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This paper aims to make some reflections on the concept of governance applied to building cooperative public policy processes in poor and backward regions. Our arguments come from a study in a mining region of central Mexico, where is taking place a multi stakeholder process that seeks to translate into public policy a risk health management plan. Our intention is not to establish generalizations from the empirical data, but contesting the normative approach to governance in light of tensions and contradictions that we see in the process of generating collective agreements of public nature. [ABSTRACT FROM AUTHOR]