A Brief Reflection on the Brazilian Participatory Experience

The article highlights Brazilian participatory experiences such as the participatory budget and the policy councils and conferences. Based on research done by the author on daily routines and policy impacts of these forums, it is argued that there is still a long way before fulfilling normative expectations. In light of these challenges, reflections about how to move forward in the future are presented

What did we learn about citizen involvement in the health policy process: lessons from Brazil

In this paper I argue that citizen involvement helped to promote a more equitable distribution of public health services in Brazil. This achievement involved a balance of contributions from social actors and health system managers in forging policy innovations and institutional arrangements that linked bottom up innovation with national policy leveraging and decentralized implementation. The paper briefly describes this cycle and its relation with the implementation of a national network of forums for citizen involvement in health policy, inquiring in more detail the conditions that favor the association between these forums and the policy making process. Our results do not corroborate the idea that deliberative arenas should be insulated from political passions; rather, they suggest that participation of mobilized social actors contributes to the effectiveness of these forums. This contribution happens both due to the knowledge that these actors bring about problems in the area and to their insertion in networks that connect forums to a wide set of social organizations and political, governmental, and health institutions, which in turn facilitate the dissemination and negotiation of the proposals and demands formulated by the forums. However, our results also suggest that the inclusion of these actors increases confrontation to the detriment of deliberation, which brings us to the discussion of the role that could be played by mediators who are well-equipped to construct deliberative processes

Participatory mechanisms and inequality reduction: searching for plausible relations

Brazil is known for being one of the most unequal countries in the world. Since the 1990s many scholars, both in Brazil and those analyzing the country¹s trajectories from abroad, have been describing a decrease in country¹s inequalities. In this article we discuss the possible role of expanding citizen participation in policy making processes and overseeing their implementation in inequality reduction. To do so we explore the connections between the participatory mechanisms and the implementation of policies that are expected to reduce inequalities in two different participatory experiments that have taken place in Brazil: São Paulo municipal health councils and the country¹s participation in the Open Government Partnership (OGP). We argue that, despite their thematic and historical differences, there are good reasons to believe that these two participatory experiences sustained the expectations concerning their role in contributing to reduced inequalities. However, these cases suggest that their contributions were less determined by the quality of the participatory process, as defined by the deliberative democracy literature, than by the nature of political alliances and mobilization processes that supported these spaces