Strengthening of the National Audit System of the Unique Health System (SUS) (BR0054)

to review the regulations on the National Audit System of the SUS. Additionally, the commitment provides for the monitoring of the Audit Actions’ Annual Plan by the Office of the Comptroller General with the aim of ensuring that government expenditures on health follow the proposed objectives, thus increasing the quality of care provided by the SUS.

Commitment 2.17. Strengthening of the National Audit System of the Unique Health System (SUS)

Commitment Text: To review the regulations on the National Audit System of the SUS. Additionally, the commitment provides for the monitoring of the Audit Actions’ Annual Plan by the Office of the Comptroller General with the aim of ensuring that government expenditures on health follow the proposed objectives, thus increasing the quality of care provided by the SUS.

Responsible institution: Ministry of Health

Supporting institution: None

Start date: Not specified                          End date: 13 December 2013

Commitment aim

This commitment involved the revision of Decree 1.651/1995 regulating the National Audit System (SNA) of the Single Health System (SUS). The government sought to revise the decree to integrate the procedures of the SNA with those of the Office of the Comptroller General (CGU), and to focus legislation on the role of the SUS in directly managing relations between states and municipalities.

Status

Midterm: Substantial

The commitment was substantially completed. The draft decree proposal was formulated, but not published. However, the 2014 Audit Actions Annual Plan was submitted to the CGU, as stipulated in the commitment text.

End of term: Substantial

There has been no additional progress found by the IRM researcher since the midterm evaluation, even though the government end-of-term self-assessment report mentions that the commitment was due in December 2015. The revised decree was not published.^{[Note 74: The Decree text from 1995 was not changed by any new resolution. See http://www.planalto.gov.br/ccivil_03/decreto/1995/d1651.htm for the still valid 1995 decree.]}

Did it open government?

Access to information: Did not change

Civic Participation: Did not change

Public accountability: Did not change

Although the commitment was included at the suggestion of civil society, it does not clearly promote OGP principles. The scope of the commitment is to standardise intra-governmental practices and integrate systems. As a result, it aims to create better foundations for future advances in open government, rather than open government itself.

Carried forward?

The commitment is not included in the next action plan. In the future, the IRM researcher recommends publishing the primary results of the audits for consultation and citizen monitoring.