As diretrizes do Sistema Ãnico de SaÃde apresentam o municÃpio como
unidade administrativa bÃsica de sua operacionalizaÃÃo. A SecretÃria de SaÃde
do MunicÃpio de Fortaleza vem, desde 1984, direcionando a organizaÃÃo dos seus
serviÃos de saÃde em Distritos SanitÃrios na perspectiva do Sistema Ãnico de
SaÃde. No perÃodo compreendido entre os anos de 1983 e 1994 ocorreram
avanÃos na organizaÃÃo e municipalizaÃÃo dos serviÃos de saÃde desse
municÃpio. A anÃlise da evoluÃÃo organizacional da Secretaria de SaÃde do
MunicÃpio de Fortaleza, com Ãnfase nesse perÃodo, tem como base leis, decretos,
planos de governo, relatÃrios de atividades e entrevistas com os SecretÃrios
Municipais de SaÃde. A pesquisa està estruturada em trÃs capÃtulos: retrospectiva
das polÃticas de saÃde no Brasil desde o inÃcio do sÃculo atà a atualidade para
contextualizar a anÃlise; evoluÃÃo organizacional dessa Secretaria desde a sua
criaÃÃo atà o ano de 1983 como referÃncia para o perÃodo em estudo; anÃlise da
evoluÃÃo organizacional do perÃodo 1983/1994; e consideraÃÃes sobre os
avanÃos organizacionais da InstituiÃÃo. / The guidelines and policies of the BASIC HEALTH SYSTEM in Brazil, introduces
each county as na administrative UNIT, which also represents the basis for the
implementation and operational functioning of the system itself. Since 1984, the
Cityâs Health Department in Fortaleza, Brazil, has been directing the organization
of all health services oftered according to the model of the BASIC HEALTH
SYSTEM, and there fore administening the delivery of seervices on the basis of
HEALTH DISTRICTS. In the period between the years of 1983 and 1984,
significant advancements have occured, in the organization and process of local
public health service delivery, adjusting to the model of BASIC HEALTH UNITS.
The present paper, analyzes the organizational development of the local public
Health Department, os the city of Fortaleza, focusing on the above mentioned
period, and based upon laws, local government plans and policies, published
annual health department activities reports, and interviews with local Secretary of
Health officials. This research report is structured is there major chapters: 1) a
retrospective survey on major public health policies and political plans, adopted in
Brasil, since the beginning of this century, to set up the bacground for the present
analysis 2) the organizational development, of the local Healt Department in
Fortaleza, since its onset up to the year of 1983, as a reference to the period
focused on this study 3) the analysis of the organizational development observed
within the period from 1983 to 1994. Finally, some conclusive considerations are
made, on the major organizational advancements in this public institution.
| Identifer | oai:union.ndltd.org:IBICT/oai:www.teses.ufc.br:7225 |
| Date | 09 October 1997 |
| Creators | Maria Vaudelice Mota |
| Contributors | Ricardo Josà Soares Pontes, Maria Juraci Maia Cavalcante, Josà Jackson Coelho Sampaio |
| Publisher | Universidade Federal do CearÃ, Programa de PÃs-GraduaÃÃo em SaÃde PÃblica, UFC, BR |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UFC, instname:Universidade Federal do Ceará, instacron:UFC |
| Rights | info:eu-repo/semantics/openAccess |
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