Banca de DEFESA: CAMILA DA SILVA ROCHA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : CAMILA DA SILVA ROCHA
DATE: 31/08/2026
TIME: 09:30
LOCAL: plataforma meet
TITLE:

PATHWAYS TO THE DEMOCRATIZATION OF HEALTH IN BRAZIL: trends and tensions in the National Health Council

KEY WORDS:

Unified Health System (SUS); Democratization of health; National Health Council; Competing health projects; Social participation.

PAGES: 110
BIG AREA: Ciências Sociais Aplicadas
AREA: Serviço Social
SUMMARY:

The Brazilian Unified Health System (SUS) constitutes an expression of a fierce dispute between two distinct health projects. On the one hand, there is a project that prioritizes disease and curative intervention, articulated with the profit-driven interests of the health business sector, particularly large hospitals and the pharmaceutical industry. On the other hand, there is a project that understands health as a social product, grounded in the living and working conditions of individuals — a collective health project that points toward social justice and democracy. This dissertation, therefore, addresses the disputes between health projects that remain in constant conflict. It aims to analyze the advances and limitations of the democratization of the State in decision-making processes concerning the health agenda within the National Health Council (CNS), considering its activities during the 2021–2024 triennium, a period marked by the transition between different administrations and characterized by both changes and continuities in the conduct of health policy. Regarding the theoretical-methodological approach, this is a qualitative study based on bibliographic and documentary research, structured around two interconnected paths. The first focuses on scientific works that enable dialogue with the central categories of the debate, drawing on Coutinho (2000; 2008), Nogueira (2003; 2011), Florestan (1981), Gramsci (2000), Bravo (2008), Soares (2010; 2020), and Correia (2009; 2015). The second consists of documentary research examining materials produced by the National Health Council (CNS), specifically meeting minutes, motions, and recommendations from 2022 to 2024, with the purpose of understanding deliberations concerning Brazilian public health policy, as well as the relations of forces established and expressed within this space, revealing the different perspectives in dispute.It is inferred that, in this historical conjuncture of intensified neoliberalism within dependent capitalism, which carries an antidemocratic dimension, the State remains fundamental to ensuring the conditions for the reproduction of capitalism through counter-reforms and fiscal adjustment. In opposition to this trend, the National Health Council (CNS) has emerged as an important space for contestation, resistance, and struggle in defense of public health in the face of the dismantling processes affecting health policy. Nevertheless, it is important to recognize the limitations of institutionalized spaces, which requires strengthening different collective spaces of organization and mobilization in support of a health agenda and, consequently, of democracy.

COMMITTEE MEMBERS:
Interna - 1958916 - EDLA HOFFMANN
Interna - 1091789 - JANAIKY PEREIRA DE ALMEIDA
Externa ao Programa - 2859570 - LARISSE DE OLIVEIRA RODRIGUES - UFRNExterna ao Programa - 3148895 - SABRINA SILVA ZACARON - UFRNExterno à Instituição - RAQUEL CAVALCANTE SOARES - UFPE