Resumen

SANABRIA RAMOS, Giselda  y  BENAVIDES LOPEZ, Maryeline. Evaluación del movimiento de municipios por la salud: PLaya, 2001. Rev Cubana Salud Pública [online]. 2003, vol.29, n.2, pp.139-146. ISSN 0864-3466.

A descriptive cross-sectional study was carried out to make an evaluative diagnosis of the development level reached in the four basic areas of the "Municipality for health" movement in Playa municipality, on the basis of the identification of the perceptions of some selected social "actors", the discrepancies that might exist among their perceptions and the proposal of an instrument for the strategy evaluation at the municipal level. The assessment was made in 9 health care areas and six people’s councils in Playa. For designing the instrument, it was required to define the concept of health promotion at the municipal level and the way of making the "municipality for health" strategy operative, the set principles as well as to review the instruments so far produced, which have served as a methodological guide for the final design of the evaluative instrument. Various information search techniques were used: documentary review, interviews, surveys and focal groups. After designing, validating and applying the instrument, it was confirmed that it meets the technical and methodological requirements according to the objectives. The conclusions showed that this instrument is effective, flexible, suitable for any sector that intervenes in the strategy and it also has possibilities of being adapted to the peculiarities of a particular institution or territory. The greatest perception of the social "actors" is that the movement runs well, even if some evaluative criteria state that the social involvement is not totally satisfactory. There are different opinions between the two groups of involved "actors": the health care sector group and the People’s Power group. The first group noticed a lower level of development than that observed by the second group, which can be explained by the fact that the People’s Power representatives are the ones that take the responsibility for the strategy

Palabras clave : HEALTH CITY; HEALTH PROMOTION; HEALTH CARE EVALUATION MECHANISMS.

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