Díaz-Bermúdez Ximena Pamela, Bueno Flavia, Otero Luis Francisco Sánchez, Auer Annela Jean
Departamento de Saúde Coletiva, Universidade de Brasília, Brasília, Brasil.
Instituto Sul-Americano de Governo em Saúde (ISAG), Rio de Janeiro, Brasil.
Rev Panam Salud Publica. 2016 Nov;40(5):325-331.
Characterize areas of interinstitutional cooperation and converging health agendas of the Pan American Health Organization/World Health Organization (PAHO/WHO), the Health Council of the Union of South American Nations (UNASUR), and the Amazon Cooperation Treaty Organization (ACTO) in South America based on social determinants of health.
A qualitative study based on official documentary sources from the three organizations, using a comparative analysis of the health agendas of these agencies and the Rio Political Declaration on Social Determinants of Health (2011). Information was systematized using an analytical matrix that identifies convergences in the respective agendas.
Development of the health agendas of these agencies is influenced by various international forces such as Member States' foreign policy, international cooperation strategies and models, and the institutions' political and strategic guidelines. These agendas reveal efforts to strengthen blocs, cooperation mechanisms, and coordinated programmatic actions.
The agendas of PAHO/WHO, the UNASUR Health Council, and ACTO point towards opportunities for convergence in various programmatic areas, emphasizing social determinants of health. Based on the overall agreements of the Rio Declaration as an analytical framework with recommendations in five decision-making spheres, structural cooperation actions can be carried out in the region's countries, jointly mediated by these agencies.
基于健康的社会决定因素，描述泛美卫生组织/世界卫生组织（PAHO/WHO）、南美洲国家联盟卫生理事会（UNASUR）以及亚马逊合作条约组织（ACTO）在南美洲的机构间合作领域和趋同的卫生议程。
一项基于这三个组织官方文献来源的定性研究，对这些机构的卫生议程与《关于健康的社会决定因素的里约政治宣言》（2011年）进行比较分析。使用一个分析矩阵对信息进行系统化整理，该矩阵可识别各自议程中的趋同之处。
这些机构卫生议程的制定受到各种国际力量的影响，如成员国的外交政策、国际合作战略和模式，以及各机构的政治和战略方针。这些议程显示出加强集团、合作机制和协调的计划行动的努力。
PAHO/WHO、UNASUR卫生理事会和ACTO的议程指出了在各个计划领域趋同的机会，强调了健康的社会决定因素。以《里约宣言》的总体协议为分析框架，在五个决策领域提出了建议，这些机构可共同协调在该地区各国开展结构性合作行动。
