Conselhos locais de saúde: controle social de fato ou apenas de direito? - um estudo de caso de Vitória da Conquista Bahia

Abstract

Beginning with the de-centralization process of the health services, initiated in the country on the past decade, and with the express determination on the 1988's Constitution, appeared, under the scope of the brazilian redemocratization process, a piece of news cried for a long time from the social movements: the social control. Twenty-years after the promulgation of the Constitution, one can see, however, that yet being implanted in all the regions of the country, in the totality of the Brazilian states and in a considerable portion of the counties, the social control still is greatly unknown even among the people who possesses a high level of information. In face of this, at propose myself to study the social control, I had, among others, the aim of to define if this control were, at least, understood by those who represents the soul of the process: the councillors. Because of this I focused in a case study the Local Counsils of Welfare of Vitória da Conquista, in Bahia, stablished ten years ago. Politically, one can to observe, no matter came the case studies from São Paulo, or from a county hidden in the northwestern semi-arid, that the control is not being properly utilized, having - as pointed by the social scientists - benefits in the decision process for organized groups, in disadvantage of actions that supports all the comunity. In other cases, there is the political utilization of the councils. The huge social advance that means the control by the comunity over the public policies can be on check, and it is what we want to analyse in the next pages