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The building process of the Family Health State Foundation of Bahia, Brazil

The Fundação Estatal Saúde da Família (FESF-SUS) is a Public Foundation. It has been established after a long process of discussions involving social actors that comprise the National Health System [Sistema Único de Saúde - SUS] in Bahia. Its main goal is to act as a form of decentralization and specialization of the Brazilian State to provide social services that are more efficient. This study aims to analyze the process of building the EFSF-SUS, seeking to realize the creation of a reality giving voice to several possible interpretations by the actors who build the SUS in Bahia. It reflects upon the different discourses that have shaped the institution's creation, and the ones that struggled for its conformation, taking into account the speeches that were not valued in the official documents of the institution. This research is the result of a qualitative research and uses the genealogical analysis strategy proposed by Foucault. This paper intends to extract concepts from an experience that will serve as the reality operators concepts tool to assist in the construction of SUS, in the realization of health as a right of all and duty of the State.

health management; modernization of the public sector; regional health planning


PHYSIS - Revista de Saúde Coletiva Instituto de Medicina Social Hesio Cordeiro - UERJ, Rua São Francisco Xavier, 524 - sala 6013-E- Maracanã. 20550-013 - Rio de Janeiro - RJ - Brasil, Tel.: (21) 2334-0504 - ramal 268, Web: https://www.ims.uerj.br/publicacoes/physis/ - Rio de Janeiro - RJ - Brazil
E-mail: publicacoes@ims.uerj.br