[Analysis of manifestations to the General Ombudsman of the Unified Health System (SUS), from 2014 to 2018: evidence for decision-making].

This paper aims to analyze the manifestations of citizens to the Unified Health System (SUS) General Ombudsman, in the 2014-2018 period, discussing and understanding them as evidence to guide the decision-making of SUS managers. To this end, the database of the OuvidorSUS computerized system was extracted from 16 variables related to the content of the manifestations, their categorization, and the citizen's profile. We identified 216,832 registered manifestations and 114,618 profiles of citizens who contacted the SUS General Ombudsman during this period, mainly through the hotline Disque Saúde 136.

[Cooperative Federalism, Regionalization and the Institutional Governance Profile of Regional Intergovernmental Commissions in Brazil].

The scope of this article is to present and analyze the institutional governance profile of the 434 regional interagency committees operating in 25 states of the Brazilian Federation. The data were taken from the National Survey of Regional Interagency Committees (CIR), a census conducted in the years 2017 and 2018, and were collected through a questionnaire applied to the coordinators/directors/presidents of the CIR. The composition of the CIR profile was carried out using an analysis matrix specifically developed for this study, which combines 23 variables organized in five dimensions of institutional governance: institutional legitimacy, compliance and consistency of operation, quality of structure and operating conditions, federative equilibrium and quality of decision-making.

[Agenda 2030 in Argentina: perceptions of health experts, comparison with the perceptions of Brazilian experts and the first impacts of the COVID-19 Pandemic].

The 2030 Agenda - a strategy of the United Nations Organization (UN) to promote global and sustainable human development capable of satisfying basic social needs - is still in the initial stages in most of the countries of South America. The scope of this investigation was to consult a group of health experts on the possibilities of Argentina fulfilling the 2030 Agenda, especially the goals of ODS3 - Health and Wellbeing - when they were consulted on obstacles, challenges, and policy recommendations to meet the goals. The change of management of the government in December 2019, and the outbreak of the Covid-19 pandemic in 2020, broadened the investigation incorporating the analysis of the incumbent Minister of Health of the Nation on the 2030 Agenda, the study carried out and the current perspectives in the pandemic period.

Will Brazil comply with the SDG 3.1 of the 2030 Agenda? An analysis of maternal mortality, from 1996 to 2018.

This article aims to analyze if it is possible for Brazil to meet the Sustainable Development Goals (SDG) 3.1, based on a diagnosis of the situation of maternal mortality in the Health Regions (HRs) of Brazil, in 2018, and the main characteristics of this mortality between 1996 and 2018 in the country. The study consists of two articulated phases: (i) bibliographical analysis of maternal mortality in Brazil; (ii) study in the Mortality Information System (SIM, in Portuguese).

Mortality by road traffic accidents in adolescents and young people, Brazil, 1996-2015: will we achieve SDG 3.6?

This paper aims to analyze the main characteristics of Road Traffic Accidents (RTA) mortality in Brazil for the period 1996-2015, focusing on the 10-29 years' age group. This is a two-step study consisting of (i) a bibliographic review on the topic of traffic violence in Brazil, and (ii) a study on RTA mortality in the Mortality Information System (SIM). The former situates the state of the art of scientific production on the theme and produces the theoretical reference for the analysis of the latter.

Federalism and health policy in Brazil: institutional features and regional inequalities.

This article analyses the main characteristics of federalism in Brazil and its institutional relations with health policy. It discusses federalism from a classical perspective highlighting the essentially centralized nature of Brazil's system and the prevalence of decentralizing health policies underpinned by the principles enshrined by the 1988 Constitution.We used primary data obtained from an electronic questionnaire responded by secretaries of health sitting on the governing bodies of the country's health region and secondary data Ministry of Health databases covering the current health regions.

Coap and SUS Regionalization: the various implementation patterns in the Brazilian states.

This paper analyzes the implementation process of the Public Action Organizational Contract (Coap) and its impacts on state agendas of SUS regionalization, comparing the different institutional reactions of the states to the strategy proposed by Decree 7.508/11. The comparison of developing dynamics of state agendas took as reference a normative baseline structured in eight strategic political-institutional moments in the implementation of the Coap in accordance with the logic defined in Decree 7.

Political Obstacles to Regionalization of the SUS: perceptions of Municipal Health Secretaries with seat in the Bipartite Interagency Commissions.

This paper aims to identify and analyze the political obstacles to the implementation of Organizational Contract of Public Action (COAP) based on the perceptions of municipal health secretaries of Bipartite Interagency Commissions (CIB). For this purpose, we interviewed 195 secretaries (92% of the total) from October 2015 to August 2016. Based on the approach of policy analysis, the main hurdles identified were, in short, a traditional obstacle (lack of resources), one that has been gaining strength in recent years (judicialization of politics) and another, perhaps unheard of: the party-political system and the State Executive Branch are the great absentees in the coalitions in support of SUS regionalization policies.

