State Department of Health (Sesa) employees wrote an “SUS Defense Open Letter,” which contains 18 claims being delivered to candidates for state government, the Senate, the House of Representatives, and the Legislative Assembly. The goal, they say, is to provide important guidance for health workers, organized civil society, and candidates from the progressive field “who advocate for democracy and have close ties to the SUS.” [Sistema Único de Saúde]And you want to support and participate in this struggle for democracy.”
Part of the initiative are also union entities, such as the Federation of Public Servants of Espirito Santo (Sindipúblios), the Syndicate of Psychologists (Sindpsi/ES), the Syndicate of Nurses (Sindinfermeiros), the Syndicate of Pharmacists (Sinfes), the Syndicate of Dentists (Sinodonto) and the Health Workers Union of Espirito Santo (Sindsaúde/ES).
Magna Neri Manueli, nursing technician and director of Sindipúblicas, says the message comes from the need to reopen dialogue with public authorities on various demands. The union leader recalls that there was a negotiating table with representatives of Sesa, the State Secretariat for Administration and Human Resources (Seger) and the unions. “All the structural health issues were discussed at the table,” he says. “We were able to walk, but then everything became more difficult for us, because Nisio Fernandez took over as secretary and didn’t want the table anymore.”
Reopening the negotiating table is one of the group’s demands. Another request is to strengthen the Capixaba Institute for Health Teaching, Research and Innovation (ICEPi), which workers prefer to refer to as the College of Public Health of the State of Espírito Santo because they believe it has an appropriately educational character. For them, for example, there is a lack of financial resources to continue the research that has been conducted.
Strengthening the school includes other demands, such as the State Policy Foundation for Popular Education in Health in Espirito Santo, through which, according to Magna, courses can be held within communities, such as those on disease prevention. One of the points that workers consider essential and that appears in the letter is the reconfiguration and strengthening of effective personnel at Sesa, “with the modernization of bonds, through public tenders or other means of professionalization of health management.”
Magna notes that since 1998 there has been no public tender and that the participation of social organizations (OS) and institutes, such as Inova, in hospital administrations has grown. “A lot of times we see these institutions say they have opened a competition, but this is not a competition, it is a selection process, with a very low salary,” he says.
The workers also advocate for the restructuring and strengthening of the effective cadre of the School of Public Service of the State of Espirito Santo (ESESP), “with a view to strengthening institutions”. “Most of the staff consists of taxpayers or DT [Designação Temporária]Magna highlights.
Other claims are state administrative reform, aimed at improving working conditions, with personnel dimensions, organization of the work process, implementation of technological management tools, publicity and transparency, collective management, favorable working conditions with equipment and materials; strengthening worker health policy; State Reference Center for Workers’ Health (SEIRST); Primary health care and complementary and complementary health practices (PICS).
The implementation of technological tools for management, evaluation and control is also included, allowing to improve management, transparency and regulation in the country; strengthening the indigenous health system; Expansion of primary sanitation coverage in 78 municipalities in the state; Encourage the active participation of organized civil society in SUS Social Control cases; Encouraging the re-establishment of the popular pharmacy and the establishment of the Brazilian Pharmaceutical Industrial Complex. Support the implementation of the government’s health monitoring plan for the population exposed to pesticides and support public policies to promote agroecology and organic production; Promote the structuring and expansion of the Psychosocial Care Network (RAPS), adhering to the Charter of Brazilians in Defense of the State.
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