Cooperação e desenvolvimento humano na área da saúde: uma experiência na Guiné-Bissau

The present reflection is a result of experiences within the framework of two projects in the health sector in the Republic of Guinea-Bissau (RGB): "Postgraduate Training Course for Doctors" - 1997-2006, supported by the World Bank (WB); and "Reorganization and Management of Simão Mendes National Hospital ", coordinated by the African Development Bank (AfDB). A brief description of the two projects is presented, highlighting the importance of organization, planning and management in health within the context of very limited resources in a Sub-Saharan African country: the Simão Mendes National Hospital (HNSM), Bissau. Strategies to reorganize several areas of hospital activity were redefined in close collaboration with local groups. A particular focus was given to management training, professional development, resource allocation, information systems, logistics support and involvement of several stakeholders. This paper analyses the various professional apprenticeships and how knowledge can be used as a reflection for action: (i) the issues associated with cooperation initiatives and human rights; (ii) human resources as a factor for development in the African context; and (iii) health networks as solutions suitable for adaptation to the reality of developing countries. Our conclusions focus on issues we consider essential for cooperation initiatives based on ethics, reciprocity of rights between states and the dignity of its people, in which human resources and networking in healthcare are a key factor for human development.