NUNES, A.R. TAVARES, A.S. VELEZ, C.G. SOUSA, J.M. Julho 2002

24-07-200224-07-2002 National School of Public Health of National School of Public Health of LisbonLisbon

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““FROM THEORY TO PRACTICE IN HEALTH FROM THEORY TO PRACTICE IN HEALTH PROMOTION? – EFFECTIVENESS OF THE PROMOTION? – EFFECTIVENESS OF THE

PORTUGAL CINDI PROGRAM – PILOT ZONE OF PORTUGAL CINDI PROGRAM – PILOT ZONE OF SETÚBAL “SETÚBAL “

NUNES, A.R.NUNES, A.R. TAVARES, A.S.TAVARES, A.S. VELEZ, C.G.VELEZ, C.G. SOUSA, J.M.SOUSA, J.M.

Julho 2002Julho 2002


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INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION

Cardiovascular disease (CVD) is the greatest public health epidemic globally;

CVD is the number one killer and the major cause of disability in Europe; Half the deaths in the industrialised world are the result of CVD; The major causes of CVD are well known and have been well

documented: smoking, poor dietary habits, lack of exercise, high cholesterol;

In 1984, WHO established the Countrywide Integrated Noncommunicable Diseases Intervention (CINDI) Program;

– CINDI supports the development, in member countries, of comprehensive policies to prevent noncommunicable diseases ( NCDs ) and alleviate their consequences

– A key objective is to reduce risk factors common to major NCDs though programs based in communities and workplaces

– CINDI has become one of the most active WHO programs for mobilizing health professional to adopt and apply principles of health for all. Program efforts have created a network of 24 countries, including Portugal, that work individually and collaboratively to prevent NCDs


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As there isn't any evaluation of CINDI As there isn't any evaluation of CINDI program in Portugal and is necessary to program in Portugal and is necessary to support the increment of the program to support the increment of the program to national level for ten more years, the national level for ten more years, the authors propose a qualitative evaluation authors propose a qualitative evaluation through Delphi panel technique, once it through Delphi panel technique, once it doesn't exist quantitative data.doesn't exist quantitative data.

PROBLEMPROBLEMPROBLEMPROBLEM


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Is necessary demonstrate the effectiveness Is necessary demonstrate the effectiveness of the CINDI program and the investment in of the CINDI program and the investment in financial and human resources with this financial and human resources with this program, to base on a political decision of program, to base on a political decision of elargement the program at national level elargement the program at national level (Portugal), for ten more years.(Portugal), for ten more years.

RELEVANCE FOR PH AND HPRELEVANCE FOR PH AND HPRELEVANCE FOR PH AND HPRELEVANCE FOR PH AND HP


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AimsAims:: Collect opinions and evaluate perspectives of the leadership members of Collect opinions and evaluate perspectives of the leadership members of

the most important sectorial areas defined in the CINDI Program.the most important sectorial areas defined in the CINDI Program.

General Objective:General Objective: To contribute for the take political decision with base in the experience To contribute for the take political decision with base in the experience

about the CINDI program in past years activity.about the CINDI program in past years activity.

Specific ObjectivesSpecific Objectives:: Create a questionnaire for the technique Delphi Panel that contributes to Create a questionnaire for the technique Delphi Panel that contributes to

political and technical decision for the future implementation of CINDI political and technical decision for the future implementation of CINDI Program in a national level (Portugal).Program in a national level (Portugal).

Application of the Delphi Panel to the leadership members of the most Application of the Delphi Panel to the leadership members of the most important sectorial areas defined in the CINDI Program.important sectorial areas defined in the CINDI Program.

Develop and to deepen the information to the social partners and scientific Develop and to deepen the information to the social partners and scientific community. community.

AIMS AND OBJECTIVESAIMS AND OBJECTIVESAIMS AND OBJECTIVESAIMS AND OBJECTIVES


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Transversal and qualitative study, throughTransversal and qualitative study, through Delphi panel technique, with three rounds.Delphi panel technique, with three rounds.

Experts group:Experts group:– People with different professional activity People with different professional activity

involved in the CINDI program (experts and involved in the CINDI program (experts and community representation)community representation)

Data collection:Data collection:– Questionnaire with close questions of two types Questionnaire with close questions of two types

(Strategic and operational)(Strategic and operational)

METHODOLOGYMETHODOLOGYMETHODOLOGYMETHODOLOGY


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Expected Opportunities:Expected Opportunities:– Identification of the relevant strategies for the creation of a monitoring system;Identification of the relevant strategies for the creation of a monitoring system;– Fundamentation of a future political decision and future proposals.Fundamentation of a future political decision and future proposals.

Constraints:Constraints:– The difficulties started to follow a logical reasoning because of the lack of data The difficulties started to follow a logical reasoning because of the lack of data

existent and because it is very difficult to demonstrate the advantages of 15 years of existent and because it is very difficult to demonstrate the advantages of 15 years of CINDI application in Portugal- Setúbal as support of a future political decision which CINDI application in Portugal- Setúbal as support of a future political decision which will mobilise resources (that are scarce);will mobilise resources (that are scarce);

– Stimulate and maintain the adhesion of the experts group. Stimulate and maintain Stimulate and maintain the adhesion of the experts group. Stimulate and maintain the adhesion of the experts group.the adhesion of the experts group.

Expected Results:Expected Results:– We expect that this project will bring a contribution to the political decision of We expect that this project will bring a contribution to the political decision of

widening of the CINDI program for more 10 years and at a national level;widening of the CINDI program for more 10 years and at a national level;– To contribute for the creation of the evaluation method of health promotion program.To contribute for the creation of the evaluation method of health promotion program.

EXPECTATIONSEXPECTATIONSEXPECTATIONSEXPECTATIONS


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Internal CommunicationInternal CommunicationGive information and a contribute to Director Give information and a contribute to Director

General for Health and the Health Services General for Health and the Health Services (Direcção Geral de Saúde) with the aim of (Direcção Geral de Saúde) with the aim of creating a fundamentation base for decision creating a fundamentation base for decision making.making.

External CommunicationExternal CommunicationCommunity involvement, articles publications Community involvement, articles publications

about these matters and contribute for mass about these matters and contribute for mass media informationmedia information

COMMUNICATIONCOMMUNICATIONCOMMUNICATIONCOMMUNICATION


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This project will be developed This project will be developed in a period of six month, in a period of six month, between January and June of between January and June of the next year.the next year.

FOLLOW UPFOLLOW UPFOLLOW UPFOLLOW UP

Documents

NUNES, A.R. TAVARES, A.S. VELEZ, C.G. SOUSA, J.M. Julho 2002