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Prevention of health risk factors in Latin America and the Caribbean : governance of five multi sectoral efforts : Prevencion de factores de riesgo de la salud en America Latina y el Caribe : gobernanza de cinco esfuerzos multisectoriales (西班牙语)

Non-communicable diseases (NCDs) represent an important and growing burden to the health and economies of the Latin America and the Caribbean (LAC) region. However, some of this burden can be prevented or controlled through targeted clinical services and multi-sectoral activities aimed at improving diet, promoting physical activity, and reducing tobacco use and alcohol abuse. This study focuses on population-wide, multi-sectoral interventions to prevent risk factors for NCDs. This study seeks to answer the following questions: what is the health and economic burden of NCDs in the region?; what are countries doing to promote healthy living and prevent risk factors for NCDs?; what are the main governance challenges countries face in developing and implementing population-wide NCD prevention interventions and which are the success stories?; and what else can the region do to reduce health risk factors and prevent the onset of NCDs? This study documents governance challenges in the design and implementation of promising or successful population-wide interventions intended to prevent health risk factors in LAC. It focuses on the process whereby public officials develop and implement primary-prevention policies and programs. It is composed of five commissioned case studies on multi-sectoral interventions to promote healthy living in the region. These case studies examine which stakeholders participated directly or indirectly in the decision-making process; what positions they held; which incentives they faced; which strategies they pursued; how did existing institutional arrangements affect the decision-making process; what lessons can be drawn from these processes; and what were the successes and setbacks? This report provides a glimpse into the types of opposing interests and power games involved in proposing, passing, and implementing successful or promising population-based health interventions in LAC. The aim is to provide information on the struggles and challenges involved in the design and implementation of policies, presenting an array of possible instruments and models that can be useful and adaptable to specific scenarios.

详细

  • 作者

    Bonilla-Chacin, Maria Eugenia Barbieri, Maria Eugenia Hernandez, Adriana Diaz del Castillo Duran, Ethel Segura Sarmiento, OIga L. Rodriguez, Evelyne Sica, Amanda Lorenzo, Ana Mora, Franco Gonzalez Abascal, Winston

  • 文件日期

    2014/01/01

  • 文件类型

    工作文件

  • 报告号

    87821

  • 卷号

    1

  • Total Volume(s)

    1

  • 国家

    墨西哥,

  • 地区

    拉丁美洲与加勒比海区,

  • 发布日期

    2014/05/01

  • Disclosure Status

    Disclosed

  • 文件名称

    Prevencion de factores de riesgo de la salud en America Latina y el Caribe : gobernanza de cinco esfuerzos multisectoriales

  • 关键词

    access to health care, active participation, Adolescent, Adolescent Consumption, adult men, advertising bans, Aging, agriculture, alcohol, alcohol abuse, alcohol policies, alcohol use, anti-tobacco policies, Basic Education, Beverages, blueprint, Cancer, cancers, cardiovascular disease, cardiovascular diseases, Cardiovascular Health, causes of death, Center for Health, chronic condition, chronic disease, Chronic Diseases, chronic malnutrition, cigarettes, citizens, civil society organizations, clinical services, communication campaign, coronary heart disease, data on tobacco use, death rates, dental caries, development policies, Diabetes, Diet, Diets, disability, dissemination, Drugs, eating habits, economy of tobacco control, environmental sustainability, epidemic, Epidemiological Research, epidemiological situation, Epidemiology, excise taxes, exposure to smoke, Fats, female life expectancy, fertility, fertility rate, food industry, Global Advocacy, Global Health, Global Tobacco Epidemic, Good Governance, government agencies, gross domestic product, Gross National Product, health care, health consequences, health interventions, health ministries, health policies, health policy, health problems, health promotion, health reform, health sector, health services, health system, health systems, health warnings, health-sector, healthy behaviors, healthy lifestyle, healthy lifestyles, Heart Attacks, heart disease, high blood pressure, Hospital, hospitalization, Household Surveys, human development, hypertension, illness, Implementation of Population, Injuries, International Food Policy Research Institute, international organizations, Intervention, labor market, labor markets, laws, leading cause of death, Legal Drinking Age, legal status, level of education, levels of education, life expectancy, local authorities, long periods, malnourished children, marketing, medical anthropology, ministries of health, Ministry of Health, mortality, mother, National Action, National Council, National Health, national level, national levels, National Strategy, number of children, nurses, Nutrition, nutrition information, Obesity, Overweight, patient, Physical Activity, Physicians, Policy Analysis, Policy Concern, policy decisions, Policy Development, Policy Research, Policy-making Process, political parties, popular support, Population Studies, premature mortality, prevention interventions, Public Education, public health, public opinion, public places, Public Policy, public service, public support, public transportation, pulmonary disease, quality of care, quality of life, Recreation, recreational activities, reducing tobacco use, Regional Strategy, research institutions, Risk Assessment, RISK FACTORS, rural development, rural residents, school children, Schools, second-hand smoke, self-regulation, service delivery, Smoke-free Air Act, smoke-free environments, smokers, Smoking, smoking ban, Smoking Bans, Smoking Epidemic, smoking in public, smoking population, smoking prevalence, social benefits, social development, Social Policy, Social Science, Social Sciences, social security, Social Services, Social Studies, Social Welfare, Sodium, state governments, State University, Technical Training, television, Tobacco, tobacco advertising, tobacco companies, Tobacco Consumption, Tobacco Control, Tobacco control Measures, Tobacco Control Policies, Tobacco Control Policy, Tobacco Control Program, Tobacco Control strategies, tobacco epidemic, Tobacco Farming, Tobacco Industry, tobacco policies, tobacco policy, Tobacco production, tobacco products, tobacco use, tobacco users, tobacco-control policies, tobacco-producing countries, traffic accidents, Transportation, urban centers, Urban Development, violence, Workers, World Health Organization, Youth

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