A contrarreforma na política de saúde em Campina Grande-PB: implicações do Programa Saúde de Verdade

Abstract

This dissertation analyzes the implications of the Health of Truth Program, as one of the expressions of the counter-reform in health policy, for users through the vision of Social Workers inserted in the Family Health Strategy (ESF) of Campina Grande, Paraíba. The approach to the theme occurred during the training process in Social Work through participation in the Center for Research in Health Policy and Social Service (NUPEPSS) linked to the Department of Social Service at the State University of Paraíba (UEPB), through two quotas of the Scientific Initiation Program (PIBIC) UEPB/CNPq 2018/2019, and 2019/2020 on the counter-reform process in health policy. Allowing us to observe the ongoing counter-reforms and their implications for the work of social workers, in addition, it allowed us to get closer to health policy, and with the implications caused by the counter-reform of the State in Brazil, which responds to the needs of contemporary capitalism and has been characterized as offensive to the set of rights and social policies since the 1990s with the arrival of Neoliberalism in the country. For continuation purposes, the research was developed from the year 2021 to 2024, and thus the bibliographical review of the main categories of the study, namely: Capital Crisis, State, Counter-Reformation, Health Policy and Social Service. Just as the documentary research was carried out, in documents such as: the final report of the program evaluation committee and minutes of the meeting of the Municipal Health Council of Campina Grande/PB, which dealt with the topic. Therefore, the documents analyze the weaknesses and excessive bureaucratization of services, highlighted by professionals participating in the Municipal Health Council (CMS-CG), highlighting the need to finalize the Real Health Program. The analysis of the object allowed us to identify setbacks that deepened in health policy during the period of implementation of the True Health Program in the Municipality of Campina Grande, in view of the counter-reform implemented to favor the interests of capital, making it necessary to analyze the implications caused in health policy.