Health Promotion in the Americas - PowerPoint PPT Presentation

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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


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










Costa Rica



Dominican Rep.

Eastern Caribbean*


El Salvador







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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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


In process

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Healthy Public Policies



  • 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.




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



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





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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





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Muchas gracias

Thank you very much

Muito obrigado

Merci beaucoup

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