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Global Health Econ Sustain                                    International scientific cooperation in public health



            force behind public policy, an element that combines this   3.3. Impact dimension
            dimension with the perspective of sustainability in the   Table 5 contains details on the impact dimension. This
            performance evaluation system.                     includes the indicators and their respective quantities that
              The  indicators  generated  in  this  dimension  (Table  4)   relate to the project’s international cooperation activities.
            are based on the total amount of funding allocated to the   These social indicators are important to assess the project’s
            development of the international cooperation activities   scope in this dimension, which is often overlooked despite
            (ICA) of the “Syphilis No!” Project, R$ 23,000,000.00   its importance. They also serve as a good indicator of the
            (twenty-three million Brazilian Reais) or US$ 4,581,673.31.1   project’s sustainability and response to real social problems,
            The set of indicators was intended to measure the financial   such as the syphilis epidemic in Brazil.
            investment per capita and per activity carried out within   Table 5 shows that the international cooperation
            the project, such as missions carried out, agreements and   developed through the project has reached more than
            plans signed, and products manufactured.           60,000 participants. These include students, professors,

            1   Dollar exchange rate as of September 27, 2023, according to the   researchers, health professionals, and  people  from  the
               value provided by the Brazilian Central Bank, available at https://  community who are interested in the topics covered by the
               www.bcb.gov.br/estabilidadefinanceira/fechamentodolar.  cooperation.
                                                                 The coverage and reach of the project’s social impact
            Table 3. Work plans signed with partner institutions under   are linked to the countless activities and products that
            the “Syphilis No!” Project                         have resulted from the project. In sum, these are course

            Institutions                  Country      N*      enrollments, events in which researchers and society have
            Athabasca University          Canada       1       participated, research activities carried out, scientific
                                                               articles published, courses and Open Educational
            Johns Hopkins University      United States  1     Resources (OER) (Ossiannilsson, 2023; Santos, 2013;
            Institute for Healthcare Improvement  United States  2  UNESCO, 2019), patents applied for, software registrations
            Universidade Aberta de Portugal  Portugal  3       published, doctoral theses, master’s dissertations, course
            Universidade Autónoma de Barcelona  Spain  3       completion papers, technical reports, and so forth.
            Universidad Complutense de Madrid  Spain   2         Particularly worth mentioning are the courses and
            University of Coimbra         Portugal     2       OER that has been created on the project’s topics and are
            Université de Lorraine        France       1       offered through the Virtual Learning Environment of the
            Total                                      14      Brazilian Health System, AVASUS. AVASUS is currently one
            Note: *Number of work plans per institution. Source: Adapted from the   of the largest training platforms for the health-care sector
            accountability reports for Decentralized Execution Terms (TED) No.   in the world, with more than one million students enrolled
            54 and 111/2017.                                   (Valentim et al., 2022). More than 45,000 users are enrolled
            Table 4. Indicators for the investment dimension

            Item  Indicator                                        Formula  N   Investment in BRL  Investment in USD*
            1    Investment per participant benefited from international cooperation   ICA  60,272 381,62  76.02
                 activities                                        ∑ N
            2    Investment per number of participating institutions       36   638,888.89    127,268.70
            3    Investment per number of technical-scientific cooperation missions  94   244.680.85  48,741.21
            4    Investment per cooperation agreements signed              14   1,642,857.14  327,262.38
            5    Investment per work plans signed                          14   1,642,857.14  327,262.38
            6    Investment per participant impacted through the production of courses and   45,172 509.16  101.43
                 open educational resources
            7    Investment per participants in international events promoted by the project  14,396 1,597.67  318.26
            8    Investment by Brazilian and foreign participants in international missions  685   33,576.64  6,688.57
            9    Investment per total of products developed                94   252,747.25    50,348.06
            Notes: *Dollar exchange rate as of September 27, 2023. Formula=ICA/ΣN, where: ICA=Amount of resources allocated to the project for the
            development of international cooperation activities; N=Quantity. Source: Prepared by authors.
            Abbreviations: BRL: Brazilian Real; USD: United States dollar.



            Volume 2 Issue 2 (2024)                         9                        https://doi.org/10.36922/ghes.3037
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