National Health Council
The National Health Council was created in 1937 with the purpose of advising the Ministry of Education and Public Health. Since then it has suffered several alterations, and the council was adapted to accommodate to the Federal Constitution of 1988, to Act 8,080 (1990) and to Act 8,142 (1990). This last act is related to community engagement in the management of the Unified Health System (SUS). The council?s functions are to: formulate strategies and act in the control of public health policies, including economic and financial aspects; control the private sector?s actions in the health sector; create a timeline for transfers of financial resources from the federal government to other federal entities; monitor scientific development in the area of health, while taking ethical issues into consideration; work together with the Ministry of Health in the creation of new courses of higher education. The council is comprised of 48 members, 50% of which belong to social movements organized by SUS users, 25% are representatives of health professionals and the scientific community, and the remaining 25% are representatives of the federal government. Of the government officials, one is a member of the National Council of Health Secretaries, another, of the National Council of Municipal Health Secretariats, two are representatives of service providers and two are from business entities in the health sector. The representatives of health professionals and the scientific community are appointed by the presidents of the entities represented, and the members of social movements of SUS users are selected through an electoral process which single out the entities (and not the representatives) that can participate, held every three years from the first election.
Formalization: is the innovation embedded in the constitution or legislation, in an administrative act, or not formalized at all?
Frequency: how often does the innovation take place: only once, sporadically, or is it permanent or regular?
Mode of Selection of Participants: is the innovation open to all participants, access is restricted to some kind of condition, or both methods apply?
Type of participants: those who participate are individual citizens, civil society organizations, private stakeholders or a combination of those?
Decisiveness: does the innovation takes binding, non-binding or no decision at all?
Co-governance: is there involvement of the government in the process or not?
- embedded in the constitution/legislation
- Mode of selection of participants
- Type of participants
- civil society
- democratic innovation yields a binding decision