Title: Public health management in Brazilian small municipalities with low municipal human development indices (HDI-M): a quest for innovation

Authors: Gerson Luis Schwab; Júlio César Bisinelli; Beatriz Helena Sottile França; Simone Tetu Moysés; Samuel Jorge Moysés

Addresses: Pontifical Catholic University of Paraná (PUCPR), Rua Mato Grosso, 80, apto. 403, Curitiba – PR, 80620-070, Brazil ' Pontifical Catholic University of Paraná (PUCPR), Rua Imaculada Conceição, 1155 Curitiba, PR, 80215-182, Brazil ' Pontifical Catholic University of Paraná (PUCPR), Rua Imaculada Conceição, 1155 Curitiba, PR, 80215-182, Brazil ' Pontifical Catholic University of Paraná (PUCPR), Rua Imaculada Conceição, 1155 Curitiba, PR, 80215-182, Brazil ' Pontifical Catholic University of Paraná (PUCPR), Rua Imaculada Conceição, 1155 Curitiba, PR, 80215-182, Brazil

Abstract: This study deals with public health management in small Brazilian municipalities with low HDI-M through analysis of financial resources. Findings indicated some innovations, but not enough, with managers needing specific administration learning, although they state their desire to improve services. Unstructured reports do not contribute to health planning, showing no relationship between the scope of health actions and financial resources. Management needs to evolve to intersectoral decisions, with social participation in planning. This would make it possible to solve more health problems and provide a universal and equitable service to the population in the process of National Health System decentralisation.

Keywords: public health management; public administration; innovation; decentralisation; learning; Municipal Human Development Index; HDI-M; Brazil; small municipalities; financial resources; national health systems; decentralisation.

DOI: 10.1504/IJIL.2014.059758

International Journal of Innovation and Learning, 2014 Vol.15 No.2, pp.149 - 166

Available online: 10 Mar 2014 *

Full-text access for editors Access for subscribers Purchase this article Comment on this article