139.10 Challenges to provide a network between health managers in Brazilian cities

Thursday, April 30, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Christiane Maia National Health Surveillance Agency (Anvisa) and University of Brasília, Brazil
Dirce Guilhem University of Brasília, Brazil
The necessity of better articulation between different health sectors is present in the Brazilian politics of health, with direct implications on several problems of the national system.
This work’s objective is to analyze the integration between health managers of different sectors in Brazilian cities (health surveillance of health services and women's health).
The strategy of research was a qualitative study, using content analysis as the technique of data analysis. The informations were collected using semi-structured interviews and the application of a questionnaire. The selected group was composed by 1O professionals from municipal secretaries of health.
The findings point to the recognition of the value of integration, but it is understood that it is not easy to be implemented, in view of power issues and demands. The relations established between the analyzed sectors, when they occur, are due to emergency situations. Another problem is the unfamiliarity of the health managers of one sector with the other sector. Some solutions, based on successful experiences of integration mentioned by the managers, were the presentation of what the project of one sector is to the others and the demand of the federal government of programs that involve different sectors. 
The results point out difficulties to the integration and show that the idea of networks is essential to articulate the actions in public health. It is important to improve health actions through periodic meetings of health sectors and the development of common projects with the objective to mature this model.

Learning Objectives: Analyze the integration between health managers of different sectors in Brazilian cities (health surveillance of health services and women's health).

Sub-Theme: Improving performance and productivity of the health team