Health policies and federative gaps in Brazil: an analysis of regional capacity of services delivery.

This paper analyzes Brazilian health regions according to their service delivery capacity from the debate on the crisis of cooperative federalism in the SUS that resulted from decentralizing process established in the 1988 Constitution. Service delivery capacity tracer indicators were selected by regions and statistical analyses evidenced greater regional capacity in hospital care and large asymmetries with regard to the availability of physicians, high complexity equipment and private insurance coverage. In conclusion,we argue that further solutions are required to strengthen governmental capacity to reduce regional inequalities throughincreased central coordination.

Innovation in the role of the Office of the Ombudsman of the Unified Health System (SUS) - reflections and potential benefits.

This article seeks to reflect on the potential of innovative practices in the design and work of the government bodies that comprise the National System of Offices of the Ombudsman of the Unified Health System. It is divided into two parts, seeking to answer the following question: How to think of and implement innovative practices - which include sustainability - when the people are voicing their urgent demands and these are being heard by the public authorities? These grievances are all the more urgent as they involve the area of Health and can they be promptly discussed, attended and resolved? In the first part, the article discusses the polysemic concept of innovation, focusing on its application in the three spheres of public administration, and highlights the importance of its close correlation with the different notions of information and knowledge in a society such as the one we live in. In the second, it develops a task-force of ideas for the office of the ombudsman and based on this, a draft operational concept of innovation in the role of the office of the ombudsman, considering the context of high speed change and transformations and the complexity inherent to contemporary life and the need for resource management and expertise development in information management.

Relations between Representation and Involvement at the Rio de Janeiro Municipal Health Council (CMS): user sector, 2013-2014.

This article analyzes the influence of "Representative Configuration" of the Rio de Janeiro Municipal Health Council (CMS) on user counselor performance. Representative Configuration is defined as being a combination of two institutional rule axes: Axis 1 consists of eligibility and involvement rules, and Axis 2, of representation rules. The theoretical discussion was centered on the relationship between Representation and Involvement in its contemporary democratic context, and specifically relates to the Municipal Health Council (CMS).

Access to treatment for those with alcohol, crack or other drug dependency problems--a case study in the municipality of Rio de Janeiro, Brazil.

Changes in psychiatric policies has meant more emphasis on the protection of the individual's rights, tougher regulations and disincentives regarding involuntary patient admissions, and the creation of a community network to support individuals needing help. The differing socioeconomic status of those requiring treatment coupled with guidelines issued by the Health Ministry has meant that more support and care is now being directed towards individuals and families. The rise in public awareness of the problems in these areas has aided in the changes that have taken place.

A review of Brazilian scientific output on crack--contributions to the political agenda.

Object: scientific literature about crack abuse published in Brazilian journals indexed in SCIELO.

Objective: systematic review of literature treating findings as a framework for agenda-setting orienting policy decision makers.

Methodology: SCIELO online journals research since 02/06/2013 on tag crack as "key word searched" and in indexes as "research amplitude".

[Reflections on health policy evaluation in Brazil].

This article aims to contribute to the debate on public policy evaluation, specifically in the Brazilian health sector. The objective is to analyze some of the key issues in this field through a literature search in the SciELO database. Sixty-six articles were selected using the descriptors "health evaluation" and "evaluation of health programs and projects" in indexed Brazilian public health periodicals from 1994 to 2009.

['Family health' multiprofessional teams: a reflection on the physiotherapist's role].

This article is intended to contribute for the debate instituted about the composition of 'Family Health' teams. It must be understood as a reflection about the possibility of integrating the physiotherapist to those teams, aiming to present some aspects of the profession that might potentially improve the outcomes of primary health care. On this study, we analyze the legal documents that approve the rules for qualifying professional physiotherapists.

Municipal Health Councils of Brazil: a debate on the democratization of health in the twenty years of the UHS.

Over 17 years, Health Councils were created in the 5,564 Brazilian towns, recruiting about 72,000 councilors. Authors affirm that the institutionalization of the Council is important for the democratization of municipal health policy, as it increases the actors who are participating in its decision-making process. However, they state that this is not enough to make this process fully democratized.

[A perspective on living conditions: child and adolescent mortality in Manguinhos, Rio de Janeiro, Brazil].

Using data from the Mortality Information System, this paper investigates the deaths of children and adolescents in the Manguinhos neighborhood from 1996 to 2000, to determine the main characteristics and associate key mortality aspects with local living conditions. An outlying working-class or "suburban" neighborhood of the city of Rio de Janeiro where the main campus of the Oswaldo Cruz Foundation is located, Manguinhos consists of 12 "communities" characterized by poverty, social exclusion, drug traffic, and structural violence. In light of these factors and the cultural, social, and economic potential of the Manguinhos population, the authors begin with the theoretical/ practical premise that living conditions played a major role in the deaths of these young citizens.