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Local implementation of the Family Health Program in Brazil

2006; Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz; Volume: 22; Issue: 12 Linguagem: Inglês

10.1590/s0102-311x2006001200005

1678-4464

Rosana Magalhães, Mônica de Castro Maia Senna,

Public Health in Brazil

This article discusses the implementation of the Family Health Program in the municipalities of Camaragibe, Aracaju, São Gonçalo, and the Federal District of Brazil, aiming to identify possible interfaces between the program's shaping and different incentives structures, the local health system's case-resolving capacity, experiences with social participation, and accountability mechanisms. The article shows that aspects related to the constitution of local health systems in terms of the quantitative and qualitative supply of services, technical and management training within the Municipal Health Department, investment in other levels of care, and local political traditions are crucial variables for understanding the diversity of experiences in the implementation of the Family Health Program.