Abstract
A constant reproduction of environmental injustices and health iniquities has demanded the employment of participatory/dialectic approaches to research and to intervene in the reality making possible the involvement of social actors in healthy public policies. On this framework, the aim of this paper is to analyse scientific production with dialectic approaches associated with public policies in the context of social, environmental and health problems, considering territorial scales of intervention and the correspondence with some relevant strategies of health promotion. A systematic bibliographic review was applied on a wide pan-disciplinary scientific data base and 36 papers were analysed and classified by their territorial scales of approach. The amount of papers found and their spread through a variety of journals showed a modest, but increasing production which has been dispersed in terms of knowledge areas. Within the classification of territorial approaches, 14 papers were classified as local, 5 as expanded and 17 as a multi-level. Although the papers classified as local approaches were in a good structure of stakeholders’ participation, they are limited to dealing with the global driving forces that reproduce the environmental injustices. Regarding this limitation, the multilevel approaches were identified as more opportune to jointly deal with social, environmental and health problems by means of allowing interaction through multiple territorial scales, fomenting the strengthening of community action, creating supportive environments, and building healthy public policies.
Highlights
The recognition of social and environmental determinants of health has driven to the need for a multidisciplinary and cross-territorial framework to search for equity once the economic development lead by global forces induces a constant reproduction of social exclusion, environmental degradation and the overlap of a variety of risk factors over human populations
We can consider the relevance of the Community Based Participatory Research—CBPR—which claims that participants must be involved in the search for solutions to specific interdisciplinary problems; and so research is developed by constantly reflecting on action and promoting collective learning [10]-[12]
Through a systematic bibliographic review, the objective of this paper is to analyse scientific production dealing with dialectic approaches associated with public policy in the context of social, environmental and health problems, considering territorial scales of intervention and verifying how to combine three important strategies of health promotion from the Ottawa Charter [3] which are: strengthening of community action, creating supportive environments, and building healthy public policies
Summary
The recognition of social and environmental determinants of health has driven to the need for a multidisciplinary and cross-territorial framework to search for equity once the economic development lead by global forces induces a constant reproduction of social exclusion, environmental degradation and the overlap of a variety of risk factors over human populations. The context in which certain social groups are unequally exposed to the worse combined situations of social and environmental factors can be named environmental injustice [1], and its driving forces associated to the worldwide dissemination of critical scenarios in this context are the fluidity of the circulation of international capital associated with its capability to counteract local governance searching for effectiveness and profit beyond national boundaries, optimizing human, economic and environmental resources [2] On such background the concept of health promotion can be emphasized because it reinforces that the health policy priorities must be reoriented from a risk factor approach to strategies that can address the determinants of health, as well as the need for empowering people within participatory processes, aiming at improving health of communities in a new public health practice. Through a systematic bibliographic review, the objective of this paper is to analyse scientific production dealing with dialectic approaches associated with public policy in the context of social, environmental and health problems, considering territorial scales of intervention and verifying how to combine three important strategies of health promotion from the Ottawa Charter [3] which are: strengthening of community action, creating supportive environments, and building healthy public policies
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
