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[Use of evaluation by primary healthcare managers: a case study in southern Brazil]
Daniela Alba Nickel1, Sonia Natal1, Zulmira Maria de Araújo Hartz2
1Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, Brazil.
Abstract:
This article reports on a meta-evaluation, focused on utilization, in a state in southern Brazil. This was a single case study with primary data collection using semi-structured interviews with health department administrators and staff. Content analysis used categories defined in the evaluation matrix: political and organizational context and implementation of evaluation. The political and organizational context revealed weaknesses in the items on experience, evaluation team, and time and space for reflection. Technical autonomy was verified in the State and in one municipality. In the implementation of evaluation, evaluative quality met the established criteria, but there was no prior definition of the uses and users of evaluation. One report referred to use for planning actions and political use. The study concluded that evaluation produced important information for stakeholders, with the political and organizational context as the principal limiting factor for use.
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