The collective health movement and health policy in Brazil: from regime transition/democratization to democracy and neoliberalism (1970s to 2014)

• DOI: 10.32870/cl.v0i18.7254
• Publication Date: 2018-06-08
• Authors: Fabiana da Cunha ...; Raquel Abrantes Pêgo
• Keywords: Institutionalisation; Civil Society; Neoliberalism (international relations)

This paper analyses how the Brazilian Collective Health Movement (CHM) and its main representatives have influenced policymaking process for health policy during distinct political periods: from regime transition/re-democratization to democracy (1970s 2014). We develop a contextual descriptive analysis, involving literature documentary review, interviews with key players. take into account macro contexts (democracy economic model), governmental coalitions, ideas actions of CHM, relationships CHM within society, institutionalization participatory channels, interrelations between Ministries Economics, Social Security. Three periods were identified: 1) The transition Constituent Assembly period, fight creation new national Unified Care System (SUS). 2) first years re-democratization, implementation institutional foundations SUS (1989- 2002). 3) period neoliberalism (from 2003-2014), when managerial participative approach coexisted conflicted attempts subordinate care developmental model. results indicate that influence was less dominant in subsequent years, characterized by civil participation councils, prominence model, more institutionalized action movement leaders Secretaries Ministry Health. In conclusion, we highlight relevant lessons regarding CHM’s possibilities effective revival come.