Akerman Marco, Arroyo Hiram, Jones Catherine M, O'Neil Michel, Roca Angel, Wallerstein Nina
Facultade de Medicina do ABC, Sao Paolo, Brazil.
Promot Educ. 2007;Suppl 1:13-5. doi: 10.1177/10253823070140010301x.
This article summarizes the points of view of professionals from different nationalities, working in diverse organizations and dealing with concepts and activities related to health promotion effectiveness evaluation. This collection of views came from a panel presentation and dialogue held during the First Brazilian Seminar on Effectiveness in Health Promotion. Four professionals working in evaluation and health promotion--two from the United States, one from French Canada and another representing an international professional organization--facilitated by one Brazilian and one Puerto Rican moderator, had an informal dialogue with the audience. Four questions about how these professionals perceive evaluation in health promotion were asked to initiate the dialogue. The panelists deliberated five aspects of health promotion evaluation, asking: "how", "how much", "what for", "with whom" and "why". Professionals working in developing countries (in this case, Brazil) and those dealing with indigenous communities (in developed countries) tended to put more emphasis on "what for?", "with whom?" and "why?" regarding initiatives to evaluate effectiveness of health promotion. Questions associated with "how?" and "how much?" were more often mentioned by professionals working for international or governmental agencies. A 90-minute dialogue among panelists with a clearly Brazilian bias, was not sufficient to produce conclusions on the predominant character of international evaluation efforts of effectiveness. Nevertheless, this debate framed the five aspects of evaluation into a value perspective. The questions, "what for?", "with whom?", "why?", "how?" and "how much?" are linked to a political or technical presumptions that could be orchestrated in evaluations of health promotion effectiveness.
本文总结了来自不同国家、在不同组织工作且处理与健康促进效果评估相关概念和活动的专业人士的观点。这些观点集合来自于在第一届巴西健康促进有效性研讨会上举行的一场小组报告与对话。四位从事评估和健康促进工作的专业人士——两位来自美国，一位来自加拿大法语区，另一位代表一个国际专业组织——在一位巴西人和一位波多黎各主持人的引导下，与观众进行了一场非正式对话。为开启对话，提出了四个关于这些专业人士如何看待健康促进评估的问题。小组成员审议了健康促进评估的五个方面，即问：“如何”“多少”“为何”“与谁”以及“为何”。在发展中国家（在此为巴西）工作的专业人士以及那些与原住民社区打交道的（在发达国家）专业人士，在评估健康促进有效性的举措方面，往往更强调“为何”“与谁”以及“为何”。与“如何”和“多少”相关的问题，更多地被为国际或政府机构工作的专业人士提及。一场有着明显巴西倾向的、时长90分钟的小组成员间对话，并不足以就国际健康促进有效性评估工作的主要特点得出结论。然而，这场辩论将评估的五个方面纳入了一个价值视角。“为何”“与谁”“为何”“如何”以及“多少”这些问题，与在健康促进有效性评估中可能被精心安排的政治或技术假设相关联。
