Implementation of a permanent health education committee to strengthen primary health care governance and service quality in a countryside Brazilian municipality
 
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1
Family Health, Universidade Federal do Paraná, Toledo, Brazil
 
2
Municipal Health Secretary, Secretaria Municipal de Saúde de Assis Chateaubriand, Assis Chateaubriand, Brazil
 
 
Popul. Med. 2026;8(Supplement Supplement 1):A1135
 
ABSTRACT
INTRODUCTION:
Permanent Health Education is a strategic policy within the Brazilian Unified Health System aimed at transforming health practices through learning embedded in daily work processes¹. In June 2025, the municipality of Assis Chateaubriand, Paraná, established an multiprofessional Permanent Health Education Committee to institutionalize continuous professional development aligned with territorial needs and to strengthen primary health care. This report describes its implementation process and initial outcomes.

METHODS:
The implementation strategy was organized around four interconnected axes: diagnosis, regulation, training and evaluation. A participatory situational diagnosis was conducted through facilitated discussion circles in all primary health care units, involving health workers and local managers. These discussions were grounded in Paulo Freire’s dialogical and problem-posing educational approach²,³. Identified gaps guided the development of clinical and organizational protocols and targeted educational interventions. Governance instruments were formalized, including internal regulations and a municipal work plan aligned with the National Permanent Health Education Policy. Educational activities prioritized active and problem-based learning methodologies.

RESULTS:
The diagnosis revealed gaps in prescribing practices, medication stock management and procedural capacity in primary care. In response, the committee developed and implemented a safe prescribing protocol, medication stock guidelines and a municipal protocol for nutritional formulas and therapies. Workshops were delivered on safe prescribing and rational medicine use, along with a theoretical and practical training on intrauterine device insertion to expand procedural capacity. A municipal primary health care service portfolio was also structured to standardize delivery and enhance resoluteness. Regular coordination meetings and a monitoring framework were established to support continuous evaluation.

CONCLUSIONS:
The institutionalization of a Permanent Health Education Committee proved viable as a governance strategy to align workforce development with service needs. By integrating participatory diagnosis, protocol development and targeted training, the initiative seeks to strengthen clinical quality and organizational coherence in primary health care.
eISSN:2654-1459
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