Conselhos municipais de saúde e controle social: um estudo sobre a participação social em Parintins/Amazonas

Abstract

This study analyzed social participation within the scope of the Municipal Health Council of Parintins (CMS/PIN), with emphasis on its role as an instrument of social control between the years 2020 and 2023. The research combined a bibliographic review, documentary analysis of minutes, resolutions, and management reports, as well as participant observation carried out during municipal meetings and conferences. The results showed that the CMS performs relevant deliberative and supervisory functions, highlighting resolutions related to the election of the executive board, the approval of the construction of primary health care units, and the review of the accountability reports of the Municipal Health Secretariat. The actions of the committees were also observed, particularly in inspections of health units and in the analysis of administrative and financial documents. However, the investigation revealed weaknesses that limit the effectiveness of social control, such as the lack of continuous technical training for council members, the absence of systematic mechanisms for monitoring deliberations, and difficulties in timely access to public information. These factors compromise the ability to transform deliberations into concrete changes in local health policy. Despite these challenges, the CMS/PIN remains a fundamental space for citizen participation, contributing to management transparency, the strengthening of participatory democracy, and the defense of the Unified Health System in the municipality of Parintins.