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Health Promotion in the Americas. A Review of Progress in Health Promotion post Mexico Declaration. Maria Teresa Cerqueira Director Division of Health Promotion and Protection Forum of Health Promotion in the Americas Santiago de Chile 20-24 October, 2002.

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Health Promotion in the Americas

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Health Promotion in the Americas

A Review of Progress in Health Promotion post Mexico Declaration

Maria Teresa Cerqueira

Director

Division of Health Promotion and Protection

Forum of Health Promotion in the Americas Santiago de Chile 20-24 October, 2002


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Country Progress Reports 27/33 (82%)


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Antigua and Barbuda

Argentina

Bahamas

Barbados

Belize

Bolivia

Brazil

Colombia

Canada

Chile

Costa Rica

Cuba

Dominica

Dominican Rep.

Eastern Caribbean*

Ecuador

El Salvador

Grenada

Guatemala

Guyana

Haiti

Honduras

Jamaica

Country Progress Reports

  • Mexico

  • Nicaragua

  • Panama

  • Paraguay

  • Peru

  • Suriname

  • Trinidad & Tobago

  • United States

  • Uruguay

  • Venezuela

*CPC report: BVI, Saint Kitts & Nevis, Saint Lucia, Saint Vincent & the Grenadines


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Policy

In process

No policy

Positioning Health Promotion on the Political Agenda

  • “Health promotion principles and strategies are the framework of the National Strategic Plan for Health 2002-10” Barbados

  • Brazil’s 2002 Health Promotion Policy is based on the Concepts and Strategies from the Ottawa Charter

  • Vida Chile was declared a national policy by President Lagos 21 November 2000


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Intersectorial Collaboration

  • El Salvador’s National Council for Health Promotion.

  • Trinidad & Tobago’s National Health Promotion Council.

  • USA’s Healthy People Consortium is an alliance of more than 400 national organizations and 250 state public health and environmental agencies.

Intersectoral committee

No Structure

In process


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Plans of Action

  • Cuba’s Centers for Health Promotion and Education prepares action plans at the national, regional and municipal levels.

  • Honduras has a national health promotion plan of action based on the healthy municipalities strategy.

  • Healthy Uruguay 2010 plan of action focuses on promoting healthy lifestyles.

No plans

Plans

In process


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Healthy Public Policies

5

8

  • Argentina’s emergency situation increased intense community debate over the social determinants of health and quality of life and the public policies to reduce poverty and inequalities.

  • In Bolivia Ministerial resolutions and municipal legislation address issues of interest such as smoke free spaces, and quality of services reported to 195 consumer health defense offices.

  • Evidence-based approach influenced Canadian policy frameworks and legislation on seatbelts, exercise, nutrition and smoking.

8

7

6

Central decisions

Public debate

Interest groups

Community consultation

Using evidence


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Reorientation of Health Services

  • Brazil’s Family Health Program

  • Belize's Community-based Mental Health Program

  • Costa Rica's model prioritizes health promotion and chronic disease prevention (Carmen)

  • Cuba's Family Physician Program

  • Jamaica's health sector reform mandates health promotion and a community-based model of care with mental health, nutrition, physical activity and counseling

  • Family health

  • Preventive measures

  • Community-based

  • None


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Healthy Settings

  • Healthy municipalities and communities

  • Health promoting schools

  • Healthy workplaces

  • Other settings

  • No information


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Civil society and community participation

  • Bolivia's Popular participation and Dialogue laws

  • Brazils “tripartite” concerted action processes

  • The Caribbean's consultation processes

  • Mexico's popular consultations

  • Peru's negotiation and co-management tables

  • Structures in place

  • Opportunities

  • Capacity building

  • Few opportunities


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Networks and Networking

  • Healthy municipalities and communities: Argentina, Brazil, Canada, Costa Rica, Cuba, Mexico, USA

  • Health promoting schools: Costa Rica, Ecuador, El Salvador, Haiti, Panama, Paraguay, Uruguay

  • Adolescent and youth: Dominican Republic, Ecuador, El Salvador,

  • RAFA, LAMM, ECOCLUBS, Communication, others

HMC/HPS

Professional

Social support


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Capacity Building

  • Training: 6 new programs, 17 new courses

  • Infrastructure: 3 increased policy-decision level, 5 new low policy-decision level

  • Management: 3 with structure for participation, 4 for intersectorial collaboration

  • Use of information for decision making: 6 increased, 5 no change, 5 no mention in the report

Information

Management

Infrastructure

Training


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Information, surveillance, monitoring and evaluation

  • Added new indicators (9)

  • Developed data bases (8)

  • Evaluation models and/or indicators (5)

  • Implemented studies and/or surveys (13)

  • No improvements reported (10)

  • Surveillance

  • Information

  • Evaluation

  • Surveys/studies


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Health promotion concepts and strategies

Local capacity and healthy spaces

Universities partners

Policy frameworks

Social participation and intersectoral alliances

Private sector

Reorientation of health systems and services

Achievements and Challenges

Policy

Intersectoriality

Participation

Evidence


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Muchas gracias

Thank you very much

Muito obrigado

Merci beaucoup


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