Context |
1. Is the Health Promotion Program included in the report of the Municipal Health Conference and the Municipal Health Plan? |
( ) Yes ( ) No ( ) Don't know |
- |
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2. Did local managers participate in the Health Promotion Program? |
( ) Yes ( ) No ( ) Don't know |
- |
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2.1. When did this participation occur? |
- |
Select all that apply.
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( ) Planning |
( ) Execution |
( ) Monitoring |
( ) Assessment |
3. Has the Health Promotion Program counted on the participation of other sectors linked to health promotion (education, social welfare, environment, others)? |
( ) Yes ( ) No ( ) Don't know |
- |
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3.1. Which were these sectors? |
- |
Select all that apply.
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( ) Education |
( ) Social welfare |
( ) Environment |
( ) Other: |
3.2. When did these sectors participate? |
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Select all that apply.
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( ) Planning |
( ) Execution |
( ) Monitoring |
( ) Assessment |
4. Has the Health Promotion Program counted on the participation of different stakeholders? |
( ) Yes ( ) No ( ) Don't know |
- |
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4.1. Which were these stakeholders? |
- |
Select all that apply.
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( ) Individuals |
( ) Press |
( ) Institutions |
( ) Organized groups |
( ) Councils |
( ) Entities |
( ) Trade Unions |
( ) Churches |
( ) Political parties |
( ) Other: |
4.2. When did they participate? |
- |
Select all that apply.
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( ) Planning |
( ) Execution |
( ) Monitoring |
( ) Assessment |
5. Has the Health Promotion Program counted on the partnerships of municipal, state and federal institutions? |
( ) Yes ( ) No ( ) Don't know |
- |
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5.1. Which were these partnerships? |
- |
Select all that apply.
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( ) Municipal ( ) Federal ( ) State ( ) Other: |
5.2. When did they participate? |
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Select all that apply.
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( ) Planning |
( ) Execution |
( ) Monitoring |
( ) Assessment |
Structure |
6. Was the space available to carry out the Health Promotion Program adequate? |
( ) Yes ( ) No ( ) Don't know |
- |
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7. Has the Health Promotion Program obtained the necessary financial resources for its own implementation? |
( ) Yes ( ) No ( ) Don't know |
- |
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8. Has the team adhered to perform the Health Promotion Program? |
( ) Yes ( ) No ( ) Don't know |
- |
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8.1. Was the team trained to carry out the Health Promotion Program? |
( ) Yes ( ) No ( ) Don't know |
- |
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Process |
9. Was a survey conducted on the knowledge, attitudes and practices of the population? |
( ) Yes ( ) No ( ) Don't know |
- |
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Result |
9.1. Did the ESF team identify the knowledge, attitudes and practices of the population? |
( ) Yes ( ) No ( ) Don't know |
- |
|
Process |
10. Was a socio-environmental survey conducted on the population? |
( ) Yes ( ) No ( ) Don't know |
- |
|
Result |
10.1 Did the ESF team identify the socioenvironmental profile of the population? |
( ) Yes ( ) No ( ) Don't know |
- |
|
Process |
11. Was an epidemiological survey conducted on the population? |
( ) Yes ( ) No ( ) Don't know |
- |
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Result |
11.1. Did the ESF team identify the epidemiological profile of the population? |
( ) Yes ( ) No ( ) Don't know |
- |
|
Process |
12. When identifying situations of vulnerability (complex and/or unique cases) of individuals or groups, was the team capable of producing responses? |
( ) Yes ( ) No ( ) Don't know |
- |
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13. Was the “Educational Action” performed? |
( ) Yes ( ) No ( ) Don't know |
- |
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13.1. Has the methodology used led to the questioning of the topics covered? |
( ) Yes ( ) No ( ) Don't know |
- |
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13.2. Did it favor the collective construction of new strategies? |
(( ) Yes ( ) No ( ) Don't know |
- |
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13.3. Did it change the lifestyles / habits (self-care)? |
( ) Yes ( ) No ( ) Don't know |
- |
|
Process |
14. What were the activities performed in the “Educational Action”? |
- |
Select all that apply.
