Abstract
Working relations between the Pan- American Health Organization/World Health Organization (PAHO/WHO) and Brazilian health institutions accumulated a long history of cooperation with mutual benefits, which in many cases were shared with other nations under various cooperation frameworks among countries for health development. A milestone in this relationship is the technical cooperation provided by PAHO/WHO to the More Doctors Program (Programa Mais Médicos - PMM). This cooperation has added both strategic value in reducing gaps in health equality and has capitalized on the unique nature of the Cuba-Brazil South-South cooperation experience, triangulated through PAHO/WHO. This paper discusses PAHO/WHO's role in the evaluation of its technical cooperation within PMM. A Monitoring and Evaluation (M&E) Framework has been developed in order to progressively identify the advances in coverage and quality of primary health care provided by the Unified Health System (Sistema Único de Saúde - SUS) through the PMM. Special attention was given to identify best practices in health services, to analyze results and impacts of the PMM, and to manage and share knowledge that has been produced by its implementation, through a web-based knowledge platform. Some relevant results of PMM are briefly presented and discussed.
Highlights
“What is important is to never stop questioning.”. This quotation, attributed to Albert Einstein, summarizes the meaning of the process being developed by the Pan-American Health Organization/World Health Organization (PAHO/WHO) to monitor and evaluate the More Doctors Cooperation Program (Programa Mais Médicos – PMM)
In the same way, keeping in mind the nature of an international organization in health cooperation, the PAHO/WHO hopes that the lessons learned as a result of this evaluation are useful for other countries in the Americas, dedicated to the broadening and strengthening of Primary Healthcare[1]
To reach the goals of macro areas 2 and 3, PAHO/WHO uses knowledge generated by studies carried out by academic and research institutions, and establishes cooperation agreements with some of them and with the SUS administrators responsible for the PMM
Summary
“What is important is to never stop questioning.” This quotation, attributed to Albert Einstein, summarizes the meaning of the process being developed by the Pan-American Health Organization/World Health Organization (PAHO/WHO) to monitor and evaluate the More Doctors Cooperation Program (Programa Mais Médicos – PMM). The main goal of the Project is to ensure the presence of doctors in the health teams of Primary Care by way of the mobilization of Cuban physicians to Brazil and, simultaneously, commit to the successful performance of these health service professionals, generating an indissoluble link between the Program and Cooperative Project.
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