Djalma Freire Borges

Programa de Saúde da Família: uma avaliação de efetividade com base na percepção de usuários

This article presents the results of a study to identify in what extent user perception of the contribution of the Family Health Program (Programa de Saude da Familia, PSF), at the Felipe Camarao Unit, in the West District of Natal (state of Rio Grande do Norte, Brazil) reflects the evolution of the healthcare indicators for children under five, in the period between 2000 and 2004. Initially data on the implemented health policy was gathered, including a profile of the users involved. Then the available statistics related to the child healthcare measures carried out during that period were obtained from official documents of the federal and municipal Health Department. Finally a social survey questionnaire was applied to a sample of families with children under five registered in the unit, in order to know their level of satisfaction with the provided services. The comparison between user satisfaction and the evolution of the indicators showed that the measures implemented by the program in the unit have transformed attitudes and stimulated social changes.

Políticas públicas coordenadas e presidencialismo de coalizão: o caso do PROMESO

Public policies have been studied with various theoretical aspects as a basis. However, there is still a gap on issues related to the interconnection of actions taken by government agencies. These dimensions, when addressed, do not get close to the perspective of impacts derived from the architecture of coalition presidentialism on public policies, which, in the Brazilian case, corroborates its fragmentation and competition between government agencies that should work in an interconnected way. This article aims at identifying where this problem is expressed and the inflection point between the discourse of coordinated action and an implementation showing the opposite. To demonstrate how this occurs, we chose the Brazilian Program for Promoting Sustainability in Sub-Regional Spaces (PROMESO), which has shared agendas as one of its significant instruments. Research construction required a theoretical review that focuses on the institutional architecture of coalition presidentialism and political parties, besides adopting, in empirical investigation, the database of the Brazilian Federal Budget Department (SOF/MPOG) and the Brazilian Interconnected System of Government Financial Administration (SIAFI/MF), which enabled us to spatialize the distribution of public resources according to a party and region-based rationale, and refer to official documents from the Brazilian Ministry of National Integration (MI) that characterize the program addressed in this study. The research proved that coalition presidentialism directly affects public policies, highlighting a competitive nature between the federal government agencies, due to particular rationales, determined by directors at these institutions.

Coordinated public policies and coalition presidentialism: the case of PROMESO

Public policies have been studied with various theoretical aspects as a basis. However, there is still a gap on issues related to the interconnection of actions taken by government agencies. These dimensions, when addressed, do not get close to the perspective of impacts derived from the architecture of coalition presidentialism on public policies, which, in the Brazilian case, corroborates its fragmentation and competition between government agencies that should work in an interconnected way. This article aims at identifying where this problem is expressed and the inflection point between the discourse of coordinated action and an implementation showing the opposite. To demonstrate how this occurs, we chose the Brazilian Program for Promoting Sustainability in Sub-Regional Spaces (PROMESO), which has shared agendas as one of its significant instruments. Research construction required a theoretical review that focuses on the institutional architecture of coalition presidentialism and political parties, besides adopting, in empirical investigation, the database of the Brazilian Federal Budget Department (SOF/MPOG) and the Brazilian Interconnected System of Government Financial Administration (SIAFI/MF), which enabled us to spatialize the distribution of public resources according to a party and region-based rationale, and refer to official documents from the Brazilian Ministry of National Integration (MI) that characterize the program addressed in this study. The research proved that coalition presidentialism directly affects public policies, highlighting a competitive nature between the federal government agencies, due to particular rationales, determined by directors at these institutions.

Políticas públicas coordinadas y presidencialismo de coalición: el caso de PROMESO

Public policies have been studied with various theoretical aspects as a basis. However, there is still a gap on issues related to the interconnection of actions taken by government agencies. These dimensions, when addressed, do not get close to the perspective of impacts derived from the architecture of coalition presidentialism on public policies, which, in the Brazilian case, corroborates its fragmentation and competition between government agencies that should work in an interconnected way. This article aims at identifying where this problem is expressed and the inflection point between the discourse of coordinated action and an implementation showing the opposite. To demonstrate how this occurs, we chose the Brazilian Program for Promoting Sustainability in Sub-Regional Spaces (PROMESO), which has shared agendas as one of its significant instruments. Research construction required a theoretical review that focuses on the institutional architecture of coalition presidentialism and political parties, besides adopting, in empirical investigation, the database of the Brazilian Federal Budget Department (SOF/MPOG) and the Brazilian Interconnected System of Government Financial Administration (SIAFI/MF), which enabled us to spatialize the distribution of public resources according to a party and region-based rationale, and refer to official documents from the Brazilian Ministry of National Integration (MI) that characterize the program addressed in this study. The research proved that coalition presidentialism directly affects public policies, highlighting a competitive nature between the federal government agencies, due to particular rationales, determined by directors at these institutions.

O problema da integração de programas governamentais de desenvolvimento regional: o caso do PROMESO

As politicas publicas tem sido estudadas a partir de diferentes aspectos teoricos e tecnicos. No entanto, ainda persiste uma lacuna que enfrente questoes diversas relacionadas a intersetorialidade e a integracao de acoes das agencias governamentais. Essas dimensoes quando estudadas pouco se aproximam da perspectiva dos impactos decorrentes da arquitetura institucional brasileira sobre as politicas pulicas. Assim, a pesquisa buscou identificar onde esse carater disjunto se manifesta, partindo da literatura sobre intersetorialidade, para entao explicitar, atraves de pesquisa documental, essa dissociacao entre a oficialidade da acao coordenada e a pratica da implementacao. A proposta do artigo e contribuir para a construcao de uma metodologia que possibilite compreender alguns limites dessa atuacao intersetorial partindo de dimensoes ate entao pouco tratados nos estudos. A construcao da pesquisa demandou uma revisao teorica que transitou da ciencia politica ao desenvolvimento regional, passando pelo debate da transversalidade e intersetorialidade em politicas publicas, utilizou bases de dados da Secretaria de orcamento Federal (SOF/MPOG) e do Sistema de Acompanhamento Financeiro (SIAFI/MF) alem de consultar documentos oficiais do Ministerio da Integracao Nacional que caracterizam o Programa de Desenvolvimento Sustentavel de Mesorregioes Diferenciadas (PROMESO) objeto do estudo especifico. Adicionalmente foram consultadas bases de dados do tribunal Superior Eleitoral (TSE). O trabalho chegou a conclusao que as politicas publicas caracterizadas pelas intersetorialidade, apresentam marcas claras de competicao e pouca coordenacao entre as agencias do governo federal em funcao de seguirem logicas paticularizadas, determinadas pelos dirigentes dessas instituicoes.