Social Control in Indigenous Health

Through the national, state and municipal health councils, the community participates more directly in the inspection and in the conduct of health policies. In the Unified Health System (SUS), states, the Federal District and municipalities have autonomy in the management of resources and in the implementation and implementation of public health policies, based on the guidelines and rules of the Ministry of Health and approved by the National Health Council (CNS).

According to Law 9.836 / 99, which provides for the conditions for health promotion and actions related to comprehensive care for indigenous peoples, indigenous participation in collegiate bodies for the formulation, monitoring and evaluation of public health policies is guaranteed, which are health councils. Integrated into the Indigenous Health Care Subsystem (SasiSUS), indigenous health councils are organized into:

  • Local Council for Indigenous Health (CLSI) – permanent, consultative composed only by indigenous people; – District Council for Indigenous Health (Condisi) – permanent, equal and deliberative; – Condisi Presidents Forum (FPCondisi) – permanent and consultative.

Each Special Indigenous Health District (DSEI) has a District Indigenous Health Council (Condisi) responsible for overseeing, discussing and presenting policies to strengthen health in their regions. District Indigenous Health Councils, collegiate bodies of a permanent and deliberative nature, are instituted within the scope of each DSEI and among their attributions are:

I – participate in the preparation and approval of the District Indigenous Health Plan, as well as monitor and evaluate its implementation;

II – evaluate the implementation of actions for integral attention to indigenous health;

III – to appreciate and issue an opinion on the accountability of the agencies and institutions that execute the actions and services of indigenous health care;

Condisi consists of:

I – 50% of user representatives, elected by the respective indigenous communities in the area covered by each Special Indigenous Health District;

II – 25% of representatives of workers who work in the care of indigenous health in the respective Special Indigenous Health District and in SUS bodies that carry out complementary support actions in the care of indigenous health of the indigenous communities assigned to the respective DSEI, all elected by the workers;

III – 25% of representatives of municipal, state, district, federal and service providers in the area of ​​indigenous health, as appropriate, within the limits of coverage of each Special Indigenous Health District, all appointed by the heads of the respective bodies they represent.

Condisi Presidents Forum (FPCondisi)

Institutes the Forum of Presidents of District Indigenous Health Councils (FPCondisi) whose purpose is to ensure compliance with the guidelines of the Indigenous Health Care Subsystem (SasiSUS), articulated with the Unified Health System (SUS), of the Complementary Laws Specific to the Indigenous Health, in addition to strengthening and promoting Social Control in health. It is also up to the Forum to act in the formulation and control of the execution of the National Policy for Attention to Indigenous Health.

Formed by the 34 presidents of the District Indigenous Health Councils, the Forum has a consultative, propositional and analytical character and is the highest advisory body for Indigenous Health Policies, within the scope of the Indigenous Health Subsystem, without prejudice to the deliberative powers of the National Health Council. Cheers.

The Forum of Presidents of the District Indigenous Health Councils acts in line with SUS decision-making bodies, with the District Indigenous Health Councils and with the guidelines established in the National Health Conferences and the National Indigenous Health Conferences.

Discuss issues related to the regular functioning of the District Indigenous Health Councils, involve leaders and technicians in the debate on issues related to participatory management and Social Control and give an opinion on criteria established for hiring health teams, as well as monitoring public actions and services and private services that serve the indigenous population are among the attributions of the Forum of Presidents of the District Indigenous Health Councils.