This case study analyzes the evolution of the Pan American Health Organization (PAHO) Technical Cooperation among Countries (TCC) strategy, as a mechanism for cooperation in health.
It follows the development of the concept, from the original Technical Cooperation among Development Countries (TCDC) proposed by the United Nations in the 70’s to the present day.
Based exclusively on secondary data due to time constraints, the report describes the number of projects per biennium, their funding, participating countries, money allocated to each country, areas of work involved, as well as the mechanisms of cooperation used.
Based on the projects’ final reports available at the PAHO web site, conclusions are drawn regarding ownwership and accountability, transparency and information, and the use of the triangulation mechanism. Other issues, including changes in the international political situation (regarding integration) during the period covered by the report, and the differences in types of results obtained from projects dealing with different areas of knowledge, are also discussed under final conclusions and recommendations.