What is transferred is 'packages' and recommendations. A better coordination in the future is attainable, but as yet the differences would seem too profound for true integration. The local facilitators and the relevant actors were very positive about the methodology and its logic. For the professionals from outside the region, none of whom were familiar with health care, it was a quick and structured way to 'dive into the deep'. The methodology could be improved or expanded with respect to the analysis of intercultural communication.
More work needs to be done, especially with respect to the latter recommendation.
The challenge now is to help the local facilitators in using this set of tools to conduct an appraisal of their wider institutional environment. The council of leaders will play a crucial role in the implementation of the plans, as well as in the negotiation, acquisition and coordination of projects. Soft systems methodology in action . The author would like to thank the FAO comunication project and all Guarani participants. Although I find the terms 'insiders' and 'outsiders' inappropriate, as they are all actors who form part of a web and are interlocked through process of knowledge and power, I use them for the sake of simplicity.