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A COOPERAÇÃO EM SAÚDE NAS CIDADES GÊMEAS DO BRASIL ...

A COOPERAÇÃO EM SAÚDE NAS CIDADES GÊMEAS DO BRASIL ...

ABSTRACT The present

ABSTRACT The present research is about the cooperation between Brazil and Uruguay in six twin villages on the border of both countries: Aceguá (BR) and Aceguá (UY); Barra do Quaraí (BR) and Bella Unión (UY); Chuí (BR) and Chuy (UY). In 2003 there is a change in the direction of the Foreign Affair Policy, where Brazil strengthen the relationship with its neighbor, based on the work of the Binational Committees, divided in work groups to discuss subjects like education, health, public safety and environment. Those groups – formed by public administrators, consuls and representatives of the civil society groups – produce documents that gives the direction of the annual meetings where they discuss the problems found in the border region and try to find cooperation possibilities to solve the dead-locks. Together with this scenario it is perceivable the unfolding of adjustments and agreements between the two governments resulting in investments on infrastructure and preventing aggravation. In the face of this new dynamic, the main target of this work is to identify and to characterize the Health Committees, Border Committees and other forums, that are working in those twin villages, which are concerned about health in order to identify how they articulate. The project also does a reflection about the concepts that permeate and determine those relations: territory, border line, cooperation, health systems, the Right to health. The methodology to choose those municipalities in Brazil took into consideration those factors: villages (maximum of 6.000 inhabitants); recently received political autonomy (created in the 90’s); have a restricted public health system linked where they are only responsible for the minimal primary assistance of their citizens, then they send the patients to other referenced hospitals – or where it is accorded the assistance of medium or high level that are not available on their sanitary district. The Uruguayan villages are also recently created – administrations elected from 2010, the number of the population in higher than the Brazilians ones and they have hospitals – having the exception of Aceguá, who counts with a Local Administrative Council and does not have a hospital. Besides the bibliography research, interviews were made with local authorities, health professionals and other actors identified during the work. With this research one can realize that, despite of the interaction between them – recognition of the infrastructure and the expertise of the neighbor in areas such as dentists, health prevention, exams and other specialties – there are many difficulties to execute the exchange of services. Another point is the lack of putting in practice the agreements made, either because of bureaucracy as also because of the pressure of the corporative organizations. KEYWORDS: Border, Health Policies, International Cooperation

LISTA DE ABREVIATURAS E SIGLAS AMRIGS ASSE BPS CAPES CAMCEL CAPS CDIFF CEFF CEP CIB CMS CODESUL COGERE COMERO CONASS CONEP CONVIVER CORSAN CRM ESF FOCEM FONASA FNR GIZ Associação Médica do Rio Grande do Sul Administração de Serviços de Saúde do Estado Banco de Previsión Social Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Cooperativa Assistencial Médica de Cerro Largo Centros de Atenção Psicossociais Comissão Permanente para o Desenvolvimento e a Integração da Faixa de Fronteira Comissão Especial da Faixa de Fronteira Comitê de Ética em Pesquisa Comissão Intergestores Bipartite Conselho Municipal de Saúde Conselho de Desenvolvimento e Integração Sul Colegiado de Gestão Regional Cooperativa de Médicos de Rocha Conselho Nacional de Secretários de Saúde Comissão Nacional de Ética em Pesquisa Programa de Desenvolvimento Integrado e Sustentável do Semi-Árido Companhia Riograndense de Saneamento Conselho Regional de Medicina Estratégia Saúde da Família Fundo para Convergência Estrutural e Fortalecimento Institucional do Mercosul Fundo Nacional de Saúde Fundo Nacional de Recursos Agência de Cooperação do Governo Alemão

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