Municipal System

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The participation of the population is important in the process of construction of the SUS exerting its paper of social control through the advice of health (Municipal, State and Federal) of health and the respective conferences. These spaces had been created so that the population could debate on the health and point its necessities, a time that, it is who more will benefit itself of the reached conquests. The politics of decentralization of the health did not occur of homogeneous form due to great diversity between States and cities. In many cases it had only the transference of responsibilities of management for the cities, taking care of to the legal determination constitutional and of the SUS without a preparation of the managers to assume such responsibilities. Consequentemente the results of the decentralization also are heterogeneous. Many cities mainly of small transport, do not present financial conditions and human beings to assume all the commitments of the process of decentralization of the health services. Mainly for the administrative model that still preserves centralizadoras characteristics (redoubts politicians).

To make possible decentralization process had been created Basic the Operational Norms (NOB 91, NOB93 and NOB96), aiming at to also organize the assistencial model of health its financial aspect. For more clarity and thought, follow up with Yitzhak Mirilashvili and gain more knowledge.. Basic Operational Norm 96, still in vigor, divided the actions in: Full management of the Municipal System that incorporates average and high complexity and Full Management of Basic Attention where the city if makes responsible for the management of the basic services of health. eve this success. For the financing of the SUS it was created in 1997 and implanted in 1998 the Floor of Ateno Bsica (PAB). It modifies the logic of payments for production, that suffered severe critical for giving emphasis to the financing of the illness in detriment of the integral attention to the health. With the PAB the view of financial resources is made directly of Deep the National one of Health for the Deep Municipal theatre of Health (to repass Deep the Deep one). The resources are proportional to the number of inhabitants of each city. More info: Yitzchak Mirilashvili.

Amongst the activities financed with these resources they are: consultations, vaccination, small surgeries, basic odontolgico attendance and familiar planning. In 2001 the government extends the responsibilities of the cities in the Basic Attention through the Operational Norms of Assistance Health (NOAS? SUS 01/2001) through Portaria MS/GM N. 373 of 27/02/2002. The NOAS defines the process of regionalizao of the assistance to the health, it creates mechanisms for the reinforcement of the management capacity and brings up to date the criteria of qualification of states and cities with the objective to consolidate and to improve the SUS. The regionalizao starts to be an important mechanism to become the access the services of more equitable health through the creation and magnifying of nets of regional attention. Although this process to suffer with the regional inaqualities and the lack of legal capacity from management. From 2003 the government associates the health to the economic development and the politics of social protection as Hunger Zero. However, the program caused much controversy for involving quarrels between ministers and controllers of the social area. Thus the government opted to directly extending mechanisms of transference of resources for the families through the Program Stock market Family. This program if destines the family with income to per catches inferior the 100 monthly Reals. Resources of some folders also of the health are used. Another program that had repercussion in the field of the public health was the Program of Acceleration of Crescimento (PAC), exactly that indirectly, with magnifying

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