INIGEM   23989
INSTITUTO DE INMUNOLOGIA, GENETICA Y METABOLISMO
Unidad Ejecutora - UE
artículos
Título:
A review of assessment indicators used by Healthy Municipalities and Communities Program in Latin America and the Caribbean region
Autor/es:
CHAPARRO, RAUL; SEIJO, MARIANA; RUBINSTEIN, ADOLFO; SANTERO, MARILINA; BELIZAN, MARIA; MELENDI, SANTIAGO; ELORRIAGA, NATALIA; IRAZOLA, VILMA
Revista:
Health Promotion International
Editorial:
Oxford
Referencias:
Lugar: Londres; Año: 2019 p. 1 - 16
ISSN:
0957-4824
Resumen:
The Healthy Municipalities and Communities Strategy (HMCS) was developed by the Pan AmericanHealth Organization in 1990. Evaluation and monitoring are fundamental components of health promotionpolicies. The aim of this study is to explore the indicators used in Latin America and theCaribbean (LAC) countries to assess the performance of HMCS. We searched MEDLINE, EMBASE,LILACS, BVSDE and Google Advanced Search for documents published between January 2000 andApril 2016. We included only documents with assessment indicators of the strategy. All articles wereindependently assessed for eligibility by pairs of reviewers. We classified the indicators with a supportingframework proposed by O?Neill and Simard (Choosing indicators to evaluate Healthy Citiesprojects: a political task? Health Promot Int 2006, 21, 145?152.). Local level indicators figured far moreprominently among countries and were distributed both in projects and specific activities. Regardingthe evolution of the HMCS, indicators were reported in the five levels of analysis (local projects andactivities, provincial, national and international networks). Empowerment was represented throughthe presence of active community organizations and different methods of community participation(forums, open hearing and participation maps). Public policies (such as for tobacco cessation) andbylaws adherence and changes in school?s curricula regarding healthy eating were frequently mentioned.However, this review demonstrated that impact indicators related to lifestyle changes or builtenvironment are not clearly defined and there is a lack of indicators to measure progress in achievingchange in long-term outcomes in LAC. We highlight the importance of designing validated indicatorsfor measuring the impact of health promotion policies in partnership with each country involved.