Globalization and Health Inequities in Latin America

This book critically analyses the influence of international policies and guidelines on the performance of interventions aimed at reducing health inequities in Latin America, with special emphasis on health promotion and health in all policies strategies. While the implementation of these interventions plays a key role in strengthening these countries' capacity to respond to current and future challenges, the urgency and pressures of cooperation and funding agencies to show results consistent with their own agendas not only hampers this goal, but also makes the territory invisible, hiding the real problems faced by most Latin American countries, diminishing the richness of local knowledge production, and hindering the development of relevant proposals that consider the territory's conditions and cultural identity. Departing from this general analysis, the authors search for answers to the following questions:

• Why, despite the importance of the theoretical advances r egarding actions to address social and health inequities, haven't Latin American countries been able to produce the expected results? Why do successful initiatives only take place within the framework of pilot projects? Why does the ideology of health promotion and health in all policies mainly permeate structures of the health sector, but not other sectors? Why are intersectoral actions conjunctural initiatives, which often fail to evolve into permanent practices?

Based on an extensive literature review, case studies, personal experiences, and interviews with key informants in the region, Globalization and Health Inequities in Latin America presents a strategy that uses monitoring and evaluation practices for enhancing the capacity of Latin American and other low and middle-income countries to implement sustainable processes to foster inclusiveness, equity, social justice and human rights.

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Auteur

Ligia de Salazar holds a PhD in Evaluation Research from McGill University, Canada; a Master in Public Health from Liverpool University, England; and a Master in Health Administration from Universidad del Valle, Colombia. She is senior professor and researcher of Universidad del Valle's School of Public Health, and president of the NGO Foundation for Public Health Development, FUNDESALUD; former director of the WHO/PAHO collaborative Center for Evaluation of Public Health Policy Programs and Technology, CEDETES, at Universidad del Valle, Cali, Colombia. She was Leader and Regional Coordinator of the Latin American Regional Project of Health Promotion Effectiveness, of the International Union for Health Promotion, IUHPE. Dr. Salazar has been principal investigator and coordinator of national and international projects and consultant for several institutions, as well as visiting professor in several Latin American Universities. She has been member of various committees and scie ntific associations such as the Advisory Committee on Health Research, CAIS, PAHO; and member of the Expert Reference Group for NCD Surveillance of World Health Organization; Scientific Committees for several International Conferences in Public Health and Health Promotion. She has served as consultant of international institutions (UNICEF, World Bank, Health Ministries and NGOs, Universities). Dr. Salazar has authored six books and several scientific articles on local development, public health and health promotion theory and evaluation. Her research and academic interest are oriented to evaluation research, surveillance of behavioral risk factors for NCD and social determinants of health inequities, articulation of science, politics and society.

Roberto Carlos Luján holds a B.A. in sociology from the Universidad del Valle, Colombia, and is an associate researcher in various projects of the Foundation for the Development of Public Health (FUNDESALUD) and the Cente r for the Development and Evaluation of Policies and Technology in Public Health (CEDETES).

Contenu

Part I.Introduction.- Chapter 1. Equity, Globalization and Health.- Chapter 2.Global response to social and health inequities.- Chapter 3.Main challenges to reduce health inequities in Latin América.- Part II.Latin American Experiences.- Chapter 4.Redlacpromsa: The Latin American and Caribbean Network of Health Promotion managers.- Chapter 5.Denaturalizing long-lasting endemic diseases: social mobilization in the context of arboviral diseases in Brazil.- Chapter 6. Health promoting schools: implementation challenges, barriers and lessons from a case study.- Chapter 7.Health in the School Program: practicing intersectoriality with territorial basis for the future of Health in all Policies. (SETP / HiP).- Chapter 8.Strategic Analysis of Health Care Practices for Homeless in Rio de Janeiro City, Brazil.- Chapter 9.Linking behavioral surveillance system to health promotion, and policy-making.- Chapter 10.Linking behavioral surveillance system to health promotion, and policy-making.- Chapter 11.La Cumbre, Valle del Cauca. The challenge of implementing sustainable territorial development. Critical factors and consequences in the reduction of inequities in health.- Chapter 12.Innovation in the small farmers' economy: good agricultural practices of Healthy Agriculture with associated rural enterprises in the Northern Cauca area in Colombia.- Chapter 13. Research in the Strategy of Healthy Communities in Mexico: Learning for the transformation of the practice against the Social Determinants of Health.- Chapter 14.Space management of health promotion: The dengue epidemic case in Perú.- Part III - Proposal.- Chapter 15.A bet for the reduction of health inequities in accordance to the conditions of the Latin American Region.