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This article aims to analyze the application of public resources for health services and its relationship to population size of the municipalities of the state of Pernambuco through a survey that is quantitative, descriptive, analytical and retrospective and uses secondary data pertaining to the historical series from 2012 to 2017. The data were collected from the Information System on Public Budgets for Health and by the use of the Cidades@ tool of the Brazilian Institute of Geography and Statistics. The statistical analysis was carried out using the Stata software package. On examining average spending, it was observed that the most significant breaches of the mandatory minimum percentage of 15% occurred from year 2012 through 2016. As regards the historical series of the average application of financial resources, it was found that in 2016 there was a decline in all municipalities. It was observed that the small municipalities of the mesoregions of Zona da Mata, Agreste and Sertão presented the highest average percentages, which demonstrates the dependence between these and other entities in the state, thereby highlighting the need to improve the management of financial resources. [ABSTRACT FROM AUTHOR]

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Objectives: to understand the factors that give rise to variations in the degree of implementation (DI) of the Schistosomiasis Control Program (SCP) in two municipalities in the Brazilian State of Pernambuco. Methods: an implementation analysis was undertaken to evaluate the influence of the context the DIof the SCP Structured questionnaires were used to interview SCP coordinators, health secretaries, and environmental health coordinators and agents. Research was also carried out using official records and direct observation. A points system was used to classify the DI of the SCP as implemented (90 to 100 points), partially implemented (60 to 89 points) and not implemented (< 59). Results: the DI of the SCP in the first municipality was "not implemented" (52.85 points) and in the second municipality 'partially implemented' (63.65 points). The main impediments to the implementation of schistosomiasis control measures were lack of knowledge of how the SCP works, insufficient planning of control measures, low priority given to the program, insufficient infrastructure, and failure to include control measures in tools used to manage and centralize action. Conclusions: there is a need to rethink the way schistosomiasis is controlled and to contemplate integrated and equitable decentralization of action, with a view to moving beyond the existing paradigm. [ABSTRACT FROM AUTHOR]