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.  Since social control and social participation became such a major component of the reform in the constitution it created health councils to initiate the participation and thus make easier the implementation of the policies. The Municipal Health Council consists of governmental institutions, providers of health services, health professionals, civil societies organizations and citizens.They approve on annual plans and health budgets but if the council can’t come to an agreement on something no funding is provided. Therefore, the council is necessary for the municipality to receive federal funds. 

For more information see Democratization of the Brazilian Health Councils: The Paradox of Bringing the Other Side into the Tent by Vera P. Schattan Coelho

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