Diffusion of Good Government: Social Sector Reforms in Brazil by Natasha Borges Sugiyama

Author:Natasha Borges Sugiyama [Sugiyama, Natasha Borges]
Language: eng
Format: epub
Tags: Public Policy, Social Policy, Social Science, Political Science, American Government, Poverty & Homelessness, General
ISBN: 9780268092825
Google: AogFDgAAQBAJ
Goodreads: 18607132
Publisher: University of Notre Dame Pess
Published: 2012-11-28T00:00:00+00:00

Explaining the Diffusion of PSF in Four Major Cities

Why did some cities adopt the Programa Saúde da Família quickly, while others lagged behind? Why would health policy makers emulate the program, particularly when many local governments had already experimented with alternative health care models? Also puzzling was that actors from large cities with sophisticated health infrastructure would emulate a program that largely drew its inspiration from areas that are far from typical: the poor rural northeast (with the PACS), and Niterói (with PMF), with high levels of human development and income per capita.

The case studies in this chapter examine the motivations behind PSF adoption in four research sites over three municipal administrations. These cities had great flexibility in determining their basic health models. Some administrations tailored health policy to suit the needs of their municipalities, while others adopted PSF. In other words, emulation of PSF was far from automatic or a foregone conclusion. Electoral competition varied across these cities, and the voters selected mayors representing various ideological predispositions, from rightists to leftists. In addition, health policy technocrats engaged in professional networking activities, but not necessarily the same ones. Table 5.1 provides an overview of the case studies: when PSF adoption took place, and the partisan affiliations of the mayors who adopted the family health program.

Table 5.1. Case Studies: PSF Adoption and Nonadoption

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