Desenvolvendo e oferecendo idéias : um estudo sobre a elaboração de propostas de política de saúde no âmbito do Banco Mundial

Abstract

The World Bank seems to be more and more engaged in offering ideas of the more adequate policies to the so-called developing countries. I have studied the development and offer of such proposals, paying special attention health policies proposals. In conceiving them as a set of arguments designed to persuade a certain audience, I've tried to understand the genesis of such proposals, departing from the hypothesis that this relevant audience was the international development community.So I considered three movements of investigation. First I characterized the audience the international development assistance community , sketching an outline of its history and describing the main features of its institutions. Then I focused on the World Bank's internal practices. I tried to identify the basic rules which have guided the reproduction and transformation process within that institution along its existence, in order to contextualize the Bank's commitment to the offer of ideas. Finally, I have examined the health policies proposals (only the ones concerning the configuration of national health systems), identifying the main arguments and strategies employed. The narrative presented here points out the dimension of the phenomenon of the offer of ideas not much discussed yet in the literature on the World Bank: that these ideas can be understood within the dynamics of competition and cooperation in the international development assistance community.