Health in All Policies and intersectorality in Latin America and the Caribbean, 2011 - 2021: a scoping review

Fabio Alberto Escobar Díaz; Zuly Andrea Rodriguez Corredor

doi:10.31052/1853.1180.v29.n2.42180

Autores

Fabio Alberto Escobar Díaz Fundación Universitaria del Área Andina. Bogotá DC, Colombia
Zuly Andrea Rodriguez Corredor Fundación Universitaria del Área Andina. Bogotá DC, Colombia

DOI:

https://doi.org/10.31052/1853.1180.v29.n2.42180

Palavras-chave:

Colaboração intersetorial, determinantes sociais da saúde, políticas públicas, América Latina

Resumo

Introdução: A intersetorialidade, a partir da Conferência de Alma Ata em 1978, tornou-se uma parte fundamental do discurso político sobre saúde pública, os determinantes sociais e a promoção da saúde para enfrentar os problemas de saúde na sociedade. De acordo com o antes dito, é importante identificar as pesquisas realizadas na América Latina e no Caribe sobre este tema na última década. Metodologia: Foi realizada uma revisão de escopo em relação com as evidências científicas publicadas entre 2011 e 2021 em países da região latino-americana sobre experiências e ações intersetoriais entre a saúde e outros setores para enfrentar problemas conjuntos de saúde pública.

Resultados: foram incluídos 15 estudos; em sua maioria oriundos do Brasil, com designs predominantemente qualitativos e locais. Além disso, algumas análises destacam a hegemonia do modelo biomédico, bem como os conflitos e tensões a nível ideológico em certas questões de saúde e práticas tradicionais que limitam a colaboração intersetorial eficaz.

Conclusões: A intersetorialidade não é uma questão estritamente técnica, sendo que conflueim elementos ideológicos que determinam seus alcances e limitações. Estudos, em países como a Colômbia, devem ser ampliados para termos evidências que nos permitam compreender as barreiras e os aspectos facilitadores da intersetorialidade.

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Referências

Diez E, Camprubí L, Ferreli R. Recommendations with technical and operational guidelines for strengthening the Intersectoral Public Health Commission in Colombia. Bogotá DC: Eurosocial, Public Health Agency of Barcelona, Ministry of Health and Social Protection; 2015.

Pan American Health Organization. Intersectorality and equity in health in Latin America: an analytical approach. Washington, DC: PAHO; 2015.

Solar O, Valentine N, Rice M, Albrecht D. Moving forward to Equity in Health: What kind of intersectoral action is needed? An approach to an intersectoral typology. Nairobi: 7th Global Conference on Health Promotion; 2009.

Pan American Health Organization. Intersectorality and equity in health in Latin America: an analytical approach. Washington, DC: PAHO; 2015.

World Health Organization. Health in All Policies: Framework for Country Action. Geneva: WHO; 2015.

Sanz-Tolosana E. Health in all policies. Notes for action. Aposta Journal of Social Sciences [Internet]. 2015;(66):122–47. Available from: http://www.redalyc.org/articulo.oa?id=495950262006

Baum F, Lawless A, Delany T, Macdougall C, Williams C, Broderick D, et al. Evaluation of Health in All Policies: Concept, theory, and application. Health Promote Int. 2014 Jun 1;29(S1):i130–42.

Peters M, Godfrey C, McInerney P, Munn Z, Tricco A, Khalil H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. Joanna Briggs Institute; 2021.

De Aguiar JM, D'oliveira AFPL, Schraiber LB. Historical changes in the intersectoral network of services targeted at violence against women – São Paulo, Brazil. Interface: Communication, Health, Education. 2020;24:e190486.

Andrade DR, Garcia LMT, Perez DCP. Local collaborations for physical activity promotion: A network analysis. Cad Saude Publica. 2018;34(10):e00127517.

Arcos-Griffiths E, Vollrath-Ramírez A, Muñoz-González LA, Sánchez-Segura X. Understanding the management of public policy for the comprehensive protection of children in Chile. Rev Gerenc and Polit Salud. 2016 Jul 1;15(31):51–62.

