Journal of Public Administration and Policy Research
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Article Number - 57B357261197


Vol.8(6), pp. 59-64 , October 2016
DOI: 10.5897/JPAPR2016.0367
ISSN: 2141-2480



Full Length Research Paper

The Local Health Councils (LHC) in Brazil: From non-design to a "Poor Policy Design” space



Felipe Goncalves Brasil
  • Felipe Goncalves Brasil
  • Political Science PhD candidate at Federal University of Sao Carlos, Brazil. Scholarship at FAPESP.
  • Google Scholar
Ana Claudia N. Capella
  • Ana Claudia N. Capella
  • Ana Claudia N. Capella - Professor in Department of Public Administration at Sao Paulo State University – Araraquara.
  • Google Scholar







 Received: 04 July 2016  Accepted: 03 October 2016  Published: 31 October 2016

Copyright © 2016 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


The Local Health Councils (LHC) in Brazil is one of the most interesting policy innovations of contemporary Brazilian health reform. Formulated at a time of intense social and institutional change, the LHC can be understood as a social policy resulting from the struggles against the military dictatorship (1964 to 1985) and the battles for hegemony in conducting the re-democratization process. Part of the major health reform that created the Unified Health System (UHS) and produced important changes in the institutional design of the Brazilian state, the Local Health Councils originate in a set of laws that promote decentralization and popular participation, allowing Brazilian citizens to oversee and deliberate about health issues on the local level. Considering that not all policymaking processes are logical or rational in an instrumental sense, and considering that the government capacity is very significant for successful formulation and implementation, this paper adopts the "model of policy capacity" (Howlett et al., 2015) to explain the situation of "Poor Policy Design Space" of the Local Health Councils in Brazil.

 

Key words: Local health councils, Brazilian health system, SUS, policy design, policy formulation.

Brasil (1990a). Lei 8080 de 19 de Setembro de. Dispõe sobre as condições para a promoção, proteção e recuperação da saúde, a organização e o funcionamento dos serviços correspondentes e dá outras providências.

 

Brasil (1990b). Lei 8142 de 28 de dezembro de. Dispõe sobre a participação da comunidade na gestão do Sistema Único de Saúde

 
 

Brasil FG (2013). Políticas Participativas e a nova literatura de análise de Políticas Públicas. Revista Gestão & Políticas Públicas.

 
 

Coelho VSP (2004). Conselhos de Saúde Enquanto Instituições Políticas: o que está faltando? In: Coelho VSP, Nobre M, organizadores. Participação e deliberação: teoria democrática e experiências institucionais no Brasil contemporâneo. São Paulo: Ed. 34.

 
 

Cortes SM (2002). Construindo a possibilidade da participação dos usuários: conselhos e conferências no Sistema Único de Saúde. Sociologias [online]. 2002, n.7 [cited 2015-01-29], pp. 18-49.
Crossref

 
 

Gerschman S (2004). Conselhos Municipais de Saúde: atuação e representação das comunidades populares. Cad. Saúde Pública [online]. 20:6.
Crossref

 
 

Gohn MG (2003). Conselhos Gestores e Participação Sociopolítica, v. 84. 2nd ed. São Paulo: Cortez

 
 

Hood C (1986) The Tools of Government. Chatham, Chatham House Publisher.

 
 

Howlett M, Ramesh M, Perl A (2009). A. Studying Public Policy. Policy Cycles & Policy Subsystems. 3rd ed. Oxford.

 
 

Moreira MR, Escorel S (2009). Conselhos Municipais de Saúde do Brasil: um debate sobre a democratização da política de saúde nos vinte anos do SUS. Ciênc. saúde coletiva [online], 14:3.

 
 

Salamon LM (2002). The Tools of Government: A Guide to the New Governance. New York: Oxford University Press.

 
 

Santos NR (2013). SUS, política pública de Estado: seu desenvolvimento instituído e instituinte e a busca de saídas. Ciênc. saúde coletiva [online]. 18:1.

 
 

Smith SR, Ingram H (2002). 'Policy Tools and Democracy', in Lester Salamon (ed.), The Tools of Government: A Guide to the New Governance. New York: Oxford University Press.

 

 


APA Brasil, F. G., & Capella, A. C. N. (2016). The Local Health Councils (LHC) in Brazil: From non-design to a "Poor Policy Design” space. Journal of Public Administration and Policy Research, 8(6), 59-64.
Chicago Felipe Gonçalves Brasil and Ana Claudia N. Capella. "The Local Health Councils (LHC) in Brazil: From non-design to a "Poor Policy Design” space." Journal of Public Administration and Policy Research 8, no. 6 (2016): 59-64.
MLA Felipe Gonçalves Brasil and Ana Claudia N. Capella. "The Local Health Councils (LHC) in Brazil: From non-design to a "Poor Policy Design” space." Journal of Public Administration and Policy Research 8.6 (2016): 59-64.
   
DOI 10.5897/JPAPR2016.0367
URL http://academicjournals.org/journal/JPAPR/article-abstract/57B357261197

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