Decision-making fluxes related to counterpart healthcare condition's concept in the programa bolsa família

Authors

  • Jorginete de Jesus Damião Trevisani Universidade do Estado do Rio de Janeiro; Instituto de Nutrição
  • Luciene Burlandy Universidade Federal Fluminense; Faculdade de Nutrição
  • Patricia Constante Jaime Universidade de São Paulo; Faculdade de Saúde Pública; Departamento de Nutrição

DOI:

https://doi.org/10.1590/S0104-12902012000200021

Keywords:

Conditional Cash Transfer Programs, Primary Care, Food and Nutrition Policies

Abstract

This paper discusses the formulation process of conditional cash transfer associated with healthcare conditions demanded by Brazil's Family Allowance Program, Programa Bolsa Família (PBF), and also aims to analyze the interfaces of PBF and other nutrition policies. It used the multiple streams model proposed by Kingdon, which implies moving into a new "decision agenda" from the interation of three streams: problems, solutions and alternatives and political stream. Analysis of documents and interviews was used in order to reconstruct the trajectory of these stream. In the design of healthcare´s conterparts, conceptual and operational critical of programs for combating Undernourished Child and the extinction of Food Stocks Distribution Program (PRODEA) were in stream of problems. The proposed conditional cash transfer ongoing, was in the stream of solutions and alternatives. Finally the decision of creation a social protect network, was in the political stream. In the conditional cash transfer design process, with counterparts in health, the technical area on food and nutrition assumed the role of policy entrepreneurs in the junction of three streams. Reflection on this process helps us to understand the role of health services in intersectoral programs.

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Published

2012-06-01

Issue

Section

Original research articles

How to Cite

Trevisani, J. de J. D., Burlandy, L., & Jaime, P. C. (2012). Decision-making fluxes related to counterpart healthcare condition’s concept in the programa bolsa família. Saúde E Sociedade, 21(2), 492-509. https://doi.org/10.1590/S0104-12902012000200021