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Promoción de la Salud en las Américas - Universidad Veracruzana

Promoción de la Salud en las Américas - Universidad Veracruzana

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comunales y recom<strong>en</strong>dar políticas <strong>de</strong> salud pública. El 21 <strong>de</strong> noviembre <strong>de</strong> 2000, el<br />

presi<strong>de</strong>nte Lagos <strong>de</strong>c<strong>la</strong>ró a Vida Chile como política nacional. Para lograr los objetivos, <strong>la</strong>s<br />

estrategias incluy<strong>en</strong> programas para comunas saludables, escue<strong>la</strong>s promotoras <strong>de</strong> <strong>la</strong> salud, el<br />

programa salud para <strong>la</strong> g<strong>en</strong>te, lugares <strong>de</strong> trabajo saludables y el proyecto CARMEN. En<br />

2001 había 305 p<strong>la</strong>nes comunales <strong>de</strong> promoción <strong>de</strong> <strong>la</strong> salud, <strong>la</strong> estrategia escue<strong>la</strong>s<br />

promotoras <strong>de</strong> <strong>la</strong> salud había llegado a 2435 instituciones educativas y el sector salud había<br />

acreditado 32 escue<strong>la</strong>s como escue<strong>la</strong>s promotoras <strong>de</strong> <strong>la</strong> salud (<strong>Salud</strong> <strong>en</strong> <strong>la</strong>s <strong>Américas</strong>).<br />

HEALTH PROMOTION<br />

A National Policy<br />

STRATEGIC PLAN<br />

2001-2006 2001 2006<br />

OBJECTIVES<br />

h Detain the increase of social risk factors<br />

Building a Healthier<br />

Nation<br />

“The surest way to<br />

bridge the equity gap<br />

in health is to prev<strong>en</strong>t<br />

illness, putting all the<br />

knowledge and<br />

instrum<strong>en</strong>ts avai<strong>la</strong>ble<br />

at the reach of all the<br />

people to <strong>en</strong>able the<br />

popu<strong>la</strong>tion to maintain<br />

health”<br />

Presi<strong>de</strong>nt of Chile<br />

Ricardo Lagos<br />

(Santiago November<br />

2000)<br />

GOBIERNO DE CHILE<br />

MINISTERIO DE SALUD<br />

h Develop protective psychosocial factors to promote<br />

health in all settings<br />

h Str<strong>en</strong>gth<strong>en</strong> civil society participation processes and<br />

consolidate social support networks<br />

h Str<strong>en</strong>gth<strong>en</strong> the steering role of the State to improve the<br />

<strong>de</strong>terminants of health<br />

h Create a culture for health, a strong policy framework<br />

to support the promotion of healthy <strong>en</strong>vironm<strong>en</strong>ts and<br />

lifestyles<br />

Figure 1 Chile’s policy and p<strong>la</strong>n to promote health<br />

CONDITION<br />

OBESITY<br />

SEDENTARY<br />

LIFESTYLE<br />

SMOKING<br />

PARTICIPATION<br />

HEALTHY<br />

SETTING<br />

STRATEGIC PLAN<br />

2001-2006 2001 2006<br />

NATIONAL LINES OF ACTION<br />

• INFORMATION, EDUCATION AND<br />

COMMUNICATION<br />

En Paraguay, <strong>la</strong> promoción <strong>de</strong> <strong>la</strong> salud se <strong>de</strong>fine como una <strong>de</strong> <strong>la</strong>s principales líneas <strong>de</strong> acción<br />

<strong>de</strong> <strong>la</strong> Política Nacional <strong>de</strong> <strong>Salud</strong> (1999-2003) y el p<strong>la</strong>n promoverá el programa <strong>de</strong> municipios<br />

y comunida<strong>de</strong>s saludables, y hará énfasis <strong>en</strong> <strong>la</strong>s escue<strong>la</strong>s promotoras <strong>de</strong> <strong>la</strong> salud. El<br />

GOBIERNO DE CHILE<br />

MINISTERIO DE SALUD<br />

• TRAINING AND DEVELOPMENT OF HUMAN<br />

RESOURCES<br />

• SOCIAL PARTICIPATION IN PLANNING,<br />

IMPLEMENTATION AND EVALUATION<br />

CONTRIBUTING<br />

GOAL<br />

FACTORS<br />

INDICATOR<br />

2000<br />

• REGULATION AND LEGISLATION<br />

Diets rich in saturated<br />

fat and calories<br />

Decrease physical<br />

activity in wom<strong>en</strong> and<br />

in low socio-economic<br />

socio economic<br />

groups<br />

High preval<strong>en</strong>ce and<br />

increasing in wom<strong>en</strong><br />

Smoke is main<br />

contaminant of<br />

interior<br />

<strong>en</strong>vironm<strong>en</strong>ts<br />

Percetion of<br />

insecurity - distrust<br />

Lack of social<br />

support networks<br />

and opportunities to<br />

participate<br />

Increased pollution<br />

Deterioration of<br />

public areas for<br />

recreation, family<br />

and community<br />

gatherings<br />

Decrease preval<strong>en</strong>ce<br />

of obesity in childr<strong>en</strong><br />

and pregnant wom<strong>en</strong><br />

Decrease<br />

preval<strong>en</strong>ce of<br />

se<strong>de</strong>ntary<br />

lifestyles<br />

Decrease<br />

preval<strong>en</strong>ce of<br />

smoking in school<br />

childr<strong>en</strong> and<br />

wom<strong>en</strong><br />

Str<strong>en</strong>gth<strong>en</strong> participation<br />

ciudadana, aum<strong>en</strong>tando<br />

<strong>la</strong> incorporación incorporaci n a<br />

organizaciones sociales<br />

Recuperate public<br />

spaces, parks, p<strong>la</strong>zas,<br />

trails and other healthy<br />

spaces to increase<br />

conviviality and<br />

connectivity<br />

2000 2006<br />

School childr<strong>en</strong> 27% 20%<br />

Young wom<strong>en</strong> 45% 40%<br />

Popu<strong>la</strong>tion over 83% 76%<br />

15 years old<br />

Preschoolers 10% 7%<br />

School childr<strong>en</strong> 16% 12%<br />

Pregnancy 32% 28%<br />

Popu<strong>la</strong>tion 13% 20%<br />

participates/volunteers<br />

No. of parks/p<strong>la</strong>zas -- 100% 100<br />

VIDA CHILE<br />

r<strong>en</strong>ovated in each Commune<br />

71

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