Management of health actions of the State Health Departments: analysis of their respective health regulations

• Autor(a) principal: Duarte Matta, Alex Sander
• Data de Publicação: 2021
• Outros Autores: Helena Barbosa Teixeira, Lindinalva, Alves de Sousa, Artur Iuri
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Vigilância Sanitária em Debate
• Texto Completo: https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1769
• topic: Gestão em Saúde; Regulamentação; Códigos Sanitários; Ações de Vigilância Sanitária; Health Management; Regulation; Health Codes; Health Surveillance Actions

Introduction: The performance of health surveillance in the States, Federal District and Municipalities was established through health codes, regulated by Acts and Laws. Objective: In this sense, we sought to make a situational diagnosis regarding the composition and organizational structure in the 27 Federated Units. Method: A qualitative study of legal rules was conducted through active searches of these documents, which   were analyzed for attributes correlated to health surveillance action. Results: It was observed that about 30.0% were published before the 1988 Constitution, but there are more recent rules, such as those of Piauí, Rio Grande do Norte and the Federal District, published in the 2010s. It was observed that 88.9% of the rules include actions integrated into the health system, such as health care, epidemiological surveillance, environmental surveillance and worker health. Another attributes were little present in the rules, such as: those related to the competencies of the public health laboratories network    (48.1%), the management of risk factors (22.2%), funding (33.3%) and health surveillance rates (18.5%). Conclusions: State and the Federal District laws are based on generalist norms, which no longer meet the longings of contemporary society or the reality of the determinants and health conditions of their territories. Therefore, there is a need for harmonization and modernization of these legal rules, with the promotion of new legal frameworks, capable of producing the safety and effectiveness of health surveillance actions practiced in each territory.