Arena Ventura, Carla AparecidaQueiroz Bonato, Patrícia de PaulaSerapioni, MauroCaetano, Maria Helena DonadonDos Santos Barbosa, Maria LuizaQueiroz Bonato , Patrícia Paula2024-03-062024-03-062023-01-010874-0283PURE: 83944240PURE UUID: 1d6f05c7-74c4-44d2-bdb5-9e91819ded7dScopus: 85167968823http://hdl.handle.net/10362/164564Funding Information: Este trabalho foi financiado pela Fundação de Amparo à Pesquisa do Estado de São Paulo-FAPESP. Publisher Copyright: © 2023, Escola Superior de Enfermagem de Coimbra. All rights reserved.Background: Studies on social participation point out some limitations in participatory architecture. For this reason, the World Health Organization designed a model with key components for bringing civil society and governments closer together. Objectives: This study aimed to identify the aspects that influence participation based on the components proposed by the World Health Organization. Methodology: This case study used a qualitative and cross-sectional approach. Data were collected through document analysis, non-participant observation, and semi-structured interviews in 2020 and 2021 with the municipal health council members of an inland city in the state of São Paulo, Brazil. Results: Weaknesses were observed in the council’s institutional structure, such as excessive bureau-cracy, lack of user representativeness, and council members’ insecurity regarding the municipality’s health-related economic-financial issues. Conclusion: There is a need to strengthen the culture of participation in this municipal health coun-cil, disseminate the activities developed, and reformulate the technical-bureaucratic dynamics that predominate in this environment.343937engmunicipal health councilsocial determinantssocial participationRA0421 Public health. Hygiene. Preventive MedicineGeneral NursingHealth PolicySDG 3 - Good Health and Well-beingjournal article10.12707/RVI22032https://www.scopus.com/pages/publications/85167968823