Local implementation of the Family Health Program in Brazil.
This article discusses the implementation of the Family Health Program in the municipalities of Camaragibe, Aracaju, São Gonçalo, and the Federal District of Brazil, aiming to identify possible interfaces between the program's shaping and different incentives structures, the local health system's case-resolving capacity, experiences with social participation, and accountability mechanisms. The article shows that aspects related to the constitution of local health systems in terms of the quantitative and qualitative supply of services, technical and management training within the Municipal Health Department, investment in other levels of care, and local political traditions are crucial variables for understanding the diversity of experiences in the implementation of the Family Health Program.
Magalhães
Rosana
R
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. rosana@ensp.fiocruz.br
Senna
Mônica de Castro Maia
Mde C
D001938:Brazil; D005192:Family Health; D006284:Health Plan Implementation / Q000458:organization & administration*; D006801:Humans; D015397:Program Evaluation; D012040:Regional Health Planning / Q000458:organization & administration*