Kusma Solena Ziemer, Moysés Simone Tetu, Moysés Samuel Jorge
Pontifícia Universidade Católica do Paraná, Rua Antonio Freitas Barbosa 44,Curitiba, Brazil.
Cad Saude Publica. 2012;28 Suppl:s9-s19. doi: 10.1590/s0102-311x2012001300003.
The evaluation of health promotion activities is a methodological and strategic challenge for establishing evidence to support health management processes. The use of adequate evaluation methods based on participatory analysis of local processes and contexts is essential to the success of interventions and policy formulation and implementation. Brazil's Policy for Oral Health Promotion and Surveillance explicitly states the need to improve evaluation strategies for oral health promotion activities conducted in the context of primary care, allowing to evaluate not only their results and impact, but also the political and social process for achieving the objectives. This article proposes to systematize the literature on the evaluation of effectiveness in health promotion strategies, define a theoretical model, and propose a matrix of descriptors, exploring the basic references for health promotion and practices with the potential to reduce situations of vulnerability in population groups, combat inequalities, and incorporate community participation in health management.
对健康促进活动进行评估是为支持健康管理流程建立证据的一项方法学和战略挑战。基于对当地流程和背景的参与式分析采用适当的评估方法,对于干预措施以及政策制定与实施的成功至关重要。巴西口腔健康促进与监测政策明确指出,有必要改进在初级保健背景下开展的口腔健康促进活动的评估策略,这不仅有助于评估其结果和影响,还能评估实现目标的政治和社会进程。本文提议对健康促进策略有效性评估的文献进行系统化整理,定义一个理论模型,并提出一个描述符矩阵,探索健康促进的基本参考资料以及有可能减少人群脆弱状况、消除不平等现象并将社区参与纳入健康管理的实践。