Bodstein Regina
Department of Social Sciences, ENSP/FIOCRUZ, Brazil.
Promot Educ. 2007;Suppl 1:16-20. doi: 10.1177/10253823070140010401x.
This article discusses an evaluation framework based on an understanding of the constitutive elements and multistrategic characteristics of health promotion (HP) programs. Health promotion presents an ongoing challenge for traditional evaluation frameworks (Rootman et al., 2001; Potvin, 2006; Barnes et al., 2003) when it redefines its actions as empowerment, community participation, local development, health literacy and intersectorial activities for the purpose of reducing inequalities for individuals, organizations, and public policies (Kickbush, 1994). This challenge also applies to the discussion on effectiveness of H P practice; what is at stake is the knowledge about how health promotion actions generate changes and outcomes. In short, this article proposes to discuss this redefined HP perspective and identify its usefulness in terms of the debate on effectiveness and evidence of HP in Brazil.
本文讨论了一个基于对健康促进（HP）项目的构成要素和多策略特征理解的评估框架。当健康促进将其行动重新定义为赋权、社区参与、地方发展、健康素养以及旨在减少个人、组织和公共政策层面不平等的跨部门活动时（基克布什，1994年），它给传统评估框架带来了持续挑战（鲁特曼等人，2001年；波特万，2006年；巴恩斯等人，2003年）。这一挑战也适用于关于健康促进实践有效性的讨论；关键在于了解健康促进行动如何产生变化和结果的知识。简而言之，本文提议讨论这种重新定义的健康促进视角，并就巴西健康促进有效性和证据的辩论确定其有用性。
