Governance, sustainability, and equity in the health program for the municipality of Sao Jose dos Pinhais, Brazil/Governanca, sustentabilidade e equidade no plano de saude de Sao Jose dos Pinhais, Brasil

Objective. To analyze the Final Report of the VIII Health Conference and the Sao Jose dos Pinhais City Health Program for 2010-2013 and investigate whether these documents addressed the themes of sustainability, governance, and equity and the interfaces between these themes--government policies, power balance, and inclusive processes/impacting results--that make up the Concept Model for Human Development and Health Promotion developed by the authors. Method. This case study analyzed 331 proposals approved for incorporation in the City Health Program. The six thematical categories of the Concept Model were analyzed using ATLAS Ti 5.0 software. The proposals were classified according to the number of themes and interfaces of the Concept Model: full health proposals contained all six categories; partial proposals contained three categories; and incipient proposals contained one category. Results. Of 331 proposals approved, 162 (49%) contemplated the six thematical categories and were classified as full health promotion proposals. Ninety-five (29%) contemplated three categories (partial health promotion). Of these, 38 (12%) addressed Governance, Sustainability, and Government Policies, 33 (10%) addressed Governance, Power Balance, and Equity and 24 (7%) addressed Equity, Inclusive Processes/Impact Results, and Sustainability. Finally, 74 (22%) proposals contemplated only one category and were classified as incipient: 36 (11%) addressed Governance, 27 (8%) addressed sustainability, and 11 (3%) addressed equity. Conclusions. Based on the fact that 49% of the proposals approved were classified as full health promotion, it is considered that the effectiveness of social control and popular participation in the construction of health policies at the local level contritute to the promotion of health in the city. Key words Social control policies; consumer participation; equity in health; human development; health promotion; Brazil. Objetivo. Analisar o Relatorio Final da VIII Conferencia de Saude e o Plano Municipal de Saude de Sao Jose dos Pinhais 2010-2013 e verificar se esses documentos contemplaram os temas sustentabilidade, governanca e equidade e as interfaces entre esses temas--politicas de governo e estado, balanco de poder e processo inclusivo e resultados impactantes--, que compoem um Modelo Conceitual para Desenvolvimento Humano e Promocao da Saude proposto pelos autores. Metodos. Neste estudo de caso, foram analisadas as 331 propostas aprovadas para incor