Pan-Amazonian Network of Science, Technology and Innovation in Health Atibaia, May 9 th , 2007

1. Pan-Amazonian Network of Science, Technology and Innovation in Health Atibaia, May 9th, 2007 Laís Costa – laiscosta@fiocruz.br

2. Globalization, Health and Sustainable Development Health Sector  human development, equity and social justice Unexplored potential of health sector to achieve development goals. Health industry, research, market, services, education  relevant tool for the regional integration and development Technologic and economic importance: innovation, job, profit Brazilian & The International Agenda → Health Sector’s importance for human and overall development; →The project must foster national development and regional integration through the empowerment of endogenous resources.

3. Mundial jungle covering distribution – Amazon countries, except Guyanne Française. Child mortality rate (by 1000 born.) Source: OPAS, 2005

4. Amazon and strategic development • Region of global interest, low HDI - poor access to basic services; • One of the richest biodiversity - better competitiveness; • Forest’s potential - social inclusion, industrial development; • Urgent needs to develop environmental management; • Common issues & cooperative work • Improvement of S&T capacity - mutual effort work; • Empowerment of population - guarantee of resources’ sustainable use;

5. Amazon - Challenges • To establish the Amazon’s importance in a global set; • To implement public policies to develop science, technology, biotechnology and innovation skills; • To preserve biodiversity stimulating research; • Foster civil society’s participation to definition priorities and policies evaluation implementation; • To approach strategically the health sector in Amazon for the national and South American development; • To establish a natural resources management.

6. Pan-Amazonian Network of ST&I/H The need to address regional matters locally • There's a recognition that challenges concerning to sustainable development of Amazon, and building science, technology and innovation in health research skills is no longer considered a domestic one, but a regional, or better, a global, one. • There's a recognition of the mutual benefit of addressing the challenge in collaboration with other Amazonian countries, specifically, and other countries and development agencies and initiatives.

7. Amazon and Fiocruz: Amazon has been highlighted as a strategic basis for developing knowledge and innovation which concerns not only to Brazil, but either for all South America and other countries. Rubber tapper’s Home at Amazon, 1912

8. Amazon and OTCA • OTCA succeeded in building a • political arena of regional dialogue • OTCA consolidated initiatives in topics such as: • Health; • Water resources; • Sustainable management of forests; and • Social participation.

9. Amazon and OTCA OTCA search values such as: • conservation and sustainable use of renewable natural resources; • forests, soils and protected areas; • improvement of social infrastructure (health in particular); • integration and regional competitiveness, biological diversity, biotechnology and biotrade; • knowledge; and • institutional strengthening.

10. Fiocruz, OTCA and Amazon Cooperation networks as a tool to overcome challenges • Mutual benefits recognition of a coordinated work trough international cooperation “Pan-Amazonian Network of S,T & I/H” as an answer to demands of the “Amazon agreement in S,T&I/H” strategic planning.

11. Fiocruz, OTCA e Amazônia PROJECT Pan-amazonian Network of Science, Technology & Innovation in Health Borders Agreement MANAGEMENT GOVERNANCE

12. Amazon Agreement • A technical-scientific cooperation among Amazon institutes to develop common researches and programs to know the real scenario on Amazon health, their epidemiologic reality and develop, as well as, to implement and to evaluate health, innovation and S&T policies. • Common problems and challenges regional strategies. • Importance of strengthening scientific research. • Necessity of installing the Pan-Amazonian Network of ST&IH.

13. Health Frontiers and the Brazil three times program Technical Relevance It promotes analysis of the dynamics of the Brazilian health sector and build scenarios, parameters and index. Political relevance It is a “Brazil three times program” module; it is a tool to subsidize decision making within the State’s development policy. Brazil 3 times Program Brazil’s strategic plan which is not a government policy but a State’s one. It contemplates strategies until the year of 2022.

