Abstract
Health promotion has a set of strategies for advancing health and reducing inequalities. However, evaluating the effectiveness of health promotion programs has been a challenge. This paper shows the development and application of the Evaluation Matrix, constructed with qualitative-quantitative and multidimensional indicators supported by public policies targeting socially vulnerable territories. This is a cross-sectional study with the implementation of a health promotion program in order to develop an Evaluation Matrix to be applied in two distinct socio-environmentally vulnerable areas. The Evaluation Matrix proved to be easily applicable and enabled the detection of strengths and weaknesses of health promotion programs applied in different territories. The participation of managers, teams, population and multiple sectors of society was decisive for the success of the program. Furthermore, community health workers stood out as essential stakeholders due to their linkages with the population. Contributions include a tool and methodology for evaluating health promotion programs to be applied in different territories and modified according to the territory.
Highlights
IntroductionIn 1946, Sigerist referred to the term “health promotion” in defining essential medical tasks such as health promotion, disease prevention, patient recovery and rehabilitation[1].In the 1970s, with the revival of nineteenth-century social medical thinking, the term health promotion was once again used mainly in Canada and in Western European countries, from the discussion about effective high-level curative health care technology, increasing health medicalization and the need to reduce the cost of the current biomedical model[2].In the 1980s, the International Conferences of Ottawa (1986), Adelaide (1988) and Sundsvall (1991) initiated the global health promotion movement and brought to the discussion the concepts of health, risk, social vulnerability, territory, intersectoriality, participation and surveillance, as well as the current conceptual and political bases for health promotion[3].In Brazil, this discussion was inspired by the progressive model, with a scientific stance and critical analysis of the relationship between health and society
Has the Health Promotion Program counted on the participation of other sectors linked to health promotion?
Has the Health Promotion Program counted on the participation of different ( ) Don’t know stakeholders?
Summary
In 1946, Sigerist referred to the term “health promotion” in defining essential medical tasks such as health promotion, disease prevention, patient recovery and rehabilitation[1].In the 1970s, with the revival of nineteenth-century social medical thinking, the term health promotion was once again used mainly in Canada and in Western European countries, from the discussion about effective high-level curative health care technology, increasing health medicalization and the need to reduce the cost of the current biomedical model[2].In the 1980s, the International Conferences of Ottawa (1986), Adelaide (1988) and Sundsvall (1991) initiated the global health promotion movement and brought to the discussion the concepts of health, risk, social vulnerability, territory, intersectoriality, participation and surveillance, as well as the current conceptual and political bases for health promotion[3].In Brazil, this discussion was inspired by the progressive model, with a scientific stance and critical analysis of the relationship between health and society. In 1946, Sigerist referred to the term “health promotion” in defining essential medical tasks such as health promotion, disease prevention, patient recovery and rehabilitation[1]. In the 1970s, with the revival of nineteenth-century social medical thinking, the term health promotion was once again used mainly in Canada and in Western European countries, from the discussion about effective high-level curative health care technology, increasing health medicalization and the need to reduce the cost of the current biomedical model[2]. In Brazil, this discussion was inspired by the progressive model, with a scientific stance and critical analysis of the relationship between health and society. There was an extensive production of papers aimed at understanding this relationship and the origin of the different epidemiological profiles found in our society, characterized by inequality. Health promotion began being perceived through its determinants and the understanding of the health-disease process was expanded[3]
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