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In 2013 the Chilean Ministry of Health studied the experiences developed since 1998 with the Communal Plans for Health Promotion. The careful review of the evidence gave rise to the Healthy Municipalities, Cities, and Communities strategy. New focus was put on the municipalities that are leading on the territorial participatory assessments, with strategic plans for the next three years and that are strengthening the ability of its people to understand and act on their context. This allows finding solutions to territorial problems using local resources and capabilities, strengthening intersectorial action and at the national level. The local - community - national dialogue is one of the strengths of the strategy, because the policies, actions, and decisions are not going in different directions, but are in constant dialogue with each other.
In Porto Alegre , Brazil, an example of intersectoral information exchange has been launched through a community radio microphone. The radio program " In the Radio Waves " talks and raises awareness about health and its promotion . Speakers have a dialogue with the audience on how to empower themselves to achieve a better quality of life and to learn about disease prevention. This is a case study of community organization, in collaboration with different institutions.
In 2008 Rio de Janeiro received two important and contrasting news: it was selected as the host of the Olympic Games in 2016 and it appeared as the Brazilian city with the worst health indicators. The Municipal Government decided to link the two facts and intends to organize the Olympics where the main legacy that is left for its citizenship is a reform of Primary Health Care (APS) that benefits the development of competition as well as improving and dignifying life for the citizens of Rio. They have gone from coverage in APS of 150 thousand people in 2008, to 2.5 million people in 2012 , nearly 40 % of its target population. An example of an international sports event that was used as a motivation to produce results in Health with an equity approach.
Bolsa Familia is a Brazilian government program that originated from the legislative and executive powers. It serves families in extreme poverty by increasing their human capital and improving their development opportunities through cash transfers and by increasing access to public services and food, among other actions. It assumes an intense inter-sectoral coordination and shows good results in child nutrition, lower fertility rates, improved maternal education and a higher purchasing power.
The Zero Hunger Pact in Guatemala and its implementation in the municipality of Tajamulco, is a good example of how a national policy can be adopted and implemented locally through intersectoral cooperation. The Pact intervenes in the social determinants that generate malnutrition and inequality, improving access to food and nutrition of children in the municipalities and most vulnerable populations .
This experience is an example of local development and health in the communities of the Guarani in the Bolivian Chacoregion. The program approaches reality with a focus on the social determinants of health . It focuses on the coordination of national, subnational and local levels, as a strategy to improve the health of vulnerable people. The results are positive as the program manages to aid this specific population with its particular challenges and opportunities.