Sociedade civil e saúde: participação e controle social com a criação da Secretaria de Gestão Estratégica e Participativa/SEGEP/MS

Abstract

This work aims to understand, in view of activism with performance in the health sector in the State of Rio Janeiro, the prospects for the expansion and training of social participation in the SUS, considering the contribution of policies SEGEP / MS for the democratization of public health policies. Part of the concept of state and civil society of liberal Hobbes, searching for the historical evolution of the terms to the Marxists, with special attention to the concept of the expanded Gramsci. The Gramscian concept helps us understand the process of development of Brazilian civil society and the relationship of our object of study with the state. Referring to the Authorization for creation and management reporting of SGEP / MS, we build our evidence base that, confronted with the testimony of militants in the health sector that operate in the State of Rio de Janeiro, subsidized our study. Our conclusions point to the contradictions typical of a coalition government composed of factions of the lower class negotiating power with the ruling class.