The study aims to analyze how the municipalities, with the Commission for Integration of
Teaching and Service implemented, are developing the National Policy for Permanent
Education in Health. This policy is a SUS strategy for the formation, development and
reorganization practices and services. In the theoretical framework, the assumptions of Paulo
Freire's theoretical liberating pedagogical conception are used. Eight (8) Municipal Health
Secretaries from Belém, Ananindeua, Marituba, Redenção, São Felix do Xingu, Conceição do
Araguaia, Barcarena andAjuruteuaparticipatedofthestudy. It is a single case study, integrated
with a qualitative approach and with an explanatory strategy. The collection period was from
Setember to November 2019, through the focused interview (YIN, 2010), based on the
interview protocol. For analysis, a general analytical strategy called “relying on theoretical
propositions” was used (YIN, 2010), based on the theoretical propositions of Permanent
Education in Health, followed by the analytical procedure of Strauss and Corbin (2008).
Three (3) categories emerged: “National Policy on Permanent Education in Health (PNEPS)
and its repercussions on practices”, “Advances provided by the National Policy on Permanent
Education in Health: Reflections on the work process” and “Contributions from Teaching
Service Integration Commissions: their reflexes in the organization of work processes and
qualification of services in SUS ”; and six (6) subcategories: “Permanent Health Education
Policy: Reflection of managers on its importance”, “Action Strategies of the National
Permanent Education Policy: Impacts on the work process”, “Difficulties in the process of
implementation of PNEPS”,Advances for the qualification of workers and improvement of
care”,“Advances for the qualification of Management”,“Role of CIES and the contribution to
the implementation process”. The results show that the municipalities are developing PNEPS
from the perspective of Continuing Education, centered on capacity building and training
actions; there was still little clarity and difficulty in understanding such a policy, reflecting
little priority on the part of Municipal Health Secretaries. It is suggested that the
municipalities resume the debate and reflection on the PNEPS guidelines, create collective
spaces for reflecting on the problems of daily services and participatory planning, enhance the
creation of the Permanent Education Nucleus (NEP) and strengthen CIES in regional health
regions.
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