Abstract
In 2011, the Brazilian Minister for Health created the Health Academy Program (Programa Academia da Saúde) as a strategy to promote health and healthy lifestyles. However, the official standards do not seem to be clear enough to support the implementation program in the towns. The aim of this study was to analyse the degree of Health Academy Program implementation in a Brazilian midsize town Vitória de Santo Antão, Pernambuco State, in 2018. This is an evaluative study that carry out a normative approach, considering the dimensions of structure and process related to work process. The research is divided into: (1) elaboration of the theoretical model of evaluation, through the validation of the logical model; (2) verification of the level of implementation, through an interview with workers and managers. The cut-off scores for classification of implementation levels were: (1) incipient: > 0 < 33.3%; (2) intermediate: > 33.3 < 66.6%; (3) advanced: > 66.6%. The level of implementation was considered intermediate (37.54%). The score of the structure was higher (54.76%) than the process (26.06%). The low level of Health Academy Program implementation, especially related to the multi-professional articulation and the difficult connection with other sectors or social actors, shows the necessity of reorganization of the actions.
Highlights
The organization of the Brazilian Unified National Health System (SUS) has been outstanding in the search for the articulation between epidemiological, political, administrative specialties and the social context at the local degree, to the planning of actions and services in a network of health care, coordinated by the Family Health Strategy (FHS) 1.These networks of health care presupposes a panoramic view of the necessities from health users, in order to meet their demands by a holistic vision, considering the complexity of the health problems and the demanding access to different actions and services
Women over 40 years-old are the main public of Health Academy Program in Vitória de Santo Antão, according to the systematic observation and official records of the program
Among the structure indicators with the best scores were: the existence of a Program action plan focused on health promotion through physical activity, registration of the actors involved in these actions, such as nurses, care workers and professionals of physical education
Summary
The organization of the Brazilian Unified National Health System (SUS) has been outstanding in the search for the articulation between epidemiological, political, administrative specialties and the social context at the local degree, to the planning of actions and services in a network of health care, coordinated by the Family Health Strategy (FHS) 1 These networks of health care presupposes a panoramic view of the necessities from health users, in order to meet their demands by a holistic vision, considering the complexity of the health problems and the demanding access to different actions and services. Among the actions that have driven in the elaboration of guidelines aimed at health promotion and prevention of risk behaviors in the SUS, it was highlighted the innovation to investigate and follow-up the exposure of the population to risk factors for the chronic diseases 5 and the incentive to adopt an active lifestyle as a tool for health promotion and disease prevention, and its inclusion in the National Plan to Combat Chronic Non-communicable Diseases and in National Primary Care policies 6
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