The institutionalization of monitoring and evaluation practices: challenges and prospects in the view of the Brazilian National Health System managers

CARVALHO, André Luis Bonifácio de e SHIMIZU, Helena Eri. The institutionalization of monitoring and evaluation practices: challenges and prospects in the view of the Brazilian National Health System managers. Interface (Botucatu) [online]. In press. . Epub 16-Nov-2016. ISSN 1414-3283. http://dx.doi.org/10.1590/1807-57622015.0817.

The aim of this study is to review the perception of state leaders on the practices and process for monitoring and evaluation (M & E) within the BNHS management. This is a qualitative study with a focus group, comprising managers from the states of Bahia, Mato Grosso, Rio de Janeiro, Santa Catarina, Sergipe and Tocantins. The guide was developed to analyze how this theme is placed on the agenda of managers and its concreteness in everyday management. Findings: the weakness of institutionalization of M & E as an disjointed process between the three entities; overlapping between different management functions; low-skilled teams; insufficient integration of information systems, and vicious cycles generated from fragmented practices, hindering the institutionalization of processes.

Key words: Monitoring; Evaluation of Health; Decision; Institutionalization

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