Babajide O, Martins DC, Maani N, Abdalla SM, Gomez EJ, Pongsiri MJ, et al. Improving Decision-Making for Population Health in Nonhealth Sectors in Urban Environments: the Example of the Transportation Sector in Three Megacities—the 3-D Commission. J Urban Health. 2021 Aug 1;98(Supp 1):S60–8.

Barros J de O, Daldon MTB, Rocha T de O, Sznelwar LI, Lancman S. Intersectoriality in health and work in the current Brazilian context: The utopia of reality? Interface: Communication, Health, Education. 2020;24:e190303.

Chiari APG, Ferreira RC, Akerman M, Amaral JHL do, Machado KM, Senna MIB. Intersectoral Networks of the Health Program at School: perceptions and practices. Public Health Cad. 2018;34(5):e00104217.

Dias PC, Henriques P, Ferreira DM, Barbosa RMS, Soares DSB, Luquez TM de S, et al. Challenges of inter-sector collaboration in public policies: The dilemma between nutritional supplementation and the promotion of healthy eating in schools. Cad Saude Publica. 2018;34(12):e00035218.

Lencucha R, Drope J, Bialous SA, Richter AP, da Costa E Silva VL. Institutions and the implementation of tobacco control in Brazil. Cad Saude Publica. 2017;Sup 3:e00168315.

Molina-Marín G, Ramírez-Gómez A, Oquendo-Lozano T. Inter-sectoral and inter-institutional cooperation and coordination in public health within the market model of the Colombian health care system, 2012-2016. Public Health Magazine. 2018 May 1;20(3):286–92.

Nunes CK, Olschowsky A, Silva AB da, Kantorski LP, Coimbra VCC. Mental health in children and adolescents: a vision of the professionals on challenges and possibilities in building up intersectoral networks. Rev Gaucha Enferm. 2019;40:e20180432.

Pinheiro A de S, Silva LRG da, Tourinho MBA da C. The health strategy of the family and the school in sexual education: an intersectoral perspective. Work, Education, and Health. 2017 Dec;15(3):803–22.

Pinho LB de, Wetzel C, Schneider JF, Olschowsky A, Camatta MW, Kohlrausch ER, et al. Evaluation of intersectoral resources in the composition of care networks for crack users. Anna Nery School. 2017 Oct 26;21(4):e20170149.

Pinto MB, Silva KL. Health promotion in the territory: strengths and challenges of local projects. Anna Nery School. 2019;23(1):e20180282.

Pinto MB, Silva KL. Health promotion in schools: speeches, representations, and approaches. Rev Bras Enferm. 2020;73(3):e20180774.

Tirado MC, Galicia L, Husby HB, López J, Olamendi S, Chaparro MP, et al. Mapping of nutrition and sectoral policies addressing malnutrition in Latin America. Rev Panam Public Health. 2016;40(2):114–23.

Shankardass K, Renahy E, Muntaner C, O'Campo P. Strengthening the implementation of health in all policies: A methodology for realist explanatory case studies. Health Policy Plan. 2015 May 1;30(4):462–73.

Hope Corbin J, Jones J, Barry MM. What makes intersectoral partnerships for health promotion work? A review of the international literature. Health Promote Int. 2018 Feb 1;33(1):4–26.

Reza Amir Esmaili M, Damari B, Hajebi A, Rafiee N, Goudarzi R, Haghshenas A. Basic Criteria, Models, and Indicators of Intersectoral Collaboration in Health Promotion: A Scoping Review. Iran J Public Health [Internet]. 2021;50(5):852–65. Available from: http://ijph.tums.ac.ir

Guglielmin M, Muntaner C, O'Campo P, Shankardass K. A scoping review of the implementation of health in all policies at the local level. Vol. 122, Health Policy. Elsevier Ireland Ltd; 2018. p. 284–92.