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社会弱势群体聚居地区健康促进项目评估矩阵

Evaluation matrix for health promotion programs in socially vulnerable territories.

作者信息

Oliveira Rosana Therezinha Queiroz de, Ignacio Caroline Ferraz, Moraes Antonio Henrique Almeida de, Barata Martha Macedo de Lima

机构信息

Laboratório de Inovações em Terapias, Ensino e Bioprodutos, Instituto Oswaldo Cruz (IOC), Fiocruz. Av. Brasil 4365/ Pavilhão Lauro Travassos/Térreo, Manguinhos. 21040900 Rio de Janeiro RJ Brasil.

Assessoria de Planejamento Estratégico, IOC, Fiocruz. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2017 Dec;22(12):3915-3932. doi: 10.1590/1413-812320172212.24912017.

Abstract

Health promotion has a set of strategies for advancing health and reducing inequalities. However, evaluating the effectiveness of health promotion programs has been a challenge. This paper shows the development and application of the Evaluation Matrix, constructed with qualitative-quantitative and multidimensional indicators supported by public policies targeting socially vulnerable territories. This is a cross-sectional study with the implementation of a health promotion program in order to develop an Evaluation Matrix to be applied in two distinct socio-environmentally vulnerable areas. The Evaluation Matrix proved to be easily applicable and enabled the detection of strengths and weaknesses of health promotion programs applied in different territories. The participation of managers, teams, population and multiple sectors of society was decisive for the success of the program. Furthermore, community health workers stood out as essential stakeholders due to their linkages with the population. Contributions include a tool and methodology for evaluating health promotion programs to be applied in different territories and modified according to the territory.

摘要

健康促进有一系列促进健康和减少不平等的策略。然而,评估健康促进项目的有效性一直是一项挑战。本文展示了评估矩阵的开发与应用,该矩阵由定性-定量和多维指标构建而成,并得到针对社会弱势群体地区的公共政策的支持。这是一项横断面研究,实施了一个健康促进项目,以开发一个应用于两个不同社会环境脆弱地区的评估矩阵。评估矩阵被证明易于应用,并能够发现应用于不同地区的健康促进项目的优势和劣势。管理人员、团队、民众和社会多个部门的参与对项目的成功起到了决定性作用。此外,社区卫生工作者因其与民众的联系而成为至关重要的利益相关者。贡献包括一种用于评估健康促进项目的工具和方法,该工具和方法可应用于不同地区并根据地区进行修改。

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