1927/2011 - Subsidies on practices of monitoring and evaluation of Health Municipal management from Brazil
Subsídios sobre práticas de monitoramento e avaliação sobre gestão governamental em Secretarias Municipais de Saúde
Author:
• Alcides Silva de Miranda - Miranda, A.S. - Porto Alegre, Rio Grande do Sul - Universidade Federal do Rio Grande do Sul - <alcides.miranda@ufrgs.br> +Co-author(s):
• André Luiz Bonifácio Carvalho - Carvalho, ALB - Universidade de Brasília - <andrelbc4@gmail.com>• Caio Garcia C. Sá Cavalcante - Cavalcante, C.G.C.S. - Universidade Federal do Ceará - <caio.cavalcanti2011@gmail.com>
Thematic Area:
Planejamento e Gestão em SaúdeAbstract:
What the leaders of the Municipal Health Service (SMS) report and say about the systematic monitoring and evaluation of their own government management? The purpose of this publication is to provide resources for the formulation of plausible hypotheses about such processes and institutional practices, using information produced on an exploratory study.This is a multiple case study with quantitative and qualitative analysis of answers to a semi-structured questionnaire applied to government officials of a systematic sample of 577 Municipal Health Services (10.4% of the total in Brazil), selected and stratified with a proportional distribution of states and by population size of municipalities.
In general, it shows that approximately half of the respondents use informations from Monitoring Health Evaluation to support decision-making, planning and other management approaches. This proportion tends to decrease in cities with smaller population sizes. There are specific and significant gaps in financial, personnel and crisis situations management. The hypothesis analysis reinforces the fact that these processes are still at an early stage