Evaluation of the implementation of the Primary Care Professional Valorization Program in the state of Bahia

Abstract

The Primary Care Professional Valorization Program was created in Brazil, in 2011, to support the  performance of health professionals, under  supervision, in municipalities with a shortage of  professionals. This study evaluated the degree of  implementation of the program in the state of Bahia.  Semi-structured interviews were conducted with  members of the State Coordinating Committee of the  program and documentary sources were used to  produce the data. The critical elements of the  implementation process were analyzed through the  use of the governance triangle proposed by Matus.  The program, in the state of Bahia, reached 84% of  the degree of implementation according to the logical model elaborated from the federal regulations. The  management group successfully implemented the  program’s activities, due to its governance capacity  and the political and administrative support of the  State Health Secretariat, although there has been no  increase in financial resources to leverage the  components of the program. It was evidenced the  envolvement of the actors of the coordination of  medical supervision and supervision in an attempt to  reorient medical training, betting on pedagogical  devices and other educational resources.