The “Pasteurization Process” of Local-Grounded Strategies in the Primary Health Care in two Experiences of the Global South (Brazil and Chile)

This article explores the process of two emerging local-grounded strategies born in the context of Primary Health Care, in rural locations in Brazil and Chile, using a post-colonial framework. Initially rooted in local health needs and socio-cultural characteristics, both experiences undergo a process of modelling and subsequent replication by the governance of health systems, with an asymmetric power / knowledge structure. We used a Collective Case Study as a methodological strategy and used field records, in-depth interviews and a critical literature review. As a result, we saw that the social participation experienced in community-based health systems has the potential to generate high-impact initiatives, considering local realities. At the same time, through the metaphor of "pasteurization", we emphasize that hegemonic governance can remove the "living components" of these types of local strategies, causing them to lose their emancipatory capacities.