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Global Health Econ Sustain                                    International scientific cooperation in public health
























                          Figure 1. Dynamics behind the execution of the “Syphilis No!” Project. Image created with Adobe Illustrator.


              Four of UFRN’s PDI’s many initiatives should be   the performance evaluation system of the international
            highlighted. First, promoting international cooperation   cooperation project.
            between researchers and undergraduate and graduate   These dimensions, grouped here as technical-scientific,
            students. Second, enhancing internationalization agents   investment, impact, and products, each include a set
            through partnerships with international institutions.   of indicators that were validated in the interviews. The
            Third, building international collaboration in developing   dimensions  identified  are  consistent  action  research
            research of global interest and partnerships that encourage   and balanced scorecard (BSC) (Kaplan & Norton, 1997)
            UFRN researchers to cooperate with international
            research. Finally, participating in national or international   in that they allow for interventions and corresponding
            cooperation networks, whose goals and proposed actions   adjustments to monitor and evaluate cooperation activities.
            strengthen the institution’s research areas (Universidade   Such interactions allow restructuring according to priorities
            Federal do Rio Grande do Norte, 2021).             and solutions based on the reality under study. This phase
                                                               prompted the development of the project’s framework.
            2.3. Validation of new indicators
                                                               2.5. Data collection for indicators
            In this phase, key project participants, including public
            health managers, project leaders, and experts in syphilis   In a further step, we collected data from project management
            and other STIs, were interviewed. All interviewees had   documents,  cooperation activities, and international
            national and international experience. In addition, we took   cooperation agreements signed by the UFRN as part of the
            into account the premise of action research, which provides   “Syphilis No!” Project.  Documents included  work plans,
            for the need to monitor decision-making (Thiollent, 2022;   reports, technical notes, and other records of cooperation
            Tripp, 2005).                                      activities, such as data from the Virtual Learning
                                                               Environment of the Brazilian Health System (AVASUS).
              The interviews were critical for validating and
            identifying other indicators for international health   Once  the  sources  were  organized,  they  were  coded
            cooperation. They also supported the validation of the panel   according to the typology of international cooperation
            of performance indicators for international cooperation in   activities between January 2018 and July 2023,  e.g.,
            the project implementation. The guiding questions during   technical notes and cooperation agreements. At this
            the interviews were:                               stage, we realized that we needed an automated system to
            (i)  What do you think of the dimensions/perspectives of   monitor the indicators, which we then developed as a tool
               the performance management system?              to evaluate the performance of cooperation activities.
            (ii)  What indicators do you think should be added to this
               system to better evaluate performance?          2.6. Development of framework applied to the
                                                               “Syphilis No!” Project
            2.4. Building dimensions for indicators            Figure 2 shows the model of a performance measurement
            In implementing action research as a model for the panel   system, which is the main result of this research. It is
            Freitas (2021) proposed, dimensions were created to   based on the BSC method adapted by Freitas (2021)
            group the new indicators and advance the perspectives of   and applied to the project’s international cooperation


            Volume 2 Issue 2 (2024)                         4                        https://doi.org/10.36922/ghes.3037
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