Survey on municipal sanitary licensing: procedures and simplification
Keywords:
RDC nº 153/2017; Sanitary Licensing; Risk Rating; Municipal Health SurveillanceAbstract
Introduction: Health licensing is the legal act that allows establishments that perform activities subject to health surveillance to function and the responsibility of States, the Federal District and Municipalities over it. The publication of Anvisa RDC Resolution No. 153/2017 established national criteria for risk classification, simplification and harmonization for health licensing. Objective: Obtain information about the health licensing process adopted in Brazilian municipalities and evaluate the implementation and adoption of the criteria of Anvisa RDC Resolution No. 153/2017 by Municipal Health Surveillance. Method: The information was obtained by means of a semi-structured virtual form, sent by email to the Municipal Health Surveillance agencies. Results: At all, 2,111 municipalities sent information about the knowledge and implementation of the regulation, in addition to procedures adopted for health licensing, such as: phase for document analysis and health inspection, fee collection, average time for granting a health license, digitalization and integration with Redesim. Conclusions: Although the regulations are widely known, only 15.4% of the respondent Municipal Health Surveillance agencies adopt simplified procedures for granting the health license for economic activities previously known as low risk. In addition, State relevance in the coordination of municipal visas was ratified and, considering the charging of fees for issuing the health licence by most brazilian municipalities, there was a potential impact on their collection with the publication of the Economic freedom law. Anvisa is responsible for articulating with the Federal Government and proposing programs to assist articulation between local agencies, to promote exchange of experiences, cooperation and strengthening of the SNVS.
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