Analysis of the context components proposed by the World Health Organization in a municipal health council

Carla Aparecida Arena Ventura, Patrícia de Paula Queiroz Bonato, Mauro Serapioni, Maria Helena Donadon Caetano, Maria Luiza Dos Santos Barbosa, Patrícia Paula Queiroz Bonato

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Background: Studies on social participation point out some limitations in participatory architecture. For this reason, the World Health Organization designed a model with key components for bringing civil society and governments closer together. Objectives: This study aimed to identify the aspects that influence participation based on the components proposed by the World Health Organization. Methodology: This case study used a qualitative and cross-sectional approach. Data were collected through document analysis, non-participant observation, and semi-structured interviews in 2020 and 2021 with the municipal health council members of an inland city in the state of São Paulo, Brazil. Results: Weaknesses were observed in the council’s institutional structure, such as excessive bureau-cracy, lack of user representativeness, and council members’ insecurity regarding the municipality’s health-related economic-financial issues. Conclusion: There is a need to strengthen the culture of participation in this municipal health coun-cil, disseminate the activities developed, and reformulate the technical-bureaucratic dynamics that predominate in this environment.

Original languageEnglish
Article numbere22032
JournalRevista de Enfermagem Referencia
Issue number2
Publication statusPublished - 1 Jan 2023


  • municipal health council
  • social determinants
  • social participation


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