Participative management in Primary Health Care: an essay on an experience in a vulnerable urban territory

Abstract

Participatory management, although instituted in the norms of the constitution of the Brazilian Universal Health System  (SUS), still faces challenges to be effective in practice at a local level,  especially in omplex urban territories, aiming at  community  strengthening and social participation. This  ssay aims to present and discuss aspects of   participatory management experience in a   vulnerable territory, mediated by Primary  health Care. This experience of health co-anagement was developed between 2009   and 2013 in Manguinhos, a municipality of  Rio de Janeiro. From the managers’ reports   and the technical materials produced, the implementation of strategies analyzed were the mobilization
to create a local intersectoral management council and those of information, education, and communication
in health supported by institutional supporters and by the family health teams. We concluded that democratic managerial and sanitary practices can be developed through social technologies, which value participative and shared management among workers-users-management.