are in need of funding
to execute planned activities and need to become financially self sustainable. One way of working
towards the goal of financial self sustainability is the reduction of NRW percentages. The data
from this investigation shows great similarity with the literature consulted on the current state and functioning of South African municipalities. The statistical analysis of the MuSSA data accurately
revealed correlations among key performance indicators in municipalities. The conclusion can be
drawn that investigation of correlations amongMuSSA questions can be used to help aid municipal
decision making. / AFRIKAANSE OPSOMMING: Suid-Afrikaanse munisipaliteite is onder druk om die huidige toestand van die water en afvalwater
dienslewering te verbeter. Met die wete dat daar ’n behoefte vir verbetering in die munisipale water
en afvalwater bedryf is het dieDepartement vanWaterwese ’n munisipale strategiese self-assessering
(MuSSA) projekte geïnisieer omdie welstand van die bedryf te evalueer. MuSSA vra hoë vlak tegniese
bestuurs personeel vyf kern vrae oor sestien sleutel besigheids aspekte. Hierdie studie poogomvas te
stel of dieMuSSA data gebruik kan word om munisipale besluitneming te help verbeter, deur middel
van die evaluering van korrelasies tussen die sleutel prestasie aanwysers soos vervat in MuSSA vrae.
Die korrelasies bring na vore gebiede waar op gefokus moet word om geselekteerde kenmerk areas
binne munisipaliteite, wat aandag vereis, te verbeter. Drie areas uit die MuSSA-data is ondersoek in
hierdie navorsings projek naamlik; (i) personeel vaardigheidsvlakke en kapasiteit, (ii) nie-inkomste
water en (iii) die uitvoering van die beplande waterdienste aktiwiteite.
In die MuSSA vraelys is daar vrae wat elk van (i), (ii) en (iii) aanspreek om die munisipaliteit se
prestasie op die drie gebiede te monitor. Nie-parametriese statistiek word gebruik om die oorblywendeMuSSA
vrae wat se antwoorde met die relevante vrae se antwoorde korreleer vir (i), (ii) en (iii)
vas te stel. Kundigheid en oordeel van ingenieurs word gebruik om te bepaal of die vrae wat korreleer
met die relevante vrae vir (i), (ii) en (iii) die relevante vraag beïnvloed, beïnvloed word deur
die relevante vraag of geen verhouding het met die relevante vraag nie. Hierdie resultate word dan
georganiseer met behulp van ’n vloeidiagram en word in detail bespreek deur middel van ’n tweeveranderlike
histogram van elke korrelasie. Die ondersoek het aan die lig gebring dat munisipaliteite wat nie genoegsame tegniese bestuurs
kapasiteit het nie swak presteer op ten minste een van die vyf vrae van elf van die sestienMuSSA besigheid
eienskappe. Die personeel vaardigheidsvlakke van water en afvalwater behandelings werke
word sterk beïnvloed deur die tegniese bestuurskapasiteit en -vaardigheid, waterdienste beplanning
en die finansiële volhoubaarheid van die organisasie. Munisipaliteite wat opleiding van tegniese
bestuur en operasionele personeel uitvoer het ’n hoë persentasie van opgeleide operasionele personeel
werksaam by suiweringswerke. Water en afvalwater behandelingswerke se personeelkapasiteit
is baie afhanklik van die vlak van vaardigheid en kapasiteit van tegniese bestuur in diens van
die munisipaliteit. Munisipaliteite met toepaslike begrotings en befondsing om personeel aan te stel
en op te lei het ’n neiging om beter te presteer met kapasiteitsbou van operasionele personeel as die
wat aan ’n gebrek ly van befondsing.
Die vermindering van nie-inkomste water (NRW) het sterk korrelasies met tegniese bestuur en netwerkherstel personeelvaardighede en ontwikkeling. Munisipaliteite wat personeel met die korrekte
vaardighede en ervaring in diens het, gekombineer met bestuur wat dit nastreef om NRW te
verminder by wyse van monitering en uitvoering van druk beheer in water netwerke het aansienlik
kleiner NRWpersentasies. Ewe noodsaaklik vir die vermindering van NRW, soos geopenbaar deur
die ondersoek is die beoefening van interne infrastruktuur batebestuur deur diemunisipaliteit. Daar
is tot die gevolgtrekking gekom dat munisipaliteite daarna moet streef om ’n NRW persentasie van
30% of minder te bereik om finansieel stabiel te word, as gevolg van die korrelasie tussen befondsing
van roetine bedrywighede en die opbou van kontant reserwe teenoor NRWpersentasies.
