Author / Partners:
PAHO/WHO and UNB Immigration Observatory
Socio-cultural integration, immigrations, South-South Cooperation
Basic Care Teams with PMM doctors in indigenous areas, quilombos and urban periphery
Qualitative research, field research with ethnography, interviews and focus group
Results / Conclusions:
Difference between Brazilian and other missions (SUS Health care – A spatial division with Brazilian doctors and professionals: Transfers, conflicts, friendships…); Geographic location has a determinant impact in the manner of integration; financial gains, compared with other missions, similarities between Brazil and Cuba, and the humanistic training of Cuban doctors is for the purpose of getting to know the reality and live with the local communities. Provisionality of the migratory condition; The combination of origin and class, associated with the social distinction (Bourdieu, 1980) of being a doctor in Brazil, was decisive for its integration and recognition by the local community; The distance of the family was compensated by the use of social networks (Skype, Facebook, WhatsApp ...) and by the links established locally; The mastery of the language only presented obstacles at the beginning of the mission. This barrier was easily overcome, often by including accents and hierarchies specific to the place of destination; The formation of a “relational” kinship; In Cuba: Agreements with embassies, institutes and universities for the promotion of Brazilian culture (film festival, anthropological talks, mini courses on the place of destination, history, cuisine...). In the place of destination: awareness of Cuban medicine and Cuban culture; Brazilian bilingual local mediator to help during the first months; Contracts in dollars to avoid concerns regarding the currency; More information about the possibility of continuing cooperation; Review the need for the training course or some classes taught with a very incipient character for experienced doctors; National guidelines on food, housing and transport; Associations with research organizations so that the links of the mission continue.
Recommendations / Lessons Learned:
It can be said that the integration with Brazilian society in terms of value parameters/criteria has been more positive. Living in the communities where they work, following the tradition of Cuban medicine, associated with social distinction and the status of being a doctor in Brazil, although with attitudes, social class habits and ways of integrating that are very similar to those of professionals and patients, were decisive in the process of socio-cultural integration of PMM Cuban doctors in Brazilian society.