Objective: This study aims to investigate the institutional environment of municipal health councils in municipalities of Espírito Santo, concerning transparency, participation, deliberative process, and the common good, and to comparatively assess the contribution of these aspects to the COVID-19 pandemic response. Theoretical Framework: The research is based on the concept of social management and deliberative citizenship, drawing from the works of Habermas (2003), Tenório (2007, 2012), and Costa (2018) , and Costa and Pinto (2021). The constructs of transparency, participation, deliberative process, and common good are highlighted as criteria for analyzing the State's capacity to ensure social well-being. Method: A comparative analysis was conducted on the institutional environment of the public health sector in nine municipalities of Espírito Santo. The methodology included analyzing legislation, municipal health plans, forms of participation, competencies, and the composition of the councils. The adherence of the Municipal Health \Councils' (CMS) documentation to the theoretical constructs was quantified , and the results were compared with COVID-19 response actions and mortality and confirmed case rates. Results and Discussion: The findings revealed distinct patterns in the institutional environments of the Municipal Health Councils, demonstrated by variations in the number and type of competencies found. Municipalities with better results in the institutional environment (Cachoeiro de Itapemirim, Serra, and Linhares) demonstrated a greater number of pandemic response actions (except Linhares) and better COVID-19 mortality rates. Conversely, municipalities with lower results in the institutional environment (Vila Velha, Colatina, and Viana) showed inferior performance in adopted actions, mortality, and confirmed cases, with the exception of Viana. Research Implications: The implications of this research indicate that transparency, participation, and the deliberative process within municipal health councils can significantly contribute to the effectiveness of public health policies, especially in crisis situations like the pandemic. These insights can influence local governance practices and strategic planning in the public health sector. Originality/Value: This study contributes to the literature by correlating the institutional environment of municipal health councils with the results of public policy responses to a health crisis, such as the COVID-19 pandemic, within the Brazilian context. The research offers a comparative analysis that highlights the importance of social management and deliberative citizenship for social well-being.
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