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( ) Workshops |
( ) Creation of sentences (slogan) |
( ) Educational games |
( ) Conversation rounds |
( ) Guides or manuals |
( ) Role play |
( ) Posters |
( ) Lectures |
( ) Other: |
15. Was “Education Action” planned from the identified problem situation? |
( ) Yes ( ) No ( ) Don't know |
- |
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15.1. Was educational material distributed? |
( ) Yes ( ) No ( ) Don't know |
- |
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15.2. Was the language used in the educational material adequate to the socio-cultural reality and knowledge of the population? |
(( ) Yes ( ) No ( ) Don't know |
- |
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16. Has the population adhered to the “Educational Action” performed? |
( ) Yes ( ) No ( ) Don't know |
- |
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16.1. What means of dissemination were used to invite the population to the “Educational Action”? |
- |
Select all that apply.
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( ) Home visit |
( ) Car audio messaging |
( ) Flyers |
( ) Social networks |
( ) Electronic mail |
( ) Other: |
17. Have professionals from other areas participated in the initiative? |
( ) Yes ( ) No ( ) Don't know |
- |
|
Process |
18. Was a socio-environmental survey conducted after the “Educational Action”? |
( ) Yes ( ) No ( ) Don't know |
- |
|
18.1. How long after the “Educational Action”? |
- |
( ) Below 6 months |
|
( ) 6 months |
( ) Between 6 months and 1 year |
( ) Between 1 and 2 years |
( ) Over 2 years. |
Result |
18.2. Has the ESF team identified improvements in the socio-environmental conditions? |
( ) Yes ( ) No ( ) Don't know |
- |
|
Process |
19. Was a survey on the knowledge, attitudes and practices of the population conducted after the “Educational Action”? |
( ) Yes ( ) No ( ) Don't know |
- |
|
19.1. How long after the “Educational Action”? |
- |
( ) Below 6 months |
|
( ) 6 months |
( ) Between 6 months and 1 year |
( ) Between 1 and 2 years |
( ) Over 2 years. |
Result |
19.2. Has the ESF team identified the appropriation of knowledge, attitudes and practices by the population? |
( ) Yes ( ) No ( ) Don't know |
- |
|
Process |
20. Was a survey on the epidemiological profile of the population conducted after the “Educational Action”? |
( ) Yes ( ) No ( ) Don't know |
- |
|
20.1. How long after the “Educational Action”? |
- |
( ) Below 6 months |
|
( ) 6 months |
( ) Between 6 months and 1 year |
( ) Between 1 and 2 years |
( ) Over 2 years. |
Result |
20.2. Has the ESF team identified improvements in epidemiological profile? |
( ) Yes ( ) No ( ) Don't know |
- |
|
Process |
21. Did the population and the stakeholders participate in defining the priority themes of “Educational Action”? |
( ) Yes ( ) No ( ) Don't know |
- |
|
22. Were the results discussed by local staff and managers? |
( ) Yes ( ) No ( ) Don't know |
- |
|
22.1. Were the results disseminated to the population? |
( ) Yes ( ) No ( ) Don't know |
- |
|
22.2. What were the dissemination strategies? |
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Select all that apply.
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( ) Periodic meeting of the ESF team |
( ) Meeting of the Municipal Health Council |
( ) Web page |
( ) Social network |
( ) Form for suggestions, criticisms and comments |
( ) Other: |
Continuity |
23. Was there an indication of development and / or further analysis of the themes based on the evaluation of the results of the Health Promotion Program? |
( ) Yes ( ) No ( ) Don't know |
- |
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23.1. Was there an indication of permanence, aiming at the institutionalization of the Health Promotion Program? |
( ) Yes ( ) No ( ) Don't know |
- |
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23.2. Has the Health Promotion Program been maintained in the report of the Municipal Health Conference and the Municipal Health Plan? |
( ) Yes ( ) No ( ) Don't know |
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TOTAL
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Matrix Score
|
Intervals 104 to 130 77 to 103 50 to 76 23 to 49 0 to 22 |
|
Classification Excelent Very good Good Bad Very bad |