This study aims to identify how the health and well-being of public servants are promoted and managed at the Federal University of Technology—Paraná (UTFPR). The Integrated Subsystem for Attention to the Health of Public Servants (SIASS), established by the federal government in 2009, is an initiative that integrates health actions, work safety, and social assistance. This qualitative study utilized the analysis of institutional documents and semi-structured interviews with managers involved in SIASS implementation at the UTFPR. The analysis reveals that, despite the creation of the SIASS, the UTFPR faces challenges such as resource scarcity, reliance on procurement processes, and a reactive rather than preventive approach to occupational health issues. The structural diversity across campuses and the lack of systematic evaluation of working conditions further limit the effectiveness of policies. It is recommended that the UTFPR adopt a more integrated, data-driven, and proactive approach to occupational health management. Strengthening interinstitutional partnerships, optimizing resource allocation, and developing continuous evaluation systems are essential steps to ensure a work environment that effectively promotes the health and well-being of its employees.