A problemática do financiamento da atenção básica nos municípios no período do Pacto pela Saúde (2006-2010): o caso do Estado da Bahia

Abstract

This study characterizes as an exploratory qualitative case study, with the aim of analyzing the foundations of federal and state funding in Primary Healthcare of the municipalities of the state of Bahia, bringing light upon current conflicts after the deployment of the Pact for Health as well as the uncertainties that surrounded its funding. Data were collected in two stages, the first semi-structured interviews were conducted with closed and open questions, applied to current managers of the State Council of Municipal Health Secretaries of the State of Bahia (BA-COSEMS/ Conselho Estadual dos Secretrios de Sade-BA), in the second stage, it was developed a document review, through reading and analysis of ordinances, resolutions, state and federal, as well as minutes of meetings of the Managers Bipartite Commission (Comisso Intergestores Bipartite-CIB), which dealt with the theme Politics and funding of primary healthcare. It was observed that the issues, in relation to health financing, particularly Primary Healthcare, persist even after the institution of the Pact for Health. Therefore, it was concluded that decentralization will succeed when the amount of financial resources needed to meet commitments assumed to serve the population is adequate, and also when there is regular funding, increased resources for health by the three spheres of government. It is estimated to be necessary to discuss the