Munisipaliteitewat die uitvoeringskoers van beplande waterdienste aktiwiteitewil verbeter, word
aanbeveel om onder andere, tegniese bestuurs vaardigheids vlakke en kapasiteit aan te spreek. Munisipaliteite
wat nie tegniese bestuursvaardigheid en -kapasiteit het nie, berig dat ’n lae persentasie
van beplande aktiwiteite uitgevoer word. Die tegniese operasionele personeel vaardigheidsvlakke
en kapasiteit, as gevolg van hul betrokkenheid in die uitvoering van beplande aktiwiteite is ook van
groot belang. Die betrokkenheid van lede van die raad by water en afvalwater beplanning en die rapportering
van data en kwessies aan die raad verhoog baiemunisipaliteite se vermoëns om beplande
aktiwiteite uit te voer. Dit kan hoofsaaklik toegeskryf word aan verhoogde befondsing in situasies
waar raadslede beplande projekte ondersteun. Dit is gevind dat die gebrek aan befondsing ’n groot
inhibeerder van die uitvoering van beplande aktiwiteite is. Alhoewel ’n meerderheid van die munisipaliteite
aangedui het dat hulle begrotings effektief spandeer, word dit egter nie weerspieël in die
persentasie munisipaliteite wat beplande aktiwiteite uivoer nie en lei dit tot die gevolgtrekking dat
daar n gebrek aan befondsing is. Munisipaliteite wat klem lê op ander gebiede van hul besigheid
soos, infrastruktuur batebestuur en beplanning was meer effektief met die uitvoering van die beplande
aktiwiteite. Daar is tot die gevolgtrekking gekom dat tegniese bestuur en operasionele personeel vaardigheidsvlakke
en kapasiteit noodsaaklik is vir ’n munisipaliteit om behoorlik te funksioneer. Daar is ook
’n behoefte aan befondsing by munisipaliteite om beplande aktiwiteite uit te voer en munisipaliteite
moet finansieel onafhanklik en lewensvatbaar word. Een manier om te werk te gaan om finansiële
self volhoubaarheid te bereik, is die vermindering van NRW persentasies. Die data van hierdie ondersoek
toon groot ooreenkomste met die literatuur wat geraadpleeg is oor die huidige stand en
funksionering van Suid-Afrikaanse munisipaliteite. Die statistiese analise van die MuSSA data het
akkurate korrelasies geopenbaar tussen die sleutel prestasie-aanwysers inmunisipaliteite. Die gevolgtrekking
kan gemaak word dat die ondersoek in terme van die korrelasie tussen MuSSA vrae gebruik
kan word om munisipale besluitneming te help verbeter.
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A meta-avaliação como instrumento para a qualificação da avaliação de políticas públicas de saúde / Meta-evaluation as a tool for the improvement of public health policies evaluationAlmeida, Cristiane Andréa Locatelli de 07 March 2016 (has links)
Trata-se da meta-avaliação de um processo avaliativo desenvolvido por secretários e assessores técnicos municipais de uma região de saúde do estado de São Paulo, com foco nos critérios de utilidade e participação. É uma pesquisa qualitativa, cuja base empírica foi 1) o material produzido em sete oficinas realizadas com os representantes municipais, com vistas à avaliação de um aspecto da linha de cuidados em saúde sob a ótica da integralidade; e 2) as entrevistas semiestruturadas realizadas com os mesmos atores após a finalização do processo avaliativo. Para a avaliação do critério de utilidade, utilizou-se principalmente o referencial de KIRKHART (2000), com o objetivo de ampliar a análise para além do uso instrumental dos achados avaliativos e focá-la na identificação de influências múltiplas exercidas por um fenômeno complexo como um processo avaliativo. A análise do critério participação se deu com base no referencial de COUSINS e WHITMORE (1998), buscando a identificação no material empírico de decisões ou aspectos contextuais que fizeram com que a opção participativa fosse aprofundada ou limitada no processo em foco. O trabalho destaca a importância de explicitar pressupostos que baseiam a metodologia da avaliação/ meta-avaliação escolhida, e a necessidade de se buscar referenciais teóricos de análise compatíveis com a opção realizada, frisando a inexistência de posturas neutras ou estudos totalmente objetivos; e a importância de capacitar avaliadores a acompanharem a demanda dos participantes de um processo participativo com a flexibilidade necessária para conferir-lhe o maior aproveitamento possível. Conclui-se pela viabilidade, com vantagens, da realização de processos participativos locais com gestores na Saúde Pública, destacando a possibilidade de ganhos em formação e o enriquecimento dos processos de negociação em nível do território, de forma coerente à política de construção das regiões de saúde no SUS. / This study aims to meta-evaluate an evaluation process developed by policymakers and technical advisors of a Health Region of Sao Paulo, centering on criteria of utility and participation. It analyzes the feasibility and possible benefits of using a participatory methodology in Public Health evaluations, highlighting aspects that facilitate and hinder this undertaking. It is a qualitative research, which empirical basis was 1) the material produced in seven workshops with municipal representatives, aiming the evaluation of an aspect of health care from the perspective of integrity; and 2) semi-structured interviews with the same actors after completion of the evaluation process. KIRKHART´s theoretical framework (2000) was used to evaluate the utility criterion, in order to expand the analysis beyond the instrumental use of the evaluation findings, and focus it in identifying multiple influences exerted by a complex phenomenon as an evaluation process. The evaluation criterion of participation was based on references of COUSINS e WHITMORE (1998), aiming to identify decisions or contextual aspects in the empirical material that made participatory option limited or depth in the focused process. The work highlights the need to seek theoretical frameworks of analysis consistent with the methodological choice carried out in order to enhance the identification of evaluation gains and limitations, and enable evaluators to monitor the demand of participants in the evaluation process with flexibility to reach its best use, even in those cases where there are limitations on the possibilities of participation. The results confirmed the viability, with advantages, of holding local participatory processes with policymakers and managers in Public Health, highlighting the possibility of gains in education and the enrichment of the negotiation process in the territory level, consistent with the policy of building health regions in SUS.
