[The Brazilian National Health Surveillance Agency performance evaluation at the management contract model].
The Brazilian National Health Surveillance Agency (Anvisa) is supervised by the Ministry of Health by means of a management contract, a performance evaluation tool. This case study was aimed at describing and analyzing Anvisa's performance evaluation model based on the agency's institutional purpose, according to the following analytical categories: the management contract formalization, evaluation tools, evaluators and institutional performance. Semi-structured interviews and document analysis revealed that Anvisa signed only one management contract with the Ministry of Health in 1999, updated by four additive terms. The Collegiate Board of Directors and the Advisory Center for Strategic Management play the role of Anvisa's internal evaluators and an Assessing Committee, comprising the Ministry of Health, constitutes its external evaluator. Three phases were identified in the evaluation model: the structuring of the new management model (1999-2000), legitimation regarding the productive segment (2001-2004) and widespread legitimation (2005). The best performance was presented in 2000 (86.05%) and the worst in 2004 (40.00%). The evaluation model was shown to have contributed little towards the agency's institutional purpose and the effectiveness measurement of the implemented actions.
Centro de Atenção a Saúde Prof Dr José Maria de Magalhães Netto, Diretoria de Vigilância Sanitária e Ambiental, Secretaria de Saúde do Estado da Bahia, Salvador, BA. elkamaltez@yahoo.com.br
Elka Maltez de Miranda
EM
Moreira
Ediná Alves
EA
Costa
D001938:Brazil; D032982:Contracts; D011159:Population Surveillance; D011635:Public Health Administration