Consórcio Intermunicipal de Saúde e os Desafios da Cooperação: análise da experiência na Zona da Mata de Minas Gerais

Objective: To examine the role of Inter-municipal Health Consortia (IHC) in the Zona da Mata region of Minas Gerais, Brazil, in fostering joint action among public entities. Method: A thematic categorical content analysis was conducted on 33 documents, including protocols of intent, statutes, program and apportionment contracts, from the nine IHC members in the Zona da Mata region. Additionally, 10 interviews were carried out with executive secretaries, administrative managers, and mayors. Results: This study highlights the presence of instruments for mutual adjustment, arenas for technical debate, and joint deliberation, along with controls that position IHC as a governance structure capable of overcoming obstacles to cooperation, limiting opportunistic actions, and facilitating conflict resolution. Contributions: The findings shed light on how cooperation functions within IHC. The analysis reveals characteristics and models of the federalist system and public administration, alongside the risks of opportunistic behavior. While actors display utilitarian tendencies, their objectives also converge in the management of IHC.