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Lessons learned from the application of a participatory evaluation methodology to healthy municipalities, cities and communities initiatives in selected countries of the Americas
Promot. educ ; 14(2): 68-73, 2007.
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-56851
Biblioteca responsável: BR67.1
Localização: BR67.1
ABSTRACT
Health promotion has made significant strides in the past few decades in the Americas. Creating a healthy and supportive setting, also known as the settings approach, continues to be one of the most widely used health promotion strategies. Interest in evaluating the effectiveness of these strategies has been increasing greatly in the past few years. Participatory evaluation holds great promise for helping to generate this evidence and promote understanding of the factors that affect, positively or negatively, the advances of health promotion in the Region. During 2004-2006, a Participatory Evaluation methodology was introduced into several countries in the Americas through formal trainings conducted by the Pan American Health Organization (PAHO) in collaboration with country partners. This article summarizes the main lessons learned from the application of the participatory evaluation methodology in various countries in Latin America and the Caribbean. Factors affecting the evaluation of the initiatives were identified at multiple levels (individual, community, organizational, political, economic, etc.). Specific issues that were addressed included the political context, turnover of personnel in key institutions, concerns related to the effectiveness of participatory processes, and the existence of strong and sustained leadership at the country level. These factors are intertwined and affect each other in very complex ways, a fact that was reflected in the municipalities' experiences with participatory evaluation. Challenges included the ability to secure resources for the evaluation, the time needed to conclude the process, and working in an intersectoral manner. However, participating municipalities reported that the process of implementing a participatory evaluation and working with various stakeholders had an empowering effect communities and stakeholders were more willing and interested in participating in health promotion initiatives in a sustained manner; alliances and intersectoral collaboration were strengthened; communication channels were opened; and municipalities were stimulated to review their planning and implementation processes in order to more appropriately incorporate health promotion principles. The article concludes with recommendations to improve the planning and implementation process of participatory evaluation efforts. (AU)
Assuntos
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Coleções: Bases de dados temática Base de dados: CidSaúde - Cidades saudáveis Assunto principal: População Urbana / Avaliação de Programas e Projetos de Saúde / Promoção da Saúde Tipo de estudo: Estudo de avaliação Idioma: Inglês Revista: Promot. educ Ano de publicação: 2007 Tipo de documento: Artigo
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Coleções: Bases de dados temática Base de dados: CidSaúde - Cidades saudáveis Assunto principal: População Urbana / Avaliação de Programas e Projetos de Saúde / Promoção da Saúde Tipo de estudo: Estudo de avaliação Idioma: Inglês Revista: Promot. educ Ano de publicação: 2007 Tipo de documento: Artigo
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