Institutional analysis of health surveillance in a city in the Metropolitan Region of Porto Alegre, Rio Grande do Sul, Brazil

• Published in: Saúde e sociedade 2021-01, Vol.30 (1), p.1
• Main Authors: da Silva, Claudia Maria Scheffel Corrêa, Junges, Jose Roque, L'Abbate, Solange, Moehlecke, Vilene
• Format: Article
• Language: eng ; por
• Subjects: Discussion groups; Disease; Employees; Group identity; Health services; Health surveillance; Institutionalization; Meetings; Metropolitan areas; Mortality; Professionals; Public health; Surveillance; Workers
• ISSN: 0104-1290; 1984-0470
• DOI: 10.1590/s0104-12902021190904

The article aims to identify and analyze the institutionalization of Health Surveillance actions in a municipality in the metropolitan region of Porto Alegre, Rio Grande do Sul, Brazil, aiming to perceive its instituted and instituting dimensions, as well as to characterize the logic of this Surveillance's performance. The theoretical-methodological framework used was Institutional Analysis, in the socio-analytical aspect. The research was carried out in two moments, using participant observation, group meetings with the workers' collective and the diary of the first author as a tool for collecting information. As a result, the following emerged: the institutionalization of surveillance - due to the analyzer "identification of all surveillance with health surveillance"; the relevance of networking - from specific situations; and the fragility of the worker health surveillance, bearing in mind the analyzer for the invisibility of this surveillance in the system. Educational actions were observed - especially at health surveillance - instituting processes; partnership between health surveillance and primary healthcare and between the different surveillances. Finally, it was realized that in intersectoral actions it is important to bear in mind the cultural, historical and functional differences of the different sectors involved.