Principles and values |
Were not highlighted. |
Empowerment Social participation Autonomy Completeness Equity Social control Permanent education |
Empowerment Social participation Autonomy Completeness Equity Intersectorality Intrasectorality Sustainability Territoriality |
General objective |
Promote quality of life and reduce vulnerabilities and risks to health related to its determinants and conditions - ways of living, working conditions, housing, environment, education, leisure, culture, access to essential goods and services. |
a) should refer to the characteristics of the health promotion process (participation, intersectorality, empowerment, greater attention to popular demands, social control on the social determinants of health and collective aspects, respect to diversity, governance, autonomy, equity, ethics, completeness of persons, dialogue between professionals and community). b) should differentiate itself from the concept of prevention and risks and questioning of the concept of quality of life. c) should address social inequalities and diversity of contexts and subjects d) should be more positive, indicating the strengthening of existing capabilities. |
Promote equity and improvement of living conditions and ways of living, expanding the potential of individual and collective health and reducing vulnerabilities and risks to health resulting from the social, economic, political, cultural, and environmental determinants. |
Specific objectives |
There were 12 specific objectives |
a) Replacing the expression “public spaces” with “spaces of society” in Objective VI. b) adding one objective that addressed health promotion elements such as: empowerment, autonomy, advocacy, sustainability, completeness, among others. |
Now there were 13 specific objectives. a) Objective V: “Support the development of spaces of social production and healthy environments conducive to human development and to good living”. b) Specific objective VII reworded as follows: “Promote the empowerment and the capacity for decision-making and the autonomy of subjects and collectives through the development of personal skills and skills in promotion and protection of health and life”. |
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c) Lack of mention about continuing education or training for multidisciplinary and intersectoral work. |
c) Specific objective VIII reworded as follows: “Promote processes of education, vocational training and specific training in health promotion, in accordance with the principles and values expressed in this policy, for employees, managers and citizens”. |
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d) Lack of mention of the evaluation of strategic public policies for the promotion of health. |
d) Specific objective XI reworded as follows: “Promote means for inclusion and qualification of registration of activities for promotion of health and equity in the information and search systems, enabling analysis, monitoring, evaluation, and financing of initiatives”. |
Guidelines |
There were six guidelines. |
a) Should be added: the guarantee of human rights; the reinforcement of the importance of intersectorality and intersectoral networks to enhance participatory processes in health promotion; the centrality of the territory as a care production space and the relationship with permanent education processes, continuing training, and educational processes with professionals. b) Absence of a guideline addressing the relationship between health promotion and primary health care, epidemiological surveillance and monitoring of territorial base. c) Absence of guidelines addressing the relationship between health promotion and sustainable development, mobility and accessibility, protection of nature and of the culture of traditional peoples, physical activity and body practices, food production and use of agricultural pesticides. |
Reformulation of all guidelines, with two that specifically address the issues indicated by the Delphi: Guideline II: “Promoting the planning of territorialized health promotion initiatives based on the recognition of local contexts and respect to diversity, to foster the construction of social production spaces, healthy environments and the pursuit of equity, humans rights, and social justice”. Guideline VI: “Support for training and permanent education in health promotion to expand the commitment and the critical and reflective capacity of health managers and workers, as well as encourage the improvement of individual and collective skills to strengthen the sustainable human development.” Guideline VII: “Incorporation of health promotion interventions into the health care model, especially in the daily routine of basic health services, by means of intersectoral initiatives.” |
Specific initiatives/Priority themes |
The existing topic was called “Specific initiatives” and featured eight initiatives. |
There was no consensus as to the maintenance or exclusion in the new policy. |
Reformulates the name to “Priority themes,” maintaining seven of the previous specific initiatives and replacing an initiative with a theme suggested in Delphi: “Training and permanent education.” |
Operational axes |
Did not exist. |
a) Most important axes: intersectoral coordination, social participation and control, and health promotion in health care networks. (b) Change in the writing of the workforce qualification axis to a title close to continuing training and education. |
a) Maintained the axes indicated by Delphi, changing the writing of the first and combining the others in an axis: “Intrasectoral and intersectoral cooperation and coordination” and “Health Care Network.” (b) The title of the axis “Workforce qualification” was changed to “Education and training.” |