Suchergebnisse

The 8th Global Conference on Health Promotion(1), held in Helsinki in 2013, built on pillars established in the Declaration of Alma-Ata (1978) and the Ottawa Charter (1986), adopted the theme "Health in all policies". Such approach comes to clarify the responsibility of governments to their people, highlighting health as a fundamental right and a matter of fairness and social justice. Therefore, synergy in decisions should be achieved in order to avoid adverse impacts on health. Conceptually, that is expressed by the principles of legitimacy, accountability, transparency and access to information, participation, sustainability, and collaboration between sectors and levels of government. Changes in health concepts have determined the review of the concept of health promotion and have enabled the redesign of public policies. It should be emphasized that health promotion(2) must be understood and structured in two major areas, where promotional activities overlap disease prevention, and another one related to the expansion of the concept of health, in which the subjects become involved and contribute to ensure living conditions. In Brazil, the institutionalization of the National Policy for Health Promotion(3) in the health scenario is an example of mainstreaming policy already explained that health is not restricted only to the health sector(4). This policy aims to promote the quality of life, reduce vulnerabilities and health risks related to its determinants - ways of living, working conditions, housing, environment, education, leisure, culture, access to essential goods and services. It is noteworthy the fact that this policy stands out for its inclusiveness and integrative character, and is able to tune in to the Universal Declaration of Human Rights(5), which in Article 1 proclaims that "All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one another in a spirit of brotherhood". From these concepts one can say that the ...