A translação do conhecimento no âmbito da cooperação internacional: a experiência da Fiocruz em incorporação de tecnologias em saúde no Haiti

International dialogical action: the decolonial potential of structuring cooperation in health promoted by Brazil

“…Examples of these studies are the ones led by Kastrup and Pêssoa (2012) These five studies share analytical categories similar to the decolonial characteristics previously claimed here: horizontality/collaboration, search for sustainability/appropriation and adaptation to the local context. Some of them also highlight the flexibility of international agreements and projects to fit into the demands and interests of the partners during the implementation of cooperation (Kastrup and Pêssoa 2012;Pêssoa 2016).…”

“…These studies also report the 'training of trainers' (Peres et al 2020) who act as multipliers of knowledge and permanent health education (Pêssoa et al 2013;Pêssoa et al 2016), being, therefore, a strategy to produce sustainability. Also, local recognition and leadership by trained institutions after the implementation of cooperation are mentioned as indicators of sustainability (Kastrup and Pêssoa, 2012).…”

“…Also, local recognition and leadership by trained institutions after the implementation of cooperation are mentioned as indicators of sustainability (Kastrup and Pêssoa, 2012). Furthermore, the construction of new training, research, discussion and even work agendas and projects are mentioned by technicians from different countries as results of these strategies (Kastrup and Pêssoa 2012;Pêssoa et al 2013;Pêssoa et al 2016;Tobar et al 2017;Peres et al 2020).…”

“…In this sense, this indicator can gain greater relevance if it is related to others that inform how the costs of a project are employed, not only what is paid (as equipment, for example), but also what is done (the actions of transfer and exchange among agents). In the case of the Brazil-Cuba-Haiti trilateral cooperation, for example, there was incorporation of technologies in Haiti by Brazil, but the training processes are described as horizontal in the analysis of Pêssoa et al (2013) and Pêssoa et al (2016). In turn, in the case of the construction of an antiretroviral factory in Mozambique, the study of Esteves and Assunção (2017) demonstrates that there was no local adaptation or adequate use of the factory because Mozambican technicians did not agree with Brazilians about its importance or feasibility in the local context.…”

Gestão da Atenção Primária: desafio para a cooperação internacional em saúde

“…Abdenur 8 stresses that triangular cooperation emerges as an intermediary form between bilateral and multilateral cooperation, often assuming the form of a network of cooperation between different partners. Pessoa et al 9 report Fiocruz's experience in a triangular cooperation project in Haiti, whose purpose was to increase the efficiency of utilization of available resources, increasing the effectiveness of project implementation and goals. While ProForsa includes all of these elements, it is important to point out other aspects related to the local political and institutional scenario that, once accepted by the parties, worked in favor of the proposal developed by the Fiocruz team:…”