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Desafios para a consolidação da NOB-RH/SUAS em municípios do Estado de São Paulo: a visão dos gestores / Challenges for the consolidation of the NOB-RH in cities of São Paulo State: the view of managersOrtolani, Flávia Bortoleto 31 May 2011 (has links)
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Previous issue date: 2011-05-31 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study discusses the knowledge and understanding of the city managers about the
NOB-SUAS/RH, as well about the difficulties and challenges encountered in the execution of
the guidelines in the management of social assistence work at the municipal level. From the V
National Conference on Social Welfare (2005), when it is approved the resolution on the
NOB-RH, a human resources policy is now considered one of the main principles in the
SUAS, along with decentralization, financing and social control. The improvement of
working conditions enters in the agenda for discussion as a strategic issue for qualifying
services socioassistenciais and for effectuation of SUAS. In this sense, the premise that
guided this study was that the approval and publication of a document that sets directives for
the establishment and management of teams of reference for the deployment of ITS represent
a great advance and a first step to promote changes structuring but its realization requires a
conjunction of efforts that must be performed and correspond to the current challenge. To
understand these dynamics we consider the historical context, political and economic that
historically influence and continues directly influencing the institutionalization of social
assistance as a public policy of rights. The territorial dimension of this study favored the
administrative region of the Regional Office of Social Assistance of Piracicaba, composed of
27 cities of São Paulo. For quantitative research, we applied questionnaires to all the cities
that are part of the coverage area. In turn to qualitative research, we used an intentional
sample, electing the directors of municipal social assistance policy from four cities of
different sizes and levels of management, seeking to include a heterogeneous sample that
would allow to verify to what extent they resemble the difficulties and the challenges faced by
each of these managers. The obtained results in this investigative trajectory show that the
efforts for the effecting of directives contained in the NOB-RH/Suas in the cities researched
are still very incipient. The effective of these directives in NOB-RH/Suas is not an exclusive
responsibility limited of cities and municipal managers of social assistance policy since its
implementation depends on a combination of political efforts, financial and institutional
capacities of each level of government, in view of the shared management of social assistance
policy / Este estudo busca discutir o conhecimento e a compreensão dos gestores municipais sobre a
Norma Operacional Básica de Recursos Humanos (NOB-RH/Suas), bem como sobre as
dificuldades e os desafios encontrados na efetivação das diretrizes na gestão do trabalho da
assistência social em âmbito municipal. A partir da V Conferência Nacional de Assistência
Social (2005), quando é aprovada a deliberação relativa à NOB-RH/Suas, a política de
recursos humanos passa a ser considerada um dos eixos estruturantes do Sistema Único da
Assistência Social (Suas), ao lado da descentralização, do financiamento, e do controle social.
A melhoria das condições de trabalho entra na pauta das discussões como uma estratégia para
a qualificação dos serviços socioassistenciais e efetivação do Suas. Nesse sentido, a premissa
que norteou este estudo foi a de que a aprovação e publicação de um documento que define
diretrizes para a constituição e gestão das equipes de referência para a implantação do Suas
representam um grande avanço e o primeiro passo para impulsionar mudanças estruturantes,
porém, a sua efetivação exige uma conjunção de esforços que precisam ser realizados e
correspondem ao desafio atual. Para compreender essa dinâmica, consideramos os contextos
histórico, político e econômico que influenciaram e continuam influenciando diretamente a
institucionalização da assistência social como política pública de direitos. A dimensão
territorial deste estudo privilegiou a região administrativa da Diretoria Regional de
Assistência Social (Drads) de Piracicaba, composta por 27 municípios do Estado de São
Paulo. Para a pesquisa quantitativa, foram aplicados questionários para todos os municípios
contidos nesta área de abrangência. Por sua vez, para a pesquisa qualitativa, utilizou-se uma
amostra intencional, elegendo os gestores municipais da política de assistência social de
quatro municípios, de diferentes portes e níveis de gestão, de forma a contemplar uma
amostra heterogênea que possibilitasse verificar em que medida se assemelham as
dificuldades e os desafios encontrados por esses gestores. Os resultados obtidos no percurso
investigativo revelam que os esforços para a efetivação das diretrizes contidas na NOBRH/
Suas nos municípios pesquisados ainda são muito incipientes. A efetivação das diretrizes
contidas na NOB-RH/Suas não é responsabilidade exclusiva dos municípios e dos gestores
municipais da política de assistência social, pois sua concretização depende da conjunção de
esforços políticos, financeiros e institucionais de cada uma das esferas de governo, na
perspectiva da gestão compartilhada da política de assistência social
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