Preprint has been submitted for publication in journal
Preprint / Version 1

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


  • Elyne Montenegro Engstrom Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (Ensp), Departamento de Ciências Sociais (DCS) – Rio de Janeiro (RJ), Brasil.
  • Vanessa Costa e Silva Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (Ensp) – Rio de Janeiro (RJ), Brasil.



Participative management, Social participation, Primary Health Care, Health policy


The participatory management, although instituted in the norms of the constitution of the Brazilian universal health system (SUS-Sistema Único de Saúde), still faces challenges to be effective in practice at a local level, especially in complex urban territories, aiming at community strengthening and social participation. The essay aims to present and discuss aspects of a participatory management experience in a vulnerable territory, mediated by Primary Health Care. This experience of health co-management was developed between 2009 and 2013 in Manguinhos, 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 intersectorial 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 between workers-users-management.


Download data is not yet available.


Metrics Loading ...




Health Sciences