Conclusions: Brazil’s Health Councils fall short in providing an effective forum through which civil society can
actively participate in health policy and resource allocation decision-making processes. Restrictive membership
guidelines, a lack of autonomy from the government, vulnerability to government manipulation, a lack of support
and recognition from the government and insufficient training and operational budgets have made Health Council
largely a forum for consultation. Our conclusions highlight, that among other issues, Health Councils need to have
the legal authority to act independently to promote government accountability, membership guidelines need to be
revised in order include members of marginalized groups, and better training of civil society representatives is
required to help them make more informed decisions.
Conclusions: Brazil’s Health Councils fall short in providing an effective forum through which civil society canactively participate in health policy and resource allocation decision-making processes. Restrictive membershipguidelines, a lack of autonomy from the government, vulnerability to government manipulation, a lack of supportand recognition from the government and insufficient training and operational budgets have made Health Councillargely a forum for consultation. Our conclusions highlight, that among other issues, Health Councils need to havethe legal authority to act independently to promote government accountability, membership guidelines need to berevised in order include members of marginalized groups, and better training of civil society representatives isrequired to help them make more informed decisions.
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