2013-01-162013-01-162011-10-31SILVA, Andreia Neves da. A Participação dos conselhos de saúde na fiscalização da política de saúde: uma análise da sua ineficiência na RMB. Orientador: Armin Mathis. 2011. 154 f. Dissertação (Mestrado) - Universidade Federal do Pará, Núcleo de Altos Estudos Amazônicos, Belém, 2011. Programa de Pós-Graduação em Desenvolvimento Sustentável do Tropico Úmido. Disponível em: http://repositorio.ufpa.br/jspui/handle/2011/3326. Acesso em:.https://repositorio.ufpa.br/handle/2011/3326Historically, the social control of public policies as constitutional law was an achievement of civil society, through countless demands and struggles for the defense of SUS as a guarantee of the right to health for all citizens. Social participation also arises as a result of this process of popular struggle, and the insertion of new social actors in public policy management is recognized and legitimized with the promulgation of the Federal Constitution of 1988. In this regard, the Boards of Health have shown a favorable framework for inserting various segments in the decisions of the government agenda. Health Councils in the metropolitan region of Belém (RMB), specifically the municipalities Bethlehem Marituba Benevides and were the object of this research work, which aims to identify the central role of the Board of Health of the Metropolitan Region of Belém in supervising actions SUS. The methodological procedures used in this research were: interview, observation, the interview questionnaire applied to counselors, and bibliographical and documentary research. We also use discourse analysis and content, especially considering the Annunciation analysis and thematic analysis, setting in a qualitative and quantitative. The survey results found that, through empirical and conceptual organization in view of Olson (1999) and Michels (1982), social participation, social control and monitoring used in this work, the barriers of ideological, social and economic interfere directly or indirectly in the inefficiency of the actions of the Board. Above all, are political issues that influence significantly in supervision of CS often so "silent" in the decisions and hence inefficiency in society participation in the Councils in their role that, despite being inherently does not work - the watchdog function. Therefore contribute to conceptual and methodological analysis of existing levels of enforcement in CS was the major challenge of this work, carried out by building the array of surveillance in order to change the situational context of the inefficiency of the Councils currently considering the diversities , divergences and convergences between the actors involved in the construction of Municipal Health Policy. The survey results reflect an unfavorable scenario for the effective supervision of the Board, when we refer to the results of that research centers: the CS does not fulfill its oversight role, there is no direct relationship between what is decided in plenary by the counselors and the services implemented in municipalities, and there are no priorities set out in the decision making process of the actions to be implemented by the CS. Thus, the CS level of supervision of the RMB is predominantly level 1, i.e. without supervision. In this sense, we say that the Health Councils, despite being an achievement of popular struggles for increased participation in governance, still hold a low level of supervision or even no oversight of municipal health policy, which can be considered a barriers to consolidation of SUS as the implementation strategy of the democratic state in the country.porAcesso AbertoPolítica de saúdeParticipação socialControle socialFiscalizaçãoSistema Único de SaúdeRegião Metropolitana de BelémBelém (PA)Benevides (PA)ParáAmazônia brasileiraA Participação dos conselhos de saúde na fiscalização da política de saúde: uma análise da sua ineficiência na RMBDissertaçãoCNPQ::CIENCIAS HUMANAS::CIENCIA POLITICA::POLITICAS PUBLICASCNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL::SERVICO SOCIAL APLICADO::SERVICO SOCIAL DA SAUDE