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Participation, representation and deliberation in the decision-making process of the Municipal Health Council of Marabá-PA (2018-2020)


  • Norberto Ferreira Rocha Universidade Federal do Sul e Sudeste do Pará (Unifesspa) – Marabá (PA), Brasil.
  • Marcelo Rasga Moreira Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (Ensp), Departamento de Ciências Sociais (DCS) – Rio de Janeiro (RJ), Brasil.



Health advice, Representation, participation, deliberation, decision-making process


The objective of this article is to analyze the decision-making process of the Municipal Health Council of Marabá (CMS-M), in the period 2018 to 2020, focusing on the themes that were discussed in the regular meetings that took place during this period. The case study was used as a research method with a qualitative approach that combines primary and secondary sources. The primary sources were obtained through participant observation in the meetings held at the CMS-M and the secondary sources through the analysis of public documents, especially “guidelines” and “minutes” produced. This method is linked to its analysis model, conceived within the scope of this article. As results were found: effective participation of councilors in the deliberative process; institutional rules restricting society's participation in filing claims and complaints; strong influence of municipal management in the decision-making process of the council; and low response from the municipal government in complying with the deliberations produced in the CMS/M.


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