title: [Evaluation of the capability of decentralized management of epidemiological surveillance in the state of Bahia].
abstract: Evaluative research into the capability of decentralized management of epidemiological vigilance (EV) was conducted in the operational, organizational and sustainable dimensions in the state of Bahia, Brazil. The quantitative approach was used in the construction of a baseline, with primary data obtained through an online questionnaire answered by thirty-eight municipal EV managers. In the qualitative approach to analyze the context and assess the management capability of municipalities in two case studies, techniques adapted to the analysis of discursive practices were used. This was done through semi-structured interviews with managers of regional and municipal government, health workers and representatives of the municipal health council. The case studies showed that the municipality with enhanced management capability is that in which the manager has the greatest potential of using the resources of his position, in addition to his ability to control, negotiate and coordinate with other actors. Due to decentralization of EV, considering the shared nature of management between the three spheres of government, there is a marked variation in the management capability of municipalities, determined by social, economic, political inequalities and management mechanisms adopted.
authors.affiliation: Departamento de Saúde, Universidade Estadual de Feira de Santana, Feira de Santana, Bahia, Brazil. silvone.s@uefs.br
authors.forename: Silvone Santa Bárbara da Silva
authors.initials: SS
authors.lastname: Santos
authors.forename: Cristina Maria Meira de
authors.initials: CM
authors.lastname: Melo
authors.forename: Heloniza Oliveira Gonçalves
authors.initials: HO
authors.lastname: Costa
authors.forename: Oswaldo Yoshimi
authors.initials: OY
authors.lastname: Tanaka
authors.forename: Fernanda Mota
authors.initials: FM
authors.lastname: Ramos
authors.forename: Mário César Carneiro de
authors.initials: MC
authors.lastname: Santana
authors.forename: Bianca Gonzaga
authors.initials: BG
authors.lastname: Trindade
mesh_terms: D001938:Brazil; D006801:Humans; D011057:Politics; D011159:Population Surveillance / Q000379:methods*