14. Pan-Amazonian Network of ST&I/H Challenges 1. To implement a ST&H/I International Cooperative Network with members of the Amazon Pact and Amazon agreement in ST&I/H; 2. To stablish an Strategic Agenda for developing ST&IH in the region (sustainable development, globalization and citizenship). Date: July 2007

15. Pan-Amazonian Network of ST&I/H  Executive Committee Structure: • Fiocruz, OTCA, PAHO, UNAMAZ, the Andean Health Organism and the Ministry of Health of Brazil (Mercosul)  Achieved Results : • I International meeting Pro- Pan-Amazonian network of S,T&I/H – Nov/2006: • Work Plan to its installation; • Establishment of priorities.

16. Pan-Amazonian Network of ST&I/H Leads to empowerment through: • Coordination of investment; • Rationalization of research; • Connection of researchers to obtain a concrete application and the benefits of their uses; • Improvement of civil society’s participation; • Endogenous knowledge and economic impact; • Transparency (governance and accountability).

17. Pan-Amazonian Network of ST&I/H Expectations: sustainable development, tackling inequalities, improve HDI, strengthen participation of civil society, developing indigenous knowledge and research skills; to improve sustainable use of natural resources (better off relation of sustainable exploration which foresees maintaining fresh water, forests, biodiversity and others). The main issue is diminishing vulnerability of poor people and of regional development.

18. Relevance of Pan-Amazonian Network • Increasing the HDI trough the regional development; • Increasing of the capability to provide basic services; • Strategic region (sustainable use of natural resources); • precarious access to basic services; • Better focus and evaluation on education and health policies; • Empower population to take part in the definition of strategies and resources application. • High potential of generation of innovation to regional industries; • Strengthen the region through build up research capabilities; • Promote international cooperative and mutual work; • Rationalize use of human and financial resources.

19. Relevance of Pan-Amazonian Network It helps channeling the reality that only 10% of world’s health research resources are applied to solve diseases that affects 90% of population, by defining, with civil society participation and within the region, the priorities of research. By promoting international cooperation, research will be optimized, and the gains will become more transparent, leading to a better share of its benefits and more civil society’s participation.

20. Aims of Pan-Amazonian Network • To improve S&T capacity; • To promote transparency; • To approximate research of its final use and real necessity; • To set priorities to Amazonian knowledge-based development; • To establish natural resource management; • To improve indigenous capacity; • To foster participation on political and development strategies • To improve regional capacity to set priorities, generate, and apply knowledge; • To give support to production, rationalization, dissemination, application and evaluation of S&T results.

21. Fiocruz and Amazon: Challenges • Financial and organizational sustainability; • Efficacy and effectiveness; • Biodiversity; • Sustainable development; • Articulation of knowledge and policies.

22. Fiocruz and Amazon: Opportunities • Amazon’s Biodiversity Innovation Network; • Brazil three times program; • Amazon SustainablePlan; • Legal Amazon Health Plan; • Growth Acceleration’s Plan; • Brazilian Society for Science's Progress (SBPC); • Malaria Research Network; • Brazilian Association of Collective Health’s Post graduation (ABRASCO); • Financial (IDRC, PAHO, IDB, Eletrobrás, Ministry of Health)

23. Fiocruz and Amazon: • Involved Parties: • Presidency of Republic - Nuclear Strategic Issues - NAE • Presidency of Republic - Federative Issues Sub secretariat • National Integration Ministry • Science and Technology Ministry • Ministry of Environment • ELETRONORTE • Ministry of Health – Science and Technology Department • Ministry of Health – Decentralization Support Department

24. Oswaldo Cruz Foundation - Fiocruz Laís Costa Strategic Projects and Programs Coordination SEPN 510, unidade II do MS, 4and., sala 413 Brasília – Distrito Federal – CEP 70.750-520 Phone.: +55 61 3349-0659 / 3447-6160 Site: www.fiocruz.br E-mail: lais.costa@fiocruz.br