The participation of users, workers and counselors of health: a qualitative study

摘要

This is a qualitative approach research that aimed to analyze the effectiveness and the resoluteness of SUS actions as well as the satisfaction of the users. The units analyzed were a community and the Municipal Health Council of Florianópolis city. All data were collected through documental analysis, interview and participative observation. The sources for the data were: official documents and field observation record; community residents (subjects and families users of SUS), health workers and the Municipal Health Counselors. The results shows different understanding of health among the three classes of subjects, as well as the distance between practices and the referential professed within the Family Health Strategies. The council shows deficiencies in its organization, referral of deliberations, composition and representativeness, and the role of the counselor and its relationship with the entity represented. The public participation and the social control as essential conditions for the effectiveness of SUS proposals, still remain as an expectation and a big challenge.