Análise do contributo do envolvimento comunitário na prestação de serviços públicos de saúde em Moçambique: caso do Centro de Saúde de Ndlavela 2014-2019

Abstract

Community involvement in the provision of public health services aims to improve the quality and access to health services, thus, the present work has as its theme: Analysis of the contribution of Community Involvement in the Provision of Public Health Services: Case of the Ndlavela Health Center in the period between 2014-2019, this phase, marked by the implementation of the second Strategic Plan of the Health Sector (PESS) from 2014 to 2019, emphasizes the participation of communities in the management of health services. The general objective of the work was to analyze the contribution of Community Involvement in improving the provision of public health services in the Ndlavela Health Center. The spatial choice of the research site is justified because the Ndlavela Health Center is historically the target of several complaints about the poor quality of services by users, it is the largest health center in Matola, occupying an area of 2,090 m2, thus covering significant part of the districts of the Administrative Post of Infulene. For the materialization of the present study, a qualitative research was carried out, regarding the method of approach, the inductive method was adopted, regarding the method of procedure used, the monographic method or case study was privileged and for the collection of data, in this survey, the questionnaire and interview were used. It is concluded that it can be noted that there is a tendency towards the occurrence of a logic of support to the process of implementation of routine actions of the health unit and less or almost no action of interconnection between the community and the health sector for the promotion of participation and social control. We can say that the fact that users of the health services provided by the Ndlavela Health Center recognize the legitimacy of putting their opinions, complaints and suggestions through health professionals does not change their perception of how they act.