Planejamento, monitoramento e avaliação no SUS: uma análise da coerência e proposta de qualificação dos instrumentos no município de São Cristóvão-SE

Abstract

The Brazilian Unified Health System planning is executed through instruments that explicitly define purposes and actions at the local level, overcoming centralized models in favor of a pluralistic and strategic approach, grounded in the theories of Testa and Matus. The central problem investigated in this work lies in the coherence of the explicitness between the planning and evaluation of health actions in the municipality of São Cristóvão/SE. The objective is to conduct a critical analysis of the Unified Health System planning instruments at the municipal level, aiming to improve monitoring and evaluation processes and strengthen social control. The methodology is characterized as exploratory research of a qualitative nature, centered on the technique of document analysis in light of thematic content analysis. The documentary corpus encompasses the Municipal Health Plan (2022–2025), the Annual Health Programming (2024), and the Annual Management Report (2024), which were subjected to analytical comparison to identify the coherence between what was agreed upon and what was executed in the Primary Health Care component. All investigative efforts are directed towards the interpretation of official documents, allowing us to reveal whether the transparency and traceability of Primary Health Care actions are being ensured for the council members. As a Technical-Technological Product, a Conclusive Technical Report was prepared, accompanied by a proposed action based on Continuing Health Education for the members of the Municipal Health Council. The expected results point to the predominant identification of coherences and some distortions that will support the Municipal Health Council’s oversight practice, transforming technical analysis into a tool for political struggle and democratic management. It is concluded that the systematic use of monitoring and evaluation, devoid of subjectivity and guided by the rigor of official instruments, is capable of reconnecting municipal planning to the real needs of the São Cristóvão’s population, consolidating the Unified Health System as a policy of citizenship and a fundamental human right. As the main theoretical-methodological references used in this study, note to (Brasil, Ministério da Saúde, 2017), (Brasil, Ministério da Saúde, 2021), (Matus, 2005), (Minayo, 2004), (Teixeira, 2010), (Tribunal de Contas da União, 2018).