Health in all policies in the partnership for sustainable development.

This article analyzes the dynamic interaction between the Health in All Policies (HiAP) agenda and the ongoing implementation of the 2030 Agenda for Sustainable Development. At the World Conference on Social Determinants of Health, held in Rio de Janeiro in October 2011, the Rio Political Declaration pledged to use HiAP as a mechanism to address health inequities. In 2014, the Ministers of Health of the Region of the Americas approved a regional Plan of Action of the Pan American Health Organization (PAHO) that sought to call attention to the health consequences and benefits of policies and actions developed by other sectors. The HiAP approach seeks to integrate activities across the pillars of the sustainable development governance framework (economic, social, and environmental development). Advocates of the process are challenged to consider, using guiding questions outlined at the close of this article, how to pursue action at the country level and in what ways the HiAP approach can contribute to timely and effective implementation of the Sustainable Development Goals (SDGs). The authors propose that coordination between the 2030 Agenda and the regional Plan of Action on HiAP can make an important contribution to the implementation of both processes in the Region.

A ética do desenvolvimento e a proteçao às condiçoes de saúde / The ethics of development and protection to health conditions

Discute-se a influência do modelo de desenvolvimento brasileiro sobre o meio ambiente e a saúde da populaçao, apontando suas características centrais e suas consequências, as denominadas eco-desigualdades. Relaciona-se dados que procuram ilustrar as relaçoes entre desenvolvimento, meio ambiente e saúde. Considera-se que a crise econômica da última década, bem como a aproximaçao do Estado brasileiro ao modelo neo-liberal, dificultam acentuadamente os investimentos nos setores sociais e públicos, antevendo-se enormes prejuízos para a populaçao, com a acentuaçao das desigualdades sociais no país. Enfatiza-se, por fim, a necessidade de uma nova ética nas relaçoes entre indivíduos, indivíduos e Estado e entre Naçoes

Consideraciones Sobre el Informe de la OMS - 2000 / Comments to the year 2000 report from the World Health Organization

En este texto se discute el Informe de la Organización Mundial de la Salud para 2000 y se analiza la metodología utilizada para comparar y clasificar el desempeño de los sistemas de salud de los 191 países miembros. Las principales conclusiones están referidas a la utilización de metodologías de evaluación científicamente cuestionables; a la implementación de indicadores que no evalúan el desempeño de los sistemas de salud sino que expresan las desigualdades socioeconómicas existentes; a la ausencia de datos en la mayoría de los países para el cálculo de los indicadores y a la falta de transparencia en los procedimientos adoptados para el cálculo de algunos indicadores.

In this paper the year 2000 report from the World Health Organization is discussed and the methodology for comparing and classifying the performance of the health systems of the 191 member countries is analyzed. The main conclusions refer to the use of methodologies which are scientifically questionable, to the implementation of indicators which do not evaluate the performance of health systems but rather reveal the existing socio-economic inequalities, to the absence of necessary data for calculating the indicators in the majority of countries, and to the lack of transparency in the procedures adopted for calculating some indicators.