ANÁLISE DA INSERÇÃO DE AÇÕES DE PROMOÇÃO DA SAÚDE EM MUNICÍPIOS DE PEQUENO PORTE DO SUDESTE GOIANO

Abstract

According to the Ottawa Charter, health promotion is the process of empowering the community to improve quality of life and increase longevity. The National and State Health Promotion Policies are a historical landmark in health policies in Brazil; however, some municipalities face challenges in decentralizing their guidelines and implementing actions. This study aims to analyze the incorporation of the State Health Promotion Policy in small municipalities in the southeastern region of Goiás. This is an exploratory qualitative study that used document analysis of local management documents from the municipalities included in the study. The documents analyzed were the Municipal Health Plan and the Annual Management Report. The study sought to identify the inclusion and characterization of the Health Promotion actions specified in these documents, as well as a comparative analysis between the documents and the policy guidelines. When analyzing the context in which the term "health promotion" is included, it was noted that Health Promotion is presented in the Municipal Plans in a fragmented manner, and carried out through campaigns and prevention events. It was also noted that the budgetary provision for the actions was absent in the Municipal Plans. The analysis of the SUS (Brazilian Unified Health System) management instruments revealed significant weaknesses in the health planning of the small municipalities studied.