Aspectos críticos para a implementação da política de saúde bucal no Município de Salvador, Bahia, Brasil

Abstract

This study focuses on policy implementation by public organizations. This was a qualitative, exploratory case study focusing on Brazil"s National Oral Health Policy, known as "Smiling Brazil", implemented in Salvador, the State capital of Bahia. The study aimed to identify factors that facilitated or hindered the policy"s implementation, based on the public policy cycle and Carlos Matus" government triangle concept, for the period from 2004 to 2007. Data collection strategies included analysis of municipal documents, interviews with key informants, and direct observation of top management meetings at the Municipal Health Secretariat. The main factors that hindered implementation of the municipal oral health policy were the project"s lack of specificity; lack of human resources; and lack of financial autonomy in the Municipal Health Secretariat. The study showed that the lack of connection between the variables comprising the government triangle raised obstacles to the implementation of oral health policy in Salvador.