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Global Health Econ Sustain                                    International scientific cooperation in public health



            activities. This framework relies on the following: (i) An   takes into account the need for parties in agreements
            orbit of six perspectives to measure the performance of   and  work  plans  to  be  aligned  with  the  overarching
            the project cooperations and (ii) four analytical categories,   goal of cooperation.
            namely dimensions, to evaluate the performance of the   (iv)  Processes: Refers to the identification of the means by
            cooperations. The orbit of perspectives that permeate   which the expected results of the cooperative action
            all dimensions includes the elements of Sustainability,   will be achieved. The categories and indicators of
            Resources, Processes, Learning, Stakeholders, and Results.  processes for performance evaluation refer to aspects
              The performance evaluation perspectives promote and   considered most efficient to achieve optimal results in
            determine a set of activities that facilitate the dimensions   the cooperation.
            of cooperation and the corresponding indicators. This   (v)  Learning: Refers to capacity-building, growth,
            relationship occurs in a cascade effect, where the positive   and improvement in the internal management
            outcome of one dimension directly impacts the other and   of  cooperation processes,  which  must be done
            serves as the basis for the development of the indicators   using  resources,  information  technologies,  and
            provided (Kaplan & Norton, 1997). In this proposal, the   improvements in management practices. The learning
            perspectives and their respective concepts are understood   processes are not only applicable to the team but
            as follows:                                           also related to structures such as the workplace and
            (i)  Sustainability: Combines the impacts, benefits, and   the means of obtaining information to facilitate the
               products  resulting  from the  contribution  of the   effectiveness of cooperation activities.
               cooperation relationships established under  the   (vi) Investments: The means by which work plans can be
               “Syphilis No!” Project. The indicators can be used   operationalized. It is worth noting that, in this model,
               to  verify  the extent  to which the  benefits  generated   the  performance  measurement  indicators  are  not
               will persist despite the termination of the established   profit-oriented, although this perspective is directly
               cooperation relationship.                          related to the financial investment dimension.
            (ii)  Results: Refers to the effectiveness of the cooperation,   3. Performance evaluation system for
               i.e., it is closely related to the quality of the
               implementation of processes related to the cooperation   international scientific cooperation in
               agreements and their respective work plans, as well   public health: A framework applied to the
               as their impact on the project’s target groups. This   “Syphilis No!” Project
               perspective clearly unfolds in the technical-scientific   This performance evaluation system includes the categories
               dimension of the cooperation.                   or dimensions that emerged from the empirical phase of
            (iii) Stakeholders: Includes indicators that measure the   this research, as well as the set of duly validated indicators.
               strengthening of relationships with individuals,   The indicators and their respective equations are given in
               groups,  or organizations that may interfere with or   the Appendix.
               be affected by cooperation activities. This dimension
                                                                 The relevance of the individual indicators for answering
                                                               the research questions is analyzed in the following sections.
                                                               Our discussion was conducted from the perspective of the
                                                               SDGs of the United Nations’ 2030 Agenda (United Nations
                                                               & Department of Economic and Social Affairs, 2015).
                                                               3.1. Technical-scientific dimension
                                                               In the performance evaluation system, this dimension is
                                                               closely linked to the results and learning perspective of
                                                               international cooperation. Its indicators make it possible
                                                               to measure the scope and diversity of the project regarding
                                                               International Public Health Cooperation.  Figure  3
                                                               illustrates the uniqueness of the project, which spans
                                                               almost all continents, from the West to the East, and
                                                               includes 18 countries with different characteristics.
                                                                 Such diversification also demonstrates flexibility,
            Figure  2. Framework for performance evaluation. Image created with   transdisciplinarity, interculturality (or transculturality),
            Adobe Illustrator.                                 and the ability of researchers to adapt to each agenda and


            Volume 2 Issue 2 (2024)                         5                        https://doi.org/10.36922/ghes.3037
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