Estado e terceiro setor na prestação de serviços públicos: o programa Nacional de DST e Aids: 1994-2005
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2005-12-19
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Pacheco, Regina Silvia Viotto Monteiro
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This dissertation aims at analyzing the reasons why State contracts civil society organizations to deliver public services. In order to do that, we take as example the national HIV/Aids public policy, conducted by the National Aids Program of the Ministry of Health, which is a well known reference in making partnerships with these organizations. The analysis is developed trying to answer 3 questions: the reasons of the partnership, the areas or sorts of services where this partnership happens and what are the contract mechanisms. The dissertation shows the construction of a partnership policy, starting from the difficulties of State in providing many services in HIV/Aids policy, which were already well delivered by non-governmental organizations. It is established a task-division, in which NGOs will deliver many activities on prevention, care and human rights, especially with to so-called most vulnerable population groups. After few years of centralization in federal government, this policy is being decentralized, stronger involving local levels of government. Inside this process, there is a conflict, not solved yet, regarding the “ownership” of these services: whether they will be absorbed by State or will keep being delivered by NGOs. Even though, decentralization policy stated a way to guarantee a minimum percentage of funds in each state of federation, which shall be used in NGOs projects and means an institutionalization of this partnership policy.