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Civil society’s participation as a component of public policy formulation, implementation, evaluation, and monitoring is not a recent issue. According to the Universal Declaration of Human Rights, Article 21: “Everyone has the right to take part in the government of his country, directly or through freely chosen representatives”. Article 1 of Brazil’s 1988 Citizens’ Constitution 2 recognizes this new institutional framework when it states: “All power comes from the people, who exercise it through elected representatives or directly”. Twenty-five years after passage of the 1988 Constitution, Executive Order n. 8,243 3 of May 23, 2014, created the National Policy for Social Participation (PNPS) and the National System for Social Participation, aimed at the creation, strengthening, and linkage of existing democratic structures for participation and their interface with the Federal government administration and civil society. The Executive Order thus regulates an existing Constitutional provision and does not extrapolate its own function.

Executive Order n. 8,243 and the Brazilian National Policy for Social Participation